Pharmacy benefit managers (PBMs) are facing scrutiny as the number of medications eliminated from insurance plans has surged by 1,600% over the last decade. State and local governments are suing insulin makers and PBMs over alleged price-fixing. Lawmakers are working on reforming the drug coverage system, while PBMs are lobbying extensively. Additionally, there are concerns about high levels of Medicare Advantage ad/marketing fraud.
Feds Need to Enlist Consumers to Police Eyepoppingly High Level of Medicare Advantage Ad/Marketing Fraud https://t.co/9KU1dilzB9
As state and federal lawmakers pass legislation in an effort to reform the drug coverage system, the pharmacy benefit managers that determine — and profit from — insurance coverage are lobbying like never before. https://t.co/xsJ5DFUM7l
A growing number of state and local governments across the U.S. are suing insulin makers and pharmacy benefit managers over claims the companies conspired to illegally drive up prices. https://t.co/7IMqvPKk10
The companies known as pharmacy benefit managers that determine drug benefits for health insurers are incentivized to only keep drugs covered that make them the most money. This has led to drugs rapidly disappearing from people’s insurance policies. https://t.co/xsJ5DFUM7l
The number of medications eliminated from many insurance plans has skyrocketed over the last decade, jumping by some 1,600%. Part of the problem lies with pharmacy benefit managers — powerful companies that determine drug benefits for health insurers. https://t.co/xsJ5DFUM7l
Pharmacies have been declining across the country in recent years. @RobertGebelhoff has the latest: https://t.co/XWYnQtKddQ