FTC’s Landmark Antitrust Investigation Suspended
The Federal Trade Commission’s groundbreaking antitrust case against the nation’s three largest pharmacy benefit managers has been placed on hold following President Donald Trump’s controversial dismissal of two Democratic commissioners….
Editor’s note: This story is based on discussions at Abarca Forward, a conference in San Juan, Puerto Rico, hosted by Abarca Health, a pharmacy benefit manager. MedCity News was invited to attend the event….
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Key Findings from the Investigation
The Federal Trade Commission’s latest interim staff report, released January 14, 2025, reveals shocking pricing practices among the nation’s leading pharmacy benefit managers (PBMs): Caremark Rx, Express Scripts, and OptumRx….
Healthcare’s Hidden Cost Crisis: How Middlemen and Outdated Tech are Bankrupting AmericaBy Navin Nagiah
Navin Nagiah, MS is co-founder and CEO of Daffodil Health.
Recent articles, including those in The New York Times,…
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Former President Donald Trump’s return to the White House is certain to bring about changes across many facets of the healthcare sector — including reproductive care, federal insurance programs and prescription drugs.
Experts interviewed for…
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Healthcare costs for employers are on the rise, and a large part of that is due to pharmacy expenses. Through a new partnership announced last week, HealthJoy and Mark Cuban Cost Plus Drug Company…
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Joe Gabler, Chief Growth Officer at Paytient
What You Should Know:
– Paytient, the leading innovator in health plan affordability solutions, today announced the appointment of Joe Gabler as its Chief Growth Officer (CGO).
– Mr. Gabler…
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Many factors make revenue cycle management (RCM) a big headache for U.S. health care providers. Aakarsh Sethi, Senior Product Manager at Infinx, lists the forms of “fragmentation” in payments: not just many different payers,…
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Many factors make revenue cycle management (RCM) a big headache for U.S. health care providers. Aakarsh Sethi, Senior Product Manager at Infinx, lists the forms of "fragmentation" in payments: not just many different payers,…
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Pharmacy solutions and pharmacy benefit managers perform several functions, including administrative tasks, handling benefit processing claims and negotiating with the supply chain. However, the problem is that many of them are performing these tasks…
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