Gotta be honest. The @realDonaldTrump EO on healthcare and in particular, drug pricing could save hundreds of billions.
Here is how:
1. Divorce formularies from PBMs. Require them to come from independent organizations with no economic incentive from the formulary
Make them about wellness, not pay for play like a grocery store endcap. This ends rebates and allows for net pricing. It also allows for better care and wellness.
2. Require PBMs to provide ALL claims data to employers, states and manufacturers. The manufacturers need this to provide better results. It’s insane they don’t have this data to analyze and improve patient results.
Plus they current pay 5 to 10 pct of the retail price to get that data so they can do just that. Make it so it’s required and they can save 10pct of RETAIL pricing , which they can use to lower pricing.
This also stops the 340b double dipping problem.
3. Remove the specialty tier and the requirement to buy from any specified pharmacy. There is nothing special about specialty drugs. They call them special to jack up the price. And of course have them divest any that they do.
4. Require that all pharmacies get fully reimbursed for brand drugs and get rid of the Generic Cost Ratio which allows distributors to jack up pricing on generics with the threat of chargebacks and more.. We need independent pharmacies to thrive
5. Remove confidentiality clauses. They prevent companies from talking to manufacturers. It’s insane that your company can’t talk to a GLP1 manufacturer (as an example) to help you put together a wellness plan and get you a better price
6. Stop biosimilar substitution calls. PBMs know that they need to find new sources of margin. They do it by white labeling their own biosimilar versions. That’s fine.
But because that’s where all the margin is, they will put a low cost biosim on the formulary, and when they get a script for the lower cost option, they will have someone call the prescribing doctor to switch to their more expensive version they make more money on. And because employers and manufacturers don’t get their data. They never know
Put me in coach ! I’m here to help.
It’s VERY rare for Dr. Dre to share unfinished music but…
This “Thank You” song sounds crazy 🔥🔥
It’s not officially on the “Missionary” tracklist but I hope they add it 😮💨
🔊 … 🔥🔥🔥
Why are so many young people “quiet quitting” ?
"You wonder why so many young people don't trust the system?"
"It's America 2.0" "Brainwash kids for 8 hours a day until they're 18"
"Tell them they have to go to college and go $100k in debt or they'll never succeed"
Marc Lamont Hill puts every interviewer to shame by forcing Israels former Foreign Minister to admit that Israel is deliberately starving and bombing a captive civilian population to get what they want. A War Crime. Not one British journalist has done this
This is some really powerful stuff from Deion Sanders…
Colorado WR Jimmy Horn was having a rough game, so Deion pulled him aside and gave him an important message.
He told Horn that his dad, who is in prison, was watching him play.
“He’s watching you right now. He wants to clap in front of all his different inmates because he believes in his son. We gonna make pops proud tonight. That’s what we gonna do, because his son is a DAWG.”
Goosebumps. Jimmy Horn went on to catch the game-tying touchdown.
(Via @BleacherReport , @RyanKoenigsberg)
This is Rick Rescorla
On 9/11/2001, the Vietnam veteran was working as VP of security for Morgan Stanley in the South Tower.
In the months leading up to the attack, Rescorla sensed something would happen, he just didn’t know when so he prepared a plan.
On the day of the attack when the first plane hit, Rescorla ordered everyone out of the building, ignoring the Port Authority order to stay put.
“I said, ‘Piss off, you son of a b***h,’” Rescorla recounted to a friend that morning.
“Everything above where that plane hit is going to collapse, and it’s going to take the whole building with it. I’m getting my people the f**k out of here.”
The last time Rescorla was ever seen was on the 10th floor of the South Tower going up to save more people.
He saved 2700 people that day.
Hero 🇺🇸