PHARMACIST STEVE

United Health Care for ALL  

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This could be the proverbial “canary in the coal mine”. Several major healthcare providers did not renew their contracts with a number of Medicare-C (Advantage) programs for 2025. All insurance providers of Medicare-C and Medicare-D are FOR PROFIT.  CVS stated in this article that it experienced increased Medicare utilization. If you have Medicare-C or Medicare-D […]

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This poses an interesting conundrum. Being de-classified to a C-3, may encourage some pharmas to do some clinical research on some of the components of MJ. MJ being classified as a C-1 prohibited research. I have read that there have been at least 100 different components isolated from MJ and there may be that many […]

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ProPublica Creates a Tool to Hold Payers Accountable https://www.daily-remedy.com/propublica-creates-a-tool-to-hold-payers-accountable/ Series: Uncovered: How the Insurance Industry Denies Coverage to Patients Health insurers reject millions of claims for treatment every year in America. Corporate insiders, recordings and internal emails expose the system and its harm. Just outside public view, the American health insurance industry’s algorithms, employees and […]

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FTC makes strides to boost competition and hold PBMs accountable https://ncpa.org/newsroom/qam/2024/04/24/ftc-makes-strides-boost-competition-and-hold-pbms-accountable Two pieces of news about the Federal Trade Commission (FTC) that will affect the health care community. Chair Lina Khan revealed this week that an update into the agency’s investigation of pharmacy benefit managers will be released in the coming months, far sooner than […]

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It is becoming more and more evident that the PBM industry – the top 4-5 PBM companies controls ~ 90% of all third-party Rxs. Below are a couple of recent posts on my blogs that show how these PBM’s are financially screwing both the pts and especially the independent pharmacies.  I had my own independent […]

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Biden revises Title IX protections for pregnancy,trans people and assault victims https://www.msn.com/en-us/news/us/biden-revises-title-ix-protections-for-pregnancy-trans-people-and-assault-victims/ar-AA1njyNs The Biden administration has finalized new Title IX regulations that codify protections for transgender people, as well as enhance protections for victims of sexual assault or harassment and pregnant people. “For more than 50 years, Title IX has promised an equal opportunity to […]

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