Talking about what others are afraid to say
Imagine you run benefits for a mid-sized company. Every month, a pharmacy benefit manager (PBM) bills you for your employees’ prescriptions. You trust the number because you have no real …
What Happens When You Reprice a Dozen Employers’ Prescription Claims at Cost Plus Drugs? Read More
I want Medicare for All. I’ll say that up front. But the longer I look at how health care money moves in this country, the less I believe it’s coming …
Why We Probably Will Never Get Medicare for All Read More
Hospitals, pharma companies, insurers, and PBMs have created a healthcare economy where everyone gets paid more while employers and patients struggle to keep up.
Healthcare Pricing Crisis: Why Costs Keep Rising Read More
These days, Republicans and Democrats can’t find much common ground. Not even the color of the sky. But lately they seem to agree on one subject: something needs to change …
PBMs Have Accomplished the Impossible: They United Republicans and Democrats Read More
Last month, a friend of mine got a $2,300 bill. She had insurance, went to an in-network hospital, and the visit lasted about forty minutes. Nobody could tell her why …
Healthcare Costs Are Out of Control, and People Are Done Waiting Read More
Healthcare is 18% of U.S. GDP. Food accounts for about 9%. Energy accounts for approximately 5%. Construction and computers/software account for about 4% each. Defense is under 3%. Healthcare is …
America’s $5.3 Trillion Healthcare Problem: It’s Not Sustainable Read More
Whether you watched the commercials or saw President Trump speak about this this past year, you know the spiel. TrumpRx.gov will offer the cheapest prescription drugs in the world starting …
Why “TrumpRx” Isn’t the Deal It’s Advertised to Be Read More
The FTC found that the six largest PBMs manage more than 90% of U.S. prescriptions, while the three largest processed nearly 80% of roughly 6.6 billion prescriptions in 2023. It …
Replacing PBMs With a Better Pricing Model Read More