What is PBM Abuse?
Pharmacy Benefit Managers (PBMs) are middlemen in the pharmaceutical supply chain that increase costs for pharmacies and patients, delay necessary treatments and make healthcare less accessible.
How Are PBMs Possible?
PBMs emerged to act as a middleman to manage prescription drug benefits for health insurance plans. However, their lack of transparency and pricing practices has had a negative impact on pharmacies and patients.
WHAT TAKING ACTION LOOKS LIKE:
REGULATORY REFORMS
Reviewing and updating existing regulations to address potential loopholes and ensure that PBMs operate in a way that benefits pharmacies, patients and healthcare.
COMPETITION PROMOTION
Encouraging competition among PBMs to ensure fair negotiations with pharmacies and medication manufacturers.
COLLABORATION
Healthcare providers can play a role by negotiating fair terms with PBMs ensuring that patient care is not compromised due to financial considerations.
TRANSPARENCY LEGISLATION
Implementing regulations that enhance transparency about PBM practices, including pricing arrangements and rebates.
