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Articles by Jay Warmuth
Recent Legislative Developments Impacting Pharmacy Benefit Managers, Health Plans & More | JD Supra
There are currently four bills under consideration that would have a direct or indirect impact on PBMs, as well as health plans, prescription drug manufacturers, wholesalers and pharmacies. The pending legislation has bipartisan support in the House and Senate, indicating a strong desire to further regulate PBMs at the federal level. Notably, the proposed legislation mirrors similar developments at the state level to increase transparency and reduce prescription drug costs.
FTC Issues Policy Statement Putting PBMs on Notice | JD Supra
On June 16, 2022, the FTC unanimously voted to issue an enforcement policy statement putting Pharmacy Benefit Managers (PBMs) on notice that the payment of rebates and fees by drug manufacturers to PBMs resulting in the exclusion of lower-cost drug alternatives offered by competitors from the PBM’s formularies may violate competition and consumer protection laws.
ICER Turns Attention to Health Insurers — New Report Will Examine Whether Plans Provide ‘Fair Access’ to Drugs | JD Supra
On May 12, 2021, the Institute for Clinical and Economic Review (ICER or the Institute) released plans to begin an annual examination into health insurance drug coverage policies to assess “fair access” to prescription drugs.
After the Election: Policy Priorities for Health Care Programs | JD Supra
Health care policy has been a key issue leading up to the 2020 elections, and the final outcome of the presidential and congressional elections will likely impact the health care policy priorities of the future. While the COVID-19 pandemic has sidelined key issues including drug pricing and cost of care, the pandemic has also increased the focus on health care issues such as expanding access to — and utilization of — telehealth and digital medicine.
After the Election: Policy Priorities for Health Care Programs
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What Health Insurers Should Consider Before Implementing a Premium Discount | JD Supra
The period of reduced economic activity in the United States due to the novel coronavirus pandemic has resulted in fewer in-office health care visits and procedures and, therefore, reduced claims costs for health insurers. This situation will likely continue for some time beyond the official reopenings of states and municipalities.
COVID-19 Testing: What Pharmacies Need to Know and How to Minimize Exposure | JD Supra
Updated: May 25, 2018: JD Supra is a legal publishing service that connects experts and their content with broader audiences of professionals, journalists and associations.
CMS Greenlights Indication-Based Formulary Design: What Do You Need to Know? | JD Supra
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As Feds Talk, States Act: A Survey of Recent State Actions to Rein in Drug Prices
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