Federal authorities move to close mammoth drug-pricing loophole
Ohio Capital Journal Years after the potential for abuse was flagged in Ohio, the federal agency that oversees Medicaid is moving to...
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IPMD
- 4 min
US Officials Probe a New Layer in Opaque Drug Pricing, Supply System
Round of subpoenas is the latest attempt to pierce industry Entities allow PBMs to ‘hide the ball,’ consultant says Bloomberg US...
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IPMD
- 3 min
PBM Reform Legislation May Be One Step Closer To Reality, But It’s Missing Two Key Components
Forbes This week, the Senate Health, Education, Labor and Pensions Committee advanced four new bills related to pharmacy benefit manager...
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IPMD
- 4 min
Are we on the cusp of a new drug pricing paradigm?
Progessive Policy Institute We may be on the verge of a titanic shift in how drug prices are set. It’s been led by a dramatic decline in...
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IPMD
- 4 min
Report: “Specialty” drugs are by far the most expensive, but classification seems arbitrary
Ohio Capital Journal The prescriptions with the most eye-popping price tags — like cancer meds that can cost more than $20,000 a month —...
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IPMD
- 4 min
Your guide to PBM legislation
Axios Pro You can be forgiven if you're confused about all the PBM bills floating around out there. There are a lot! We made this handy...
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IPMD
- 2 min
Bipartisan Senate plan would regulate PBM compensation, target ‘unfair’ drug price hikes
Key takeaways: The bipartisan plan would decouple pharmacy benefit manager compensation from drug prices, among other reforms. The...
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IPMD
- 4 min
Richmond owner: Small pharmacies often lose money on drugs, told to lie about supply
Richmond Times-Dispatch Independent pharmacies play an important role in their communities, but they often lose money on the medicines...
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IPMD
- 3 min
Drug pricing battle: House and Senate both targeting pharmacy benefit managers
On Friday, the House Appropriations Committee approved a bill that would prevent "spread pricing" and increase regulations on PBMs, two...
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IPMD
- 3 min
Move the Pharmacy Benefit Manager Transparency Act of 2022 forward
CT Mirror “I cannot afford to live.” – Patients are screaming at the outrageous prescription drug costs. The U.S. spends three times more...
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IPMD
- 3 min
New York Medicaid Shifts to New Pharmacy Benefit Program
Under the NYRx model, New York State says its Medicaid program will pay pharmacy costs directly, eliminating the need for managed care...
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IPMD
- 1 min
Sanders, Cassidy game out drug pricing package
Politico Prescription Pulse DRUG LOBBYISTS, MARK YOUR CALENDARS — April 19 is the day Senate HELP Chair Bernie Sanders (I-Vt.) wants to...
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IPMD
- 3 min
Oklahoma Insurance Dept. says CVS violating pharmacy choice law
Insurance NewsNet CVS/Caremark, one of the nation’s largest pharmacy benefits managers, has again drawn scrutiny by insurance regulators...
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IPMD
- 4 min
Drug Middlemen Accused of Price Fixing by Ohio Attorney General
Lawsuit alleges certain PBMs shared information to gain leverage during rebate negotiations with drugmakers The Wall Street Journal A...
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IPMD
- 3 min
Senate panel advances bill to reform PBMs and bring more FTC scrutiny on industry
Fierce Healthcare A key Senate committee advanced legislation to ban pharmacy benefit manager tactics, such as spread pricing and...
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IPMD
- 1 min
Louisiana AG Jeff Landry announces diabetes treatment lawsuit
KTAL News Louisiana Attorney General Jeff Landry announced a new lawsuit aimed at protecting diabetic residents from high costs on...
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IPMD
- 14 min
Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
STAT+ News An algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered...
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IPMD
- 2 min
Cigna hit with ERISA class action lawsuit for allegedly overcharging members
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna...
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IPMD
- 5 min
Patients Caught in Drug Industry, PBM Battle on Copay Assistance
CMS rule leaves high out-of-pocket costs, lawsuit argues Aid programs ‘mask’ problem of prices, analysts say Bloomberg Law High drug...
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IPMD
- 4 min
Private Health Care Companies Are Eating the American Economy
A new report from Wendell Potter at the Center for Health and Democracy examines just how the private insurance market makes its...
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