Employers, some lawmakers and others have criticized pharmacy benefit managers (PBMs), especially the "big three," for having ...

A dozen lawmakers have introduced a comprehensive pharmacy benefit manager reform package in the House of Representatives.

One section could put HHS Secretary Robert F. Kennedy Jr. in charge of making sure PBMs send employer plan sponsors detailed ...

And/or a PBM may be willing to offer pricing improvements to compensate for its lack of transparency. So, even if a payer wants more transparency, it can be incentivized to maintain the status quo.

Real-time data, true transparency: Why employers are flocking to alternative PBMs. As alternative PBM models seek to up-end a payer’s longstanding relationship with a large PBM, they must be ...

The PBM Transparency Act would eliminate or restrict many of the commonplace tools that pharmacy benefit managers use to keep drugs affordable and protect American patients from rising drug prices.

Second, efforts to enable and improve pricing transparency in healthcare continue to garner industry-wide attention and drive new policies. For example, the Centers for Medicare and Medicaid ...

Prescribing PBM reform, accelerating transparency with bipartisan action: Watch live by Sponsored by: TransparencyRX - 03/06/24 7:45 AM ET. by Sponsored by: TransparencyRX - 03/06/24 7:45 AM ET.

The PBM legislation would increase transparency for plans that employ PBMs and mandate that the middlemen pass 100% of the rebates they collect from drug makers to the plans that employ them.

Congress must build on the reforms drafted in 2024 that require PBM transparency, delink the PBM monopoly's business practices from the Medicare program, and allow all patients to have access to ...

| Senators decried the lack of transparency in the PBM industry during a hearing Thursday, as lawmakers have sought to jump-start reforms to the controversial market. Lawmakers question why PBMs ...

During the hearing, PBMs committed to help lower prescription drug costs but wavered on total rebate transparency. Five major pharmacy benefit managers (PBMs) affirmed their commitment to lowering ...