The Debate about PBM Rebates Continues

What started out as a way to help many pharmacy benefit managers (PBMs) to control costs has turned into a major sticking point in the health care system: pharmaceutical rebates. Attention is growing regarding the role that rebates play in actually increasing the price of brand-name drugs, which is adding a heavier burden on health [...]

By | 2019-03-26T08:32:18-07:00 March 26th, 2019|Healthcare|0 Comments

Despite Ruling That ACA Is Invalid, the Law Stands for Employers

A ruling by a U.S. District Court judge in December 2018 that the Affordable Care Act is unconstitutional is not expected to stand but, if it does, the moves that have been made in the health insurance space to reduce costs, deliver better care outcomes and make the system more efficient would be expected to [...]

By | 2019-03-20T14:08:26-07:00 March 20th, 2019|Healthcare|0 Comments

Proposed Rule Would Allow Employers to Reimburse Staff for Health Premiums

The Trump administration is moving ahead with new regulations that would make it easier for employers to enter into health reimbursement arrangements (HRAs) with their employees, a practice that can be severely penalized under the Affordable Care Act. Under the proposed regulations – issued by the departments of Labor, Treasury and Health and Human Services [...]

By | 2019-03-13T00:55:14-07:00 March 13th, 2019|Uncategorized|0 Comments

Employers Say Pharmacy Benefit Manager Contracts too Complex, Opaque

Three in five employers think their contracts with pharmacy benefit managers are overly complex and not transparent, according to a new study. The study, which found that employers would prefer that PBMs are more transparent with their pricing and would like them to focus less on rebates and value-based designs, comes as PBMs are under [...]

By | 2019-03-13T00:36:24-07:00 March 6th, 2019|Healthcare|0 Comments