This is a good start. PBMs should not be able to offer Formularies at all. They should be required to provide all claims data to employers and manufacturers. Among other things
Thesw alone could cut pharmacy pricing in half for the most widely prescribed brand drugs
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It’s actually smart. What ever he, or his partners spent to build it, they will get it back in earned media, easily, and most likely in margin dollars from product sales.
Tonight.
Everyone says they’d pay more for “Made in the USA.”
I tested it.
We make a $129 filtered showerhead manufactured in China. With tariffs surging to 170%, we explored reshoring. We found a U.S. supplier. Our costs nearly tripled.
I ran a clean A/B test:
👇
Why is it Ant can step over the line on every single free throw, and it's not a violation ?
One of the easiest calls in all of basketball.
Why won't they call it ?
Andrew Witty is concerned about the focus on PBMs, because Andrew is in the useless middlemen business.
The pharmaceutical companies overcharge for the drugs, but they also perform many vital services.
PBMs, on the other hand, provide NO unique services and add to the costs.
OptumRx is on track to record $140 billion in revenue for
a service that we don't need.
We need to return the PBMs to their original role of claims processing only.
In my opinion, UnitedHealth needs to be thoroughly investigated for Medicare Fraud and insider trading, and if found guilty, there needs to be severe penalties.
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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.
**Keep Calling**
The PBM misinformation campaign is in full force in Austin. Let’s make sure our voices are heard! Neither of these bills were placed on committee calendars this week so the call to action continues!
Contact your legislator and ask them to support these bills and then:
Call HHS Committee (512) 463-0360 ask for SB1354 to be added to the calendar
Call Insurance Committee (512) 463-0788 ask for HB2978 to be added to the calendar
Dirk is the Dallas Mavericks. Then, now and forever. No one should ever forget that.
That statue will be here forever.
Loyalty never fades away.
Tomorrow night 15 guys will put on a Mavericks uniform. They will do everything they can to win. For themselves, each other and THE FANS. Our squad has busted their ass to fight through incredible adversity. They have my respect and support , should have everyone's
I am a Mavs fan. I will always love and cheer for everyone who puts on our uniform.
Tomorrow night and how ever many games we have left this season and in every future season, whether I'm in the stands, in front of the TV, or following every play online, my heart and soul is committed to rooting for the Mavs to win.
That will never change. I know fans are upset. But don't be upset at the players. Support them. Root for them. Rally behind them.
MFFL stands for Mavs Fan FOR LIFE
#MFFL