Is this the same HMO PIG with new shade of lipstick that was tried and failed back in the 70’s ?

I may be wrong, but this sounds like the “old HMO PIG” with a color of lipstick… that was tried back in the 1970’s and most of them failed because the organization became focused on cutting costs and rationing care to pts.  The only people happy with this system was those that had little need […]

FTC to Ramp Up Enforcement Against Any Illegal Rebate Schemes, Bribes to Prescription Drug Middleman That Block Cheaper Drugs

Is the GRIM REAPER STALKING THE PBM INDUSTRY ? FTC to Ramp Up Enforcement Against Any Illegal Rebate Schemes, Bribes to Prescription Drug Middleman That Block Cheaper Drugs Agency puts drug industry on notice that paying rebates and fees to exclude competitors offering lower-cost drug alternatives can violate competition and consumer protection laws https://www.ftc.gov/news-events/news/press-releases/2022/06/ftc-ramp-up-enforcement-against-illegal-rebate-schemes The […]

Whistleblower suit: CVS prevented Part D members from accessing generics: another PBM screwing pts and lining their pockets ?

Whistleblower suit: CVS prevented Part D members from accessing generics https://www.fiercehealthcare.com/payers/whistleblower-suit-cvs-prevented-part-d-members-accessing-generics A newly unsealed whistleblower suit claims that multiple CVS Health subsidiaries coordinated to prevent members from accessing generic drugs in a bid to boost the bottom line. The suit, first obtained by Stat, was filed by Alexandra Miller, who worked at CVS for nearly two decades […]

PBMs could be driving up plan sponsors’ drug costs

PBMs could be driving up plan sponsors’ drug costs https://www.benefitspro.com/2022/06/15/pbms-could-be-driving-up-plan-sponsors-drug-costs/ Far too many pharmacy benefit managers (PBMs) thrive on opacity in their business operations, but sometimes public litigation shines the light of day on secretive practices. Far too many pharmacy benefit managers (PBMs) thrive on opacity in their business operations, but sometimes public litigation shines […]

Blue Cross Blue Shield operator did not pay federal taxes in 2018, got $1.7B refund

I’m going “out on the third rail again”…  I have noticed our President telling the “rich” should pay their fair share – and the “rich” is undefined.  Current target of his “bully pulpit ” is the oil industry – for making excessive profits – and WH press secretary stated in the last day or two… […]