Drug pricing sanitization and pharmacy benefits redesign at 46brooklyn Research and 3 Axis Advisors
"From lifesaving drugs that have become unaffordable to disappearing neighborhood pharmacies to arbitrarily enormous out-of-pocket expenses, everybody knows somebody with a horror story about getting sick and trying to get help."
Antonio, great post on a most complicated healthcare issue. It's hard to say or advocate a solution until we have a community based solution. Breaking up big medicine is not a solution until we can understand the other side of being broken up. I will admit a solution to the issue is extremely tough. As understanding social medicine is equally hard to absorb as for profit healthcare. Capitalism created this mess, and not paying attention to how much the system became messier@
Ohio, like other states, has its own STATE antitrust laws on the books, which means it is a good test case to see if those laws can be used to do something federal lawmakers have been unable to address on their own...
Retired: Large Group Health Plan Professional ( 1972-2022)
1wGreat Article; now in 2025, this Ohio "Call to Action" surely will either end this 2020s' PBM Status quo OR Ohio Employers can stop choosing to buy their Prescription Drug Expense Plan drugs (and PBMs) based on cheapest drug and/or Rebates as sold to them and buy their PBM and drugs based on Comparative Effective drug Researsh (C.E.R.) formulary for their 2025/26 Prescription Drug Plan. My guess is nothing will Change in 2025, except Revenue Growth will rise faster because Cost (Price & Utilization) on SpecialtyRx will escalate as High Cost Claimants in every self-insured employer's Risk Pool ( # & $) will escalate in 2025/26. See Catalina Gorla, CEO TruDataRx at the Greater Cincinnati Employers Group on Health on March 13th Conference about C.E.R.