What Are Pharmacy Benefit Managers? Illinois Lawmakers Target Industry They Say Drives Up Prescription Costs – WTTW (Chicago)

"Patients, health care providers, and independent pharmacists will all tell you that pharmacy benefit managers — or PBMs — are driving up prices,” Gov. JB Pritzker said in his state of the state address. “They extract extra profit from patients through opaque and often predatory tactics. They are not doctors, but they work with insurance companies to deny people the drugs and treatments doctors prescribe.”
1 Comment
Newest
Oldest Most Voted
Inline Feedbacks
View all comments
PPF
1 year ago

PBM’s are not driving up prices. People should think of PBM’s as subcontractors for the company that provides them health insurance. Most health insurance covers your medical and pharmaceutical benefit. Insurance companies outsource the administration of the pharmacy benefit to the pharmacy benefit managers. Those companies make their money in many different ways including a “per member per month” charge, spread pricing (what they pay versus what they charge insurance), administrative fees, rebates, etc… These PBMs work with many different plans and they end up controlling a large chunk of the market. Because of their size and influence, they extract… Read more »

SIGN UP HERE FOR FREE WIREPOINTS DAILY NEWSLETTER

Home Page Signup
First
Last
Check what you would like to receive:

FOLLOW US

 

WIREPOINTS ORIGINAL STORIES

Mark Glennon on AM560’s Morning Answer: Chicago pension buyout plan mostly shifts debt rather than eliminating it, property tax surge doubles inflation over three decades

Chicago’s political leadership is floating a pension buyout program as evidence it is seriously addressing the city’s thirty-six-billion-dollar unfunded pension liability, but Mark Glennon, founder of the Illinois policy research organization Wirepoints, said that the proposal moves debt from one column to another rather than reducing it, and that the broader fiscal picture facing the city continues to deteriorate across every measurable dimension. Audio here.

Read More »

WE’RE A NONPROFIT AND YOUR CONTRIBUTIONS ARE DEDUCTIBLE.

SEARCH ALL HISTORY

CONTACT / TERMS OF USE