News
from the fight to #SaveIndiePharmacy
New York Times’ The Middlemen series
UnitedHealthcare, Humana are gaming Medicare Advantage risk adjustment, analysis finds
The Alliance for Community Health Plans’ analysis adds to existing research suggesting major insurers are unfairly profiting from MA’s risk adjustment system.
Legalized Racketeering? How PBMs Skirt the Law to Rake in Billions
Pharmacy Benefit Managers (PBMs) have been under scrutiny lately for their actions as middlemen in the flow of prescription drugs from manufacturers to patients. But perhaps their worst actions are buried within a maze of consolidation and paperwork. Big Insurance has consolidated the entire pharmaceutical benefit, claim, and dispensing sector to squeeze as much money out of patients as possible.
Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.