MedImpact Completes Acquisition of Sav-Rx
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Pharmacy Benefit Managers (PBMs)
PBMs Hit by Trump Transparency Rule
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PBMs Hit by Trump Transparency Rule
Pharmacy benefit managers are facing more pressure after the Department of Labor issued new requirements for disclosing their financial dealings with drugmakers, pharmacies and others health system players. The proposed rule stems from President Trump’s executive order on lowering drug prices and comes as Congress is targeting the drug supply intermediaries with more transparency rules.
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Middlemen in the U.S. Healthcare System: Shaping Costs and Complexity
Healthcare middlemen aggregate purchasing power, streamline transactions and manage claims, yet their operations also affect transparency, competition and the cost of goods and services. Employers rely on middlemen to navigate health insurance benefits and claims processing, providers depend on them to manage supply chains and revenue cycles, while patients experience the downstream consequences of middlemen
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Middlemen in the U.S. Healthcare System: Shaping Costs and Complexity
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House Report Alleges CVS Aimed to Stifle Pharmacy Hub Competition
A new report from the House Judiciary Committee alleges that CVS Health may have violated antitrust laws by preventing independent pharmacies from tapping into alternative pharmacy-hub options. The report, released last week as major health insurance executives were questioned for hours before two House panels, is born from a committee investigation launched in September 2024
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House Report Alleges CVS Aimed to Stifle Pharmacy Hub Competition
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House Passes Health Funding Package, Including PBM Reform
The House passed a key appropriations package that would fund the Department of Health and Human Services through Sept. 30, including a step toward reforms for pharmacy benefit managers. The package passed by a 341-88 vote, and it includes elements that would prevent PBMs from tying compensation in Part D to the list price of
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House Passes Health Funding Package, Including PBM Reform
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What to Know About Pharmacy Benefit Managers (PBMs) and Federal Efforts at Regulation
One player in the system of pharmaceutical pricing in the U.S. that has come under increasing scrutiny in recent years is the pharmacy benefit manager, or PBM. These so-called ‘middlemen’ are used by health insurance companies to manage their pharmacy benefits. PBMs have been the focus of attention from policymakers for several reasons. This brief
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