7 results for the search term pbm

GLHF Testifies Before the Assembly Health Committee About Harmful Insurance Practices Including PBMs and Copay Accumulator Adjuster Programs

Advocacy & Legislation, GLHF News

…and Long-Term Care Committee Hearing, articulating her support for this legislation and asking the committee to protect patients from harmful insurer and pharmacy benefit manager (PBM) practices that harm patient access….

Read More

Wisconsin All Copays Count Coalition Gains Momentum, Addresses Challenges of Copay Accumulator Adjustors

Advocacy & Legislation, GLHF News, Industry News & Research

…gain momentum. Most recently, the Coalition addressed a Pharmacy Benefit Manager (PBM) proposal, which was defeated by the Group Insurance Board, and a new report that claims accumulator bans don’t…

Read More

Rate of Coverage Losses from Medicaid Unwinding Continues to Cause Alarm

Health and Well Being, Industry News & Research, Living with a Bleeding Disorder

…more transparency into PBM operations and (in some cases) would prohibit reimbursement arrangements that incentivize PBMs to recommend higher-cost drugs. Momentum for PBM reform also continues to build outside of…

Read More

Americans Believe Government Should Require Copay Assistance Be Applied to Out-of-pocket Costs

Advocacy & Legislation, Industry News & Research

…managers (PBMs) complete discretion on whether or not they will count manufacturer copay assistance towards a patient’s out-of-pocket cost burden. A federal bipartisan bill before the U.S. House of Representatives…

Read More

NHF Calls on CMS to Address Copay Accumulator Adjustors in the 2024 Notice of Benefit and Payment Parameters

Advocacy & Legislation, Industry News & Research

(PBM) pricing practices and ensure patients receive the full benefit of copay assistance. For patients with serious, chronic health conditions, including life-threatening illnesses, ongoing and continuous access to medication is…

Read More

The Complexity of Unwinding Medicaid

Industry News & Research

…to bring transparency and accountability to pharmacy benefit managers. This measure would require the Federal Trade Commission to document well-known PBM practices, including spread pricing and clawbacks, which can play…

Read More

Legislation Restricting Accumulators and Maximizers Have No Impact on Premiums, According to a Global Health Living Foundation Analysis

Advocacy & Legislation, Industry News & Research

…states because insurance and pharmacy benefit management (PBM) companies-instituted accumulator and maximizer programs shift the medication cost burden to individual patients. Accumulator programs prohibit the value of a manufacturer’s co-pay…

Read More