News
from the fight to #SaveIndiePharmacy
New York Times’ The Middlemen series
Health Insurers Are Denying More Drug Claims, Data Shows
Offering a rare glimpse inside the hidden world of rejected insurance claims, new data shows a steady uptick among major private insurers.
Bristol Myers Squibb, Pfizer to sell blockbuster blood thinner Eliquis at 40% discount
The companies’ new effort would bypass traditional middlemen, including pharmacy benefit managers and insurers, to cut the drug’s monthly cost from a list price of around $606 to $346
Medicaid Cuts Are Coming: And Schools Will Pay the Price
When we think about Medicaid, we typically think about health insurance. But Medicaid is also among the largest funding sources for K–12 public schools, providing an estimated $7.5 billion annually to pay for essential services for student learning and development.
Dr. Oz tells Americans on Medicaid ‘don’t eat carrot cake’ as millions face health insurance cuts
‘Do the most you can do to really live up to your God-given potential to live a full and healthy life. Don't eat carrot cake. Eat real food,’ Oz told Fox Business’ Stuart Varney on Monday
How Health Insurance Monopolies Affect Your Care
These monopolies drive up costs, says Leemore Dafny, a professor at Harvard Business School and Harvard Kennedy School who has long studied competition among health insurance companies and providers.
UnitedHealth’s Campaign to Quiet Critics
The company has invoked the murder of an executive last year to complain about coverage in news outlets, on streaming services and on social media.
Can One Angry Dad Fix The Drug Industry?
Bil stares into the camera intently, as always, with his furrowed brow. “Always on my mind is my son, Cole,” he said. However, Bil says with a slight smile, “Health care reform is coming.”
H.R. 3467 Stinks
Here are the three provisions in the bill that are the most glaringly harmful to seniors, taxpayers and the free market.
UCare drops Medicaid service to 88,000 people in 11 counties, citing mounting costs
Financial troubles at UCare will force about 88,000 people to switch Medicaid health plans by September, when the Minneapolis-based HMO will stop providing state-funded coverage in Ramsey County and 10 other counties in Minnesota.
Let's Fix Our Own Prescription Drug Policies
President Trump's push to import drug pricing models from European health systems -- particularly his Most Favored Nation (MFN) approach -- is like trying to fix a Harley-Davidson at a Vespa dealership.
Pharmacies In Desperate Need of an Antidote
Chains and independents alike are shuttering as pharmacy benefit managers tighten reimbursements.
Federal judge blocks Iowa's pharmacy benefit manager law for 2 weeks after businesses sue
A federal judge has issued a temporary restraining order blocking the enforcement of Iowa's new law intended to regulate pharmacy benefit managers and help struggling pharmacies.
How artificial intelligence controls your health insurance coverage
Over the past decade, health insurance companies have increasingly embraced the use of artificial intelligence algorithms. Unlike doctors and hospitals, which use AI to help diagnose and treat patients, health insurers use these algorithms to decide whether to pay for health care treatments and services that are recommended by a given patient’s physicians.
As pharmacies close, Ohio Chamber blasted for siding with middlemen
Owners of small pharmacies — many themselves members of local chambers of commerce — are accusing the Ohio Chamber of Commerce of siding with huge corporate middlemen who are driving them out of business.
Minnesota Independent Pharmacists’ (MNIndys’ legislative wins during the 2025 session gets a small shout out at the end!
NYC Retirees Are Victorious Against Mayor Eric Adams Medicare Advantage Push
Mayor Eric Adams abruptly ends plan to force 250,000 retired city workers into a privatized health plan, marking a watershed win for a bipartisan grassroots movement.
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[VIDEO] Welcome to the Sunlight Report on UnitedHealth Group
Last week the Center for Health & Democracy published the Sunlight Report on UnitedHealth Group – a first-of-its-kind look at the largest health care conglomerate in the world.
Check out our Get Educated page to read the full report.
Lawsuit says CVS crossed 'ethical and legal line' while fighting late change to pharmacy bill
A lawsuit filed Wednesday alleges CVS Health Corp. broke the law when it sent a series of text messages to Louisiana residents asking them to lobby against a bill that would have impacted its bottom line.
Ex-FTC lawyers form new firm targeting US antitrust enforcement ‘gaps’
Three former U.S. Federal Trade Commission lawyers and a U.S. attorney who resigned in January opened a new plaintiffs law firm on Tuesday focused on unfair competition, price discrimination and other antitrust law violations.
AMA supports PBM reform in annual meeting
In the annual meeting of its House of Delegates, which concluded on June 11, the American Medical Association adopted a resolution opposing PBM spread pricing practices, including supporting state and federal legislation
Cub pharmacies, Twin Cities grocers facing disruptions in cyberattack on major distributor
UNFI, Cub’s parent company, also distributes food for other area grocery stores like Whole Foods, Kowalski’s and Lunds & Byerlys. It is still working to restore its systems after last week’s breach while its grocers deal with unstocked shelves and immobilized pharmacies.
Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.