Employers Haven鈥檛 a Clue How Their Drug Benefits Are Managed
The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.
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The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.
This year鈥檚 start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.
The 2024 presidential race is taking on a familiar tone 鈥 with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join 杨贵妃传媒視頻 Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews 杨贵妃传媒視頻 Health News鈥 Lauren Sausser, who reported and wrote the latest 杨贵妃传媒視頻 Health News-Washington Post 鈥淏ill of the Month,鈥 about a teenage athlete whose needed surgery lacked a billing code.
The former president instead favored a temporary model that could鈥檝e brought down prices of some prescription drugs, but it was blocked by the courts.
杨贵妃传媒視頻 Health News gives readers a chance to comment on a recent batch of stories.
Minnesota led the way on insulin affordability, culminating in 2020 when Gov. Tim Walz signed a law going further to cut costs than other state laws. Now, former President Donald Trump and Vice President Kamala Harris are vying for support from people with diabetes.
Congress left Washington for the campaign trail this week, but not before approving a spending bill that expires shortly before Christmas. Lawmakers will be busy after the election working on not just the legislation needed to keep the government running, but also several health programs set to expire. Meanwhile, Republicans continue to downplay abortion as Democrats press it as a campaign issue. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Joanne Kenen of Johns Hopkins University and Politico join 杨贵妃传媒視頻 Health News chief Washington correspondent Julie Rovner to discuss these stories and more.
Dreaming of a Trump victory, Republicans have a wish list of health policy changes 鈥 including loosening Affordable Care Act regulations to make cheaper coverage available and ending Medicare drug price negotiations. Meanwhile, after a publicly reported death stemming from a state abortion ban, Vice President Kamala Harris is emphasizing the consequences of Trump鈥檚 work to overturn Roe v. Wade. Tami Luhby of CNN, Shefali Luthra of The 19th, and Joanne Kenen of Politico and Johns Hopkins University join 杨贵妃传媒視頻 Health News senior editor Emmarie Huetteman to discuss these stories and more.
California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumers鈥 choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.
The pharmaceutical industry has invented a new art form: finding ways to make their wares seem like joyous must-have treatments, while often minimizing lackluster efficacy and risks.
Vice President Kamala Harris is seen as more aggressive than former President Donald Trump in taking on pharmaceutical companies, but Trump allies say he would also make lowering drug costs a top priority.
As Congress pushes for Medicare to cover payment for anti-obesity drugs, Denmark 鈥 Ozempic maker Novo Nordisk鈥檚 home 鈥 has limited coverage of the drug after cost overruns 鈥渆mptied all the money boxes in the entire public health system.鈥
The percentage of people who say they鈥檝e tried to end a pregnancy without medical assistance increased after "Roe v. Wade" was overturned. One of the most common reasons for seeking a self-managed abortion was privacy concerns.
For the 2024 campaign, Joe Biden is out, and Kamala Harris is in. As the vice president makes moves toward the top of the Democratic presidential ticket, health policy is resurging as a campaign issue. Meanwhile, Congress tries 鈥 and again fails 鈥 to make timely progress on the annual government spending bills as abortion issues cause delays. Alice Miranda Ollstein of Politico, Stephanie Armour of 杨贵妃传媒視頻 Health News, and Rachel Cohrs Zhang of Stat join 杨贵妃传媒視頻 Health News鈥 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Anthony Wright, the new executive director of Families USA, about his plans for the organization and his history working with Harris on health topics.鈥
Even as part of a popular South Dakota tourist attraction, an independent pharmacy serving locals, remote ranchers, and sightseers struggles with staffing and insurer payments.
Louisiana lawmakers have added two drugs commonly used in pregnancy and reproductive health care to the state鈥檚 list of controlled dangerous substances, a move that has alarmed doctors in the state.
Although Novo Nordisk and Lilly lump together the pharmacies that compound semaglutide and tirzepatide with internet cowboys selling fake drugs, there is a distinction. The FDA has offered Americans little clarity about the vast gray and black markets for the drugs.
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