Bipartisan bill seeks to stop pharmacy middlemen from driving up drug costs for financial gain
Act" was unveiled by a group of bipartisan lawmakers Tuesday, aimed at reforming the incentive structure for Pharmacy Benefit ...
BenefitsPRO17h
Dems and GOP unite to revive bill limiting PBM drug pricing practices
Rep. Mariannette Miller-Meeks, R-Iowa, and colleagues introduced a version of the The bill would limit a PBM working with a ...
The Commonwealth Fund2d
What Pharmacy Benefit Managers Do, and How They Contribute to Drug Spending
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to ...
Florida Push for Citizens' Prescription Data Sparks Privacy Concern
The state's insurance regulator has been seeking such information as patient names, dates of birth and prescription details.
BenefitsPRO2d
'Fully transparent' PBMs may not cut costs, Segal health expert says
Ed Kaplan, the national health practice leader at Segal, also has concerns about "any willing provider" strategies.
Modern Healthcare19h
UnitedHealth Group PBM to cut some drug reauthorization requirements
UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...
Healthcare Dive17h
Optum Rx says it will eliminate 10% of prior authorizations
The massive pharmacy benefit manager plans to stop requiring coverage authorizations for roughly 80 drugs used to treat ...
WTTW News1d
What Are Pharmacy Benefit Managers? Illinois Lawmakers Target Industry They Say Drives Up Prescription Costs
A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...
BioPharma Dive14h
Optum Rx says it will eliminate some prior authorization requirements
The PBM plans to stop requiring coverage authorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...
Daily Voice on MSN2d
NYers Can Now Report Soaring Drug Prices, Pharmacy Complaints Through New State Program
Small, independent pharmacies can also report unfair business practices by Pharmacy Benefit Managers (PBMs)—the middlemen ...
Becker's Hospital Review1d
Florida asks PBMs for patient data; critics raise privacy concerns
The request stems from a 2023 state law aimed at increasing oversight of PBMs, intermediaries that negotiate drug prices between insurers and pharmacies. However, the broad scope of the data ...