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UnitedHealthcare 'Pushing' Boundaries of Medicare Fraud, Republican Says
Newsweek Reporter: Suzanne Blake A Republican lawmaker has gone after UnitedHealthcare over its Medicare plan, calling the insurance...
PUTT
2 min read
28 views
1 comment

Justice Department antitrust division looking at health care conglomerates, pharmacy drug middlemen
Ohio Capital Journal reporter: Marty Schladen Huge health conglomerates have another reason to worry that their business model might be...
PUTT
2 min read
48 views
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States Keep Legal Pressure on PBMs Ahead of Potential FTC Suit
State AGs are forging ahead with price-fixing lawsuits FTC appears poised to file its own lawsuit against PBMs Bloomberg Law States are...
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4 min read
72 views
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Drug middlemen say Pharma sets prices. Then why do middlemen have hundreds for the same drug?
Ohio Capital Journal Pharmacy middlemen known as pharmacy benefit managers deny claims that they’re responsible for the inflating cost of...
PUTT
3 min read
80 views
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CVS Caremark agrees to $45M settlement with Illinois: report
Modern Healthcare CVS's in-house middleman for dispensing prescription drugs will pay at least $45 million in a settlement with the state...
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2 min read
59 views
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FTC plans to sue top 3 PBMs over insulin prices: WSJ
Yahoo Finance The Federal Trade Commission (FTC) is looking to take legal action against the three largest pharmacy benefit managers...
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3 min read
26 views
2 comments

Medicare Advantage and Consolidation’s New Frontier — The Danger of UnitedHealthcare for All
The New England Journal of Medicine To download a PDF of this article, click here UnitedHealth Group has recently come under fire. In...
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6 min read
994 views
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PBMs pay higher prices to their own pharmacies, FTC says
Modern Healthcare Drug middlemen paid their own mail-order pharmacies as much as 200 times more than the price at rival pharmacies for...
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3 min read
47 views
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3Axis Report Scrutinizes PBM Spread Pricing Practice
The 3Axis Advisors analysis suggests PBMs’ spread pricing practices leads to employers being charged different amounts for the same...
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4 min read
66 views
2 comments

Mail-Order Drugs Were Supposed to Keep Costs Down. It’s Doing the Opposite.
One employer was paying about $100 for a prescription for a generic antidepressant, though it could be bought elsewhere for about $12 The...
PUTT
5 min read
63 views
1 comment


The Opaque Industry Secretly Inflating Prices for Prescription Drugs
Pharmacy benefit managers are driving up drug costs for millions of people, employers and the government. The New York Times Americans...
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16 min read
182 views
1 comment


Health-Care Collusion Task Force Sets Stage for DOJ Enforcement
Justice Department poised to bring civil, criminal cases Enforcers expected to focus on data-sharing, use of AI Bloomberg Law The Justice...
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4 min read
44 views
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PBM executives invited to testify before House panel
STAT+ Executives from the three major pharmacy benefit manager companies have been invited to testify before the House Committee on...
PUTT
1 min read
61 views
1 comment

DOJ Launches Task Force on Healthcare Monopolies: Will It Make A Difference?
The U.S. Department of Justice recently launched a task force on healthcare monopolies. Experts have varying opinions on how it will...
PUTT
3 min read
31 views
2 comments

Mapping the Vertical Integration of Insurers, PBMs, Specialty Pharmacies, and Providers: A May 2024 Update
Drug Channels It's time for Drug Channels’ annual update of vertical integration among insurers, PBMs, specialty pharmacies, and...
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3 min read
122 views
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Mark Cuban has a simple question for CVS’s drug middleman: Why don’t you publish your prices?
Ohio Capital Journal Businessman and TV personality Mark Cuban has a seemingly straightforward question for the huge drug middleman owned...
PUTT
4 min read
36 views
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Lawmakers slam UnitedHealth chief over Change Healthcare attack
Modern Healthcare UnitedHealth Group CEO Andrew Witty endured withering criticism from lawmakers Wednesday as Congress held a pair of...
PUTT
5 min read
40 views
1 comment

Are below cost reimbursement practices by Pharmacy Benefit Managers creating opportunity for criminals to enter the legitimate supply chain?
The Partnership for Safe Medicines Whether it’s N95 masks, airbags, or helmets, demand for a product that the legitimate market cannot...
PUTT
9 min read
50 views
0 comments

Amid increased federal scrutiny, PBMs pivot strategy to further squeeze independent pharmacies
Yahoo! Finance Pharmacy benefits managers (PBMs) are employing new strategies to squeeze independent pharmacies, even as the industry...
PUTT
5 min read
49 views
0 comments

Should the DOJ Break Up UnitedHealth Group?
The U.S. Department of Justice has reportedly recently launched an antitrust investigation of UnitedHealth Group, which begs the question...
PUTT
6 min read
45 views
1 comment
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