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TPAs Adopt the “Goodfellas” Business Model, Senate Slams UnitedHealth’s Medicare Cash Grab, and How One Patient Can Cost $9.1 Million

TPAs Adopt the “Goodfellas” Business Model, Senate Slams UnitedHealth’s Medicare Cash Grab, and How One Patient Can Cost $9.1 Million

Jacob Brody
Jacob Brody
Medicare’s $3B Auto-Refill Scandal, The PBM Arbitrage Game Is Dying, and The House Passes a Subsidy Bill Destined for the Senate Graveyard

Medicare’s $3B Auto-Refill Scandal, The PBM Arbitrage Game Is Dying, and The House Passes a Subsidy Bill Destined for the Senate Graveyard

Jacob Brody
Jacob Brody
Big Three PBMs Love Tax Havens, Pharma Slashes Prices to Make More Money, ChatGPT Plays Doctor with Your Data

Big Three PBMs Love Tax Havens, Pharma Slashes Prices to Make More Money, ChatGPT Plays Doctor with Your Data

Jacob Brody
Jacob Brody
Surprise! Pharma-Grade Speed Hits the Brain’s Reward Centers, AI Starts Prescribing Meds in Utah, and KFF Finds "Cheap" Health Plans Are No Longer Cheap

Surprise! Pharma-Grade Speed Hits the Brain’s Reward Centers, AI Starts Prescribing Meds in Utah, and KFF Finds "Cheap" Health Plans Are No Longer Cheap

Jacob Brody
Jacob Brody
Novo Launches $25 Wegovy Pill (Coffee Not Included), Judge Blocks Half-Baked 340B Rebate Pilot, and CMS Fixes GLP-1 Access for Everyone Except Weight Loss Patients

Novo Launches $25 Wegovy Pill (Coffee Not Included), Judge Blocks Half-Baked 340B Rebate Pilot, and CMS Fixes GLP-1 Access for Everyone Except Weight Loss Patients

Jacob Brody
Jacob Brody
Medicare Payment Models Target Pharma Profits (Patient Costs TBD), CVS Returns to Profitability by Exiting Sick People and Closing Clinics, and CMS Launches 10-Year ACO Model That Might Actually Work

Medicare Payment Models Target Pharma Profits (Patient Costs TBD), CVS Returns to Profitability by Exiting Sick People and Closing Clinics, and CMS Launches 10-Year ACO Model That Might Actually Work

Jacob Brody
Jacob Brody
Most-Favored-Nation Deals Expand to Nine Companies, Keeler Explains Why Data Exchange Sucks (It’s the Networks, Not the Software), and fMRI Emerges as Key Tool in Personalized Psychiatry

Most-Favored-Nation Deals Expand to Nine Companies, Keeler Explains Why Data Exchange Sucks (It’s the Networks, Not the Software), and fMRI Emerges as Key Tool in Personalized Psychiatry

Jacob Brody
Jacob Brody
CMS Tries Prevention at Age 65+ (Better Late Than Never?), Taxpayers Cover Insurer Drug Losses in Captive PBM Market, and Pharmaceutical Giants Mysteriously Quiet on Launch Prices

CMS Tries Prevention at Age 65+ (Better Late Than Never?), Taxpayers Cover Insurer Drug Losses in Captive PBM Market, and Pharmaceutical Giants Mysteriously Quiet on Launch Prices

Jacob Brody
Jacob Brody
Record 340B Spending Powered by High-Cost Meds and Looming Cuts, Federal Employee Plan Audit Reveals Anthem's Self-Dealing, and PBM Reform Theater Continues With New Branding

Record 340B Spending Powered by High-Cost Meds and Looming Cuts, Federal Employee Plan Audit Reveals Anthem's Self-Dealing, and PBM Reform Theater Continues With New Branding

Jacob Brody
Jacob Brody
Benefits Awareness Hits Record High While Satisfaction Tanks, Britain Caves to Trump's Drug Pricing Demands, and 340B Contract Pharmacy Profit Machine Faces Inevitable Collapse

Benefits Awareness Hits Record High While Satisfaction Tanks, Britain Caves to Trump's Drug Pricing Demands, and 340B Contract Pharmacy Profit Machine Faces Inevitable Collapse

Jacob Brody
Jacob Brody
Maine Expands In-Network Referral Access (Gatekeeping Gets Harder), 340B Rebate Pilot Faces Immediate Legal Challenge From Hospitals, and Medicare Shifts to Tech-First Chronic Care Reimbursement

Maine Expands In-Network Referral Access (Gatekeeping Gets Harder), 340B Rebate Pilot Faces Immediate Legal Challenge From Hospitals, and Medicare Shifts to Tech-First Chronic Care Reimbursement

Jacob Brody
Jacob Brody
Senator Cassidy Extends HIPAA to Consumer Apps (Brace for Compliance Chaos), Medicare Negotiates 15 Drug Prices Down 38-85%, and $50 Billion Rural Health Program Drops With Year-End Deadline

Senator Cassidy Extends HIPAA to Consumer Apps (Brace for Compliance Chaos), Medicare Negotiates 15 Drug Prices Down 38-85%, and $50 Billion Rural Health Program Drops With Year-End Deadline

Jacob Brody
Jacob Brody
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