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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.
Pharmacy benefit managers (PBMs) are in the crosshairs of Republicans and Democrats in Congress but have so far dodged any new litigation or reforms that had been targeted for inclusion in last ...
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PBMs have used various strategies over the years to squeeze independent pharmacies, and these tactics are on the rise as the federal government takes aim at reigning in the notorious middlemen.
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.
They require PBMs to act in the best interest of health plans in a way that conflicts with PBMs' role as the intermediary, which is the foundation of the PBM industry. The Pharmaceutical care management association, the national trade association representing PBMs, starkly opposes legislation of this kind. The PCMA believes public disclosure of ...
PBMs, Marchand Aprigliano said, are an example of the popular saying, “the road to hell is paved with great intentions.” Indeed, in August 2019, Forbes reported on how PBMs drive up cost and ...
“The PBM industry has helped clients hold increased spending to just four and a half percent and kept member cost growth to just 1.4 percent,” said David Joyner, executive vice president and ...