What a joke
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
rules.house.gov
December 14, 2025 at 7:14 AM
What a joke
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
1). Creates a new layer of complex bureaucracy between patient and provider
2) makes PBMs so reports but does nothing to address drug costs.
Looks like the Pharma cracks to the gop cleared
rules.house.gov/sites/evo-su...
There's been a growing *bipartisan* call for PBMs to be reigned in over the past few years; apparently they're a *major* reason why a lot of drug prices have spiked like crazy.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
December 13, 2025 at 4:44 PM
There's been a growing *bipartisan* call for PBMs to be reigned in over the past few years; apparently they're a *major* reason why a lot of drug prices have spiked like crazy.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
This provision of the House GOP bill *may* be a genuinely good thing, but I don't know enough about it to say either way.
PBM Reform: This comprises the bulk of the bill & gets REALLY complex. I don't actually understand PBMs very well but basically they're the middlemen between drug companies, insurance companies & pharmacies.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
December 13, 2025 at 4:42 PM
PBM Reform: This comprises the bulk of the bill & gets REALLY complex. I don't actually understand PBMs very well but basically they're the middlemen between drug companies, insurance companies & pharmacies.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
They've grown out of control & 3 of them now control 80% of all U.S. prescriptions.
Nothing new worth considering here, but I did read they want to rein in the waste from PBMs (like Optum, who I can't stand) and I'd love to see those middlemen pounded into the ground.
December 13, 2025 at 12:58 PM
Nothing new worth considering here, but I did read they want to rein in the waste from PBMs (like Optum, who I can't stand) and I'd love to see those middlemen pounded into the ground.
There are also restrictions for PBMs, among other things.
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative
The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson late Friday released a package of proposal to address growing health care costs.
apnews.com
December 13, 2025 at 12:15 PM
There are also restrictions for PBMs, among other things.
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
Another petition from Rep. Josh Gottheimer, D-N.J., has 39 signatures and is broadly bipartisan.
apnews.com/article/repu...
The Republicans’ proposal would also require more data from pharmacy benefit managers, or PBMs, as a way to help control drug costs. Critics say PBMs have padded their bottom line and made it more difficult for independent pharmacists to survive.
apnews.com/article/repu...
apnews.com/article/repu...
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative
The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson late Friday released a package of proposal to address growing health care costs.
apnews.com
December 13, 2025 at 12:05 PM
The Republicans’ proposal would also require more data from pharmacy benefit managers, or PBMs, as a way to help control drug costs. Critics say PBMs have padded their bottom line and made it more difficult for independent pharmacists to survive.
apnews.com/article/repu...
apnews.com/article/repu...
1. Pays bills,
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
December 13, 2025 at 11:35 AM
1. Pays bills,
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
❌ health outcomes → redesign: prevent + chronic + measure outcomes
2. Keeps broken $ system → full price transparency, standard cash prices, reference pricing
3. Middlemen still capture rents (PBMs, insurers, GPOs) → eliminate PBMs, direct manufacturer→ pharmacy $ (Cost Plus model)
To be fair, reigning in Pharmacy Benefit Managers (PBMs) is a good idea. The rest of the GOP proposal, however, is a replay of Trump's prescription for families facing a spiraling cost of living due to his failed policies: just make do with less. In this case, less health care and insurance.
House Republicans propose healthcare plan with no extension of tax credits
With insurance premiums set to rise sharply for at least 22 million Americans, Mike Johnson unveils alternative
www.theguardian.com
December 13, 2025 at 3:16 AM
To be fair, reigning in Pharmacy Benefit Managers (PBMs) is a good idea. The rest of the GOP proposal, however, is a replay of Trump's prescription for families facing a spiraling cost of living due to his failed policies: just make do with less. In this case, less health care and insurance.
GOP proposal will:
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
House GOP unveils narrow health care package with key deadline looming | CNN Politics
House Republicans unveiled a narrow health care package on Friday that does not extend soon-to-expire enhanced Affordable Care Act subsidies — the latest sign that Congress is unlikely to avert skyroc...
www.cnn.com
December 13, 2025 at 12:07 AM
GOP proposal will:
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
1. allow employers to band together to purchase coverage;
2. fund cost-sharing reduction program to lower premiums for certain ACA enrollees.
3. transparency requirements on PBMs in a bid to lower drug costs.
Note: Trump has not offered a plan of his own.
🗞️ tinyurl.com/2a6mgj9h
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.sandiegouniontribune.com
December 12, 2025 at 3:19 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.ocregister.com
December 12, 2025 at 2:57 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.dailynews.com
December 12, 2025 at 2:43 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reforming PBMs should be a no-brainer.
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www.sbsun.com
December 12, 2025 at 2:34 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
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#Commentary #Opinion
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December 12, 2025 at 3:27 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
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Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
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December 12, 2025 at 3:24 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
Origin | Interest | Match
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
Origin | Interest | Match
December 12, 2025 at 3:49 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
Origin | Interest | Match
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
#Commentary #Opinion
Origin | Interest | Match
#Commentary #Opinion
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December 12, 2025 at 3:52 PM
Wayne Winegarden: Why reforming PBMs is the key to lowering drug costs Congress continually struggles to find bipartisan reforms that improve affordability and increase the quality of care; reformi...
