PBM influence is only growing, American Medical Association report finds
The 10 largest PBMs are also part of a company that owns a health plan.
The latest developments in PBMs & reimbursement, tracking policy changes and industry innovations driving today's healthcare conversation.
The 10 largest PBMs are also part of a company that owns a health plan.
The agreements tie pharmacy reimbursement to quality metrics rather than quantity.
Specialty pharmacies have grown from a niche industry into a huge PBM moneymaker.
The Consolidated Appropriations Act, passed in February, included several significant reforms for PBMs.
Decades ago, PBMs were independent operators, but now, the biggest ones are vertically integrated with healthcare conglomerates.
The law is another step in an escalating national effort to curb vertical integration.
Alternatives are enticing, but change has proven to be difficult.
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