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STAT+: Blue Shield of California overhauls drug pricing operation — by adding more vendors

STAT

Blue Shield of California, a health insurance company that covers almost 5 million people, is restructuring how it will pay for prescription drugs by dividing the work up among five different vendors — two of which include Amazon and Mark Cuban’s pharmacy company.

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Opinion: Even with lawsuits and copay caps, will insulin ever be affordable?

STAT

The sausage-making of how insulin is priced is not for the faint of heart. It’s a complex tangle of drug manufacturers who’ve been resisting generics , health insurance companies trying to keep up impressive profits , plus the wholesalers who distribute medicines to pharmacies and the pharmacies that provide them to patients.

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Why Congress should prioritize fixing the 340B program

PhRMA

These include things like making sure patients aren’t paying more for their medicines than their health insurance company or requiring first-dollar coverage, so insurance companies cover the cost of certain lifesaving medicines from day one of the plan year. Here's how the program is (not) working.

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To carve in or carve out? Finding the best pharmacy benefit plan for you

HealthPartners

For example, members can compare drug prices at pharmacies or find a network provider. So it’s key to find a pharmacy partner, whether a PBM or a health insurance company, that will agree to transparency. It’s tools like our app that help us consistently get top ratings in member surveys.

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STAT+: Biden defends Trump-era drug pricing rule on copay accumulators

STAT

WASHINGTON — The Biden administration is appealing a court ruling against a Trump-era regulation that aimed to protect the way health insurance companies handle some prescription drug costs — a rare moment of harmony between the two administration’s approaches to drug pricing reform.

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STAT+: Trump signs order doubling down on making health care prices clearer

STAT

The executive order promises “radical transparency” on health care prices for patients by ordering the Departments of the Treasury, Labor, and Health and Human Services “to rapidly implement and enforce the health care price transparency regulations.”