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Insurer and PBM tactics are shifting higher costs to patients with chronic and complex conditions

By Priscilla VanderVeer  |    March 2, 2023
Health plans are increasingly using deductibles and coinsurance to shift more of the cost of care to chronically ill patients taking brand medicines. As data from IQVIA show, this alarming trend is...   Read More

Holding pharmacy benefit managers accountable

By Reid Porter  |    February 23, 2023
State legislative sessions across the country are in full swing, and many state officials have made lowering the cost of medicine for patients a top priority. If policymakers are serious about...   Read More

Stopping pharmacy benefit managers from “gaming the system”

By Reid Porter  |    February 22, 2023
People around the country say they are paying too much for their prescription medicines. State policymakers could help address this problem now. Doing so starts with stopping pharmacy benefit...   Read More

Senate hearing to examine bipartisan reforms to rein in middlemen

By Brian Newell  |    February 16, 2023
Did you know that insurance companies use middlemen — known as pharmacy benefit managers (PBMs) — to decide what medicines people can get and what people pay out of pocket for those medicines?     Read More

Minnesota lawmakers are letting PBMs off the hook, and threatening patients’ access to medicines

By Reid Porter  |    January 31, 2023
Middlemen don’t want patients to know how they are stacking the deck against them.   Read More

ICYMI: PhRMA COO Lori Reilly speaks about the health care agenda for the next Congress

By Lori Reilly  |    December 9, 2022
With a divided Congress, bipartisan action will be necessary to move the needle on health care policy. On December 7, 2022, PhRMA sponsored the Axios event, “The Post-Midterm Health Care Agenda,”...   Read More

In their own words: Financial barriers exacerbate access challenges for insured Americans

By Tom Wilbur  |    December 8, 2022
A survey of more than 5,000 Americans conducted with Ipsos found that 30% of insured Americans say they face a financial barrier to care, such as unaffordable out-of-pocket costs or a lack of savings...   Read More

New data show how insurers and middlemen shift Rx costs onto patients

By Brian Newell  |    November 16, 2022
There is only one place in the health care system where middlemen refuse to share negotiated prices with patients, and that’s at the pharmacy counter. A new report reveals how this harmful tactic...   Read More

In their own words: Insured Americans struggle to navigate complex coverage

By Tom Wilbur  |    October 26, 2022
A survey of more than 5,000 Americans conducted with Ipsos found that nearly 40% of insured Americans struggle to understand what their health insurance covers.   Read More

New comments outline ways to protect patients from health plans and PBMs who profit from patient assistance

By Emilie Signora  |    October 7, 2022
PhRMA submitted comments this week in response to the Department of Health & Human Services (HHS) proposed rule on the Nondiscrimination in Health Programs and Activities. As outlined in our...   Read More

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