#spread-pricing

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Healthcare
fromMedCity News
5 days ago

Hospitals Take CVS to Court Over Alleged $250M 340B Scheme - MedCity News

CVS Health is accused of diverting about $250 million in 340B savings by using reimbursement structures that retain the spread between insurer payments and 340B reimbursements.
fromMedCity News
3 months ago

Employers Celebrated PBM Reform. The Reality Is More Complicated - MedCity News

For years, Congress has signaled that it wants to crack down on Pharmacy Benefit Managers, the middle men that have come under fire for their vertical integration with insurers and their role in spiking drug costs. This week, it finally happened via the Consolidated Appropriations Act of 2026, promptingemployer groups including the Purchaser Business Group on Health (PBGH) and the ERISA Industry Committee to cheer its passage.
Healthcare
US politics
fromMedCity News
6 months ago

California Signs PBM Law: As Federal PBM Regulation Lags, the States Step Up - MedCity News

States are increasingly regulating pharmacy benefