insurer Blue Shield of California and drugmaker lobby PhRMA called for an end to the pharmacy benefit manager model during HLTH 2024, saying the middleman structure misaligns incentives and drives ...

Purpose: The difference between what pharmacy benefit management companies (PBMs) charge prescription benefit plan sponsors and what dispensing pharmacies are paid ("spread") was studied.

Highmark Health Options, Delaware's largest Medicaid managed care organization announced new coverage options from Highmark Blue Cross Blue Shield that will soon be available. Beginning Jan. 1, 2025, ...

Therefore, entities like insurance companies and TPAs often outsource the management of pharmacy benefits to one of the major PBMs. [27] TPAs are independent benefit contractors that work with ...

If you have trouble affording prescription drugs, some independent pharmacists say that so-called pharmacy middlemen are ...

States may be getting ready to crack down even harder on pharmacy benefit managers. The National Association of Insurance Commissioners will be giving member regulators a crash course on PBM policy ...

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In a July 2022 National Bureau of Economic Research working paper, The Value of Pharmacy Benefits Management, University of Chicago Economics Professor Cases Mulligan concluded that PBMs generate ...

Highmark’s launch of this solution has significantly improved access to mental health care for Highmark members. Now, ...

You probably have no idea who your pharmacy benefits manager (PBM) is. But you almost definitely have one. A pharmacy benefits manager is what it sounds like: PBMs manage prescription drug ...

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