7 results for the search term pbm
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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….
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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…
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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…
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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…
![](https://i0.wp.com/glhf.org/wp-content/uploads/2022/10/Copays-count-re-sized.jpg?resize=465%2C234&ssl=1)
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…
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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…
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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…