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Almost allllll arguments for womens reproductive health are religious based correct? Employers no longer have any say on healthcare options. PBMs lose power by now having to negotiate for a substantial increased risk pool/customer base. Insurance companies claims depts can be contracted by the govt
December 12, 2025 at 6:06 AM
Almost allllll arguments for womens reproductive health are religious based correct? Employers no longer have any say on healthcare options. PBMs lose power by now having to negotiate for a substantial increased risk pool/customer base. Insurance companies claims depts can be contracted by the govt
Great segment! He speaks the truth. (I’m one of those people who pays half of their post-tax income for housing and healthcare.)
I had no idea that small, independent pharmacists are being bankrupted because of PBMs. We must support his Pharmacists Fight Back legislation. @bynum.house.gov
I had no idea that small, independent pharmacists are being bankrupted because of PBMs. We must support his Pharmacists Fight Back legislation. @bynum.house.gov
"We have to address the structural drivers of high prices in American health care."
With the Senate deadlocked, critical health care subsidies are all but guaranteed to expire at the month's end. @repauchincloss.bsky.social joins the #11thHour to discuss what it means for millions of Americans.
With the Senate deadlocked, critical health care subsidies are all but guaranteed to expire at the month's end. @repauchincloss.bsky.social joins the #11thHour to discuss what it means for millions of Americans.
December 12, 2025 at 5:55 AM
Great segment! He speaks the truth. (I’m one of those people who pays half of their post-tax income for housing and healthcare.)
I had no idea that small, independent pharmacists are being bankrupted because of PBMs. We must support his Pharmacists Fight Back legislation. @bynum.house.gov
I had no idea that small, independent pharmacists are being bankrupted because of PBMs. We must support his Pharmacists Fight Back legislation. @bynum.house.gov
Finally, these bills have teeth, and they include robust enforcement mechanisms to ensure that the PBMs comply.
bishop.house.gov/media-center...
bishop.house.gov/media-center...
CONGRESSMAN BISHOP HELPS INTRODUCE BIPARTISAN LEGISLATION TO LOWER PRESCRIPTION DRUG COSTS, PROTECT HEALTHCARE ACCESS
WASHINGTON – Today, Congressman Sanford D. Bishop, Jr. (GA-02) called on the U.S. House of Representatives to take up the Pharmacists Fight Back Act to rein in the abusive practices of Pharmacy Benefi...
bishop.house.gov
December 11, 2025 at 11:06 PM
Finally, these bills have teeth, and they include robust enforcement mechanisms to ensure that the PBMs comply.
bishop.house.gov/media-center...
bishop.house.gov/media-center...
These bills will prevent the PBMs from steering patients towards PBM-owned pharmacies, allowing patients to use the pharmacists of their choice and expanding access to prescription drug care.
December 11, 2025 at 11:06 PM
These bills will prevent the PBMs from steering patients towards PBM-owned pharmacies, allowing patients to use the pharmacists of their choice and expanding access to prescription drug care.
The largest PBMs today exercise significant power over what drugs are available, at what price, and what pharmacies that patients can use to access their prescribed medications – all with very little accountability or transparency,” said Congressman Bishop during his remarks at the event.
December 11, 2025 at 11:06 PM
The largest PBMs today exercise significant power over what drugs are available, at what price, and what pharmacies that patients can use to access their prescribed medications – all with very little accountability or transparency,” said Congressman Bishop during his remarks at the event.
awful lot of false equivalences in there big dawg
cutting out the PBMs and insurance admin overhead can save 30-40% on costs right away, then govt can use bulk buys for the latest and greatest meds like Oz did w Harvoni
more important point is to make medical bankruptcy a thing of the past
cutting out the PBMs and insurance admin overhead can save 30-40% on costs right away, then govt can use bulk buys for the latest and greatest meds like Oz did w Harvoni
more important point is to make medical bankruptcy a thing of the past
December 11, 2025 at 9:57 PM
awful lot of false equivalences in there big dawg
cutting out the PBMs and insurance admin overhead can save 30-40% on costs right away, then govt can use bulk buys for the latest and greatest meds like Oz did w Harvoni
more important point is to make medical bankruptcy a thing of the past
cutting out the PBMs and insurance admin overhead can save 30-40% on costs right away, then govt can use bulk buys for the latest and greatest meds like Oz did w Harvoni
more important point is to make medical bankruptcy a thing of the past
J’ai sûrement mal compris, je croyais que vous parliez de pbms cultuels au 27BCA.
Unité que je connais un peu.
Unité que je connais un peu.
December 11, 2025 at 11:11 AM
J’ai sûrement mal compris, je croyais que vous parliez de pbms cultuels au 27BCA.
Unité que je connais un peu.
Unité que je connais un peu.
Another option is make ins co's non profits again (pre Nixon's and Reagan) - b4 things went haywire. Also institute common treatment codes, force cost transparency, and get rid of non value added middlemen (like PBMs and companies rewarded for denying coverage/challenging medical necessity).
December 11, 2025 at 1:16 AM
Another option is make ins co's non profits again (pre Nixon's and Reagan) - b4 things went haywire. Also institute common treatment codes, force cost transparency, and get rid of non value added middlemen (like PBMs and companies rewarded for denying coverage/challenging medical necessity).