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  2. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Pharmacy benefit management. In the United States, a pharmacy benefit manager ( PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.

  3. Explainer-Why are US pharmacy benefit managers under fire? - AOL

    www.aol.com/news/explainer-why-us-pharmacy...

    Pharmacy benefit managers are companies that handle prescription drug benefits for health insurance companies, large employers, and Medicare prescription drug plans - a group often referred to as ...

  4. Amid increased federal scrutiny, PBMs pivot strategy to ... - AOL

    www.aol.com/finance/amid-increased-federal...

    Pharmacy benefits managers (PBMs) are employing new strategies to squeeze independent pharmacies, even as the industry faces pressure from the federal government, which is looking for ways to curb ...

  5. It’s time for facts in the PBM debate - AOL

    www.aol.com/finance/time-facts-pbm-debate...

    Year after year, decade after decade, companies big and small have a decision to make about their PBM. They choose us because we take on every challenge, manage every drug, and deliver savings and ...

  6. UnitedHealth's unit to launch new drug pricing model next year

    www.aol.com/news/unitedhealths-unit-launch-drug...

    Under value-based pricing models, insurers, pharmaceutical companies and the middlemen, which include pharmacy benefit managers (PBMs) like OptumRx, agree to link payment for medicine to the ...

  7. Medicare Prescription Drug, Improvement, and Modernization Act

    en.wikipedia.org/wiki/Medicare_Prescription_Drug...

    American Hospital Association v. Becerra, No. 20-1114, 596 U.S. ___ (2022) The Medicare Prescription Drug, Improvement, and Modernization Act, [1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [2] It produced the largest overhaul of Medicare in the public health program's 38-year history.

  8. Linda Cahn - Wikipedia

    en.wikipedia.org/wiki/Linda_Cahn

    Linda Cahn is the founder and president of a nationwide consulting firm, Pharmacy Benefit Consultants. The firm assists corporations, unions, government entities and insurance companies in improving their prescription coverage benefits and decreasing their prescription coverage costs. Cahn’s expertise related to prescription coverage arises ...

  9. PBMs drive drugs cost up, run Ohio pharmacies out of ... - AOL

    www.aol.com/pbms-drive-drugs-cost-run-095914329.html

    Sherrod Brown has a chance to get real answer about PBMs during UnitedHealth Group's cybersecurity hack hearing. PBMs drive drugs cost up, run Ohio pharmacies out of business. Brown must get answers.