Advance price notification: A transparency measure that fails patients
By Saumil Pandya and Emily Donaldson | March 29, 2018
Most transparency reforms aim to correct perceived misaligned incentives in the biopharmaceutical marketplace. However, many efforts to mandate information flow in the private market have serious...
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New Let’s Talk About Cost ads highlight how copay accumulator programs could leave patients financially exposed
By Holly Campbell | March 27, 2018
Today, as part of the Let’s Talk About Cost campaign, PhRMA unveiled new advertisements highlighting how the use of copay accumulator programs by insurance companies and other middlemen could...
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ICYMI – Two PBM reports show dramatic slowdown in medicine spending growth
By Holly Campbell | March 2, 2018
Newly released pharmacy benefit manager (PBM) data show medicine spending is growing at the slowest rate in years. After accounting for discounts and rebates negotiated with biopharmaceutical...
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Copay coupons can help ease patients’ out-of-pocket costs
By Holly Campbell | February 16, 2018
Each year, middlemen, like pharmacy benefit managers (PBMs) and insurers, shift more of the costs of health care to patients. Ensuring patients have affordable access to their medicines is the top...
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Why won’t the insurance industry tell the truth about medicine costs?
By Robert Zirkelbach | May 10, 2017
Discussions about the cost of medicines are important. We recognize that many patients are struggling to access the medicines they need, and we want to work with policymakers and other health care...
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What They Aren’t Telling You About Medicine Prices
By Holly Campbell | May 6, 2015
Recent cries from Bloomberg and The New York Times of “skyrocketing” medicine prices make for great headlines. But what’s not being talked about is that these claims are based solely on the list...
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According to a new report from actuaries Gabriela Dieguez, Bruce Pyenson and Jennifer Carioto, at Milliman, major pharmacy benefits managers (PBMs) often overestimate future spending on specialty...
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