Top Tweets for #ShouldBeFraud
Hey @CVSHealth/@CVSPharmacy - This is NOT the way you should be forcing manufacturer #drugrebate payouts. This is market access rebate manipulation plain and simple. Possible Fraud Waste and Abuse (#FWA) if this is done with #Medicare patients.
#ShouldBeFraud #PBM #RxMiddlemen
@bobjherman Now in audits, they have all of the information they need to pass you but require you to produce it. #SureScripts has an audit team that's of no help leaving you at the mercy of the #PBM. It's a game they play to take out non-PBM owned pharmacies. It #ShouldBeFraud! /5
I hate that what I’ve been saying for the past 10/15 years ends up being correct. It #ShouldBeFraud and a #ConflictOfInterest that @SureScripts is co-owned by @caremark and @expressscripts! This is an #AntiTrust move pure and simple. #Fraud @pcmanet #SureScriptsDataMining
Surescripts threatens to turn Amazon PillPack over to the FBI. The mandatory ERx was ALWAYS about the data! https://t.co/CZeEPQU1C4
#DIR fees raise the cost of #Medicare/#Medicaid wasting taxpayer money, reducing the amount of patients serviced and enriching #PBM executive staff and stockholders with absolutely NO benefit to the patient or the system. It #ShouldBeFraud and it would be if it was anyone else.
Care to comment? @Caremark, @ExpressScripts, @Optum, @pcmanet? Don't think @SenRickScott will save you in #Florida.
#PBMMafia #RxMiddlemen #PBM #ConflictOfInterest #PBMRegulation #YourTimeIsComing #ShouldBeFraud
https://t.co/mpznuFsYwu
I LOVE when an article points out that @SureScripts is co-owned by @CVSHealth and @ExpressScripts. HUGE #ConflictOfInterest and I'm confident this is how both entities are stealing scripts for their in-house SPs. #ShouldBeFraud #ScriptPiracy #PBMMafia
https://t.co/Q1CGs87GR8
Whether you're a patient trying to get meds or a pharmacy trying to survive, this is what it's like when working with #CVS, #ExpressScripts, #Optum and other #PBMs. Why do these companies exist? Oh, right to avoid Federal Regulations. #BarriersToHealthcare #ShouldBeFraud
@PhyllisinFL @CVSHealth @flhcnews Forced 90-day fills required by @CVSHealth goes right in the face of the yearly #FWA (Fraud Waste and Abuse) training every Healthcare employee must go through. #PBMWaste costs you money, it costs the government money and I feel it's down right fraud. @CVSinAction #ShouldBeFraud
"CVS is obviously going to make money on selling these prescriptions that they’re hitting the doctor up for." "...they’re using your medical information to market their services to make them money." #ShouldBeFraud #rxmiddlemen #PBMmafia https://t.co/J7jWKlmefR
The Kicker? #ESI CMO Steve Miller and #CVS CFO Laird Daniels (among other interests) are on the board of directors. Wonder where #ScriptPiracy is coming from? It's starting as soon as the physician clicks 'submit.' #ShouldBeFraud
@IndyRxVoice @OptumRx @Optum @BU_Tweets @BostonTweet @Commpharmacy @TruthRX @Optum & @OptumRX have their own pharmacies (mail order and specialty), they'd prefer for all scripts to come through them. This is exactly why their trying to put you out of business. You're a competitor eating into their profits, not a provider helping patients. #ShouldBeFraud
#ExpressScripts also has a program called #SafeGuardRx that punishes #EmployerGroups for allowing #SpecialtyPharmacy overrides on specialty meds. If your covered lives don't fill at #Accredo you lose money. https://t.co/XLeU6zVwB4 #PBMmafia #ShouldBeFraud
Pharmacy Benefit Managers are killing local pharmacies by “kidnapping” these specialty medications. They typically reject the claims at a local pharmacy stating... https://t.co/EzmB0h9LzM
$4.4MM out of 1400 claims and the #PBM #DIRFEEs in this transaction total over $800k. 18%!! For what? This is what #SpecialtyPharmacy has to deal with when filling #PartD. It's disgusting and needs to change. @SeemaCMS @CMSGov #ShouldBeFraud #RxMiddlemen #StopDIRFees #PBMmafia
@CarterHighRPh @CVSHealthPBM The sad part is that they have multiple methods of grabbing this data. Whether it's #SureScripts (they part own), during claim adjudication, during the prior auth process... Then you have #DIRFees and #AggressiveAuditing to deal with. @SeemaCMS @CMSGov #RxMiddlemen #ShouldBeFraud
@luansills #CVS and a couple other #PBMs will call pharmacies that are filling for their patients to “verify the script” with the pharmacist, they use this as a verbal and switch to generic in processing. Such a BS maneuver. #ShouldBeFraud #DefraudingPatients
To top it off, #PBMs that own their own #pharmacies get to write off the #DIR fee costs they just paid themselves. #PBMmafia #middlemen #pbmmiddlemen #costofcare #financialtoxicity #PBMcapers #ShouldBeFraud
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