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Category: Cost of Healthcare

The FTC wants to Know if Middlemen Increase Drug Prices

Posted on June 8, 2022June 8, 2022 by Devon Herrick

The Federal Trade Commission (FTC) is opening an investigation into the business practices of pharmacy benefit managers (PBMs). PBMs have been in the hotseat for quite some time. Executives from the largest PBMs were recently called to testify before Congress to explain whether their business practices lead to higher drug prices. In the latest inquiry, the FTC announced it will require the six largest PBMs to provide a range of information and business records on operations.

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Is it OK for Apple and Walmart Associates to be on Medicaid?

Posted on June 7, 2022 by Devon Herrick

The CEO of L.A. Care Health Plan recently blogged about walking into an Apple store in downtown Los Angeles and discovering the sales associate who assisted him was a client. L.A. Care is a purveyor of both Medicaid managed care plans and Obamacare plans sold on the Covered California health insurance marketplace. He was aghast when the sale associate said she was covered through Medi-Cal, the California Medicaid program.

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The Family Glitch

Posted on June 7, 2022June 7, 2022 by John C. Goodman

Obamacare law says that health insurance at work is “affordable” if the employee has to pay no more than 9.5% of his wages for self-only coverage. If it is affordable, neither the worker nor his family is entitled to subsidized insurance in the (Obamacare) exchanges. The Biden administration wants to change that rule administratively (without Congress) to deem health insurance “unaffordable” if the premium for the entire family is greater than 9.5% of wages.

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Who Does the AARP Represent?

Posted on June 6, 2022 by Devon Herrick

The AARP, the legendary advocacy for seniors aged 50 and above, has come under increased scrutiny in recent years for its marketing partnerships. Much of AARP’s revenue comes from licensing its name and logo to sell a wide range of goods and services targeted to seniors. The AARP is undoubtedly a senior advocacy, but it is also a marketing juggernaut that sells insurance.

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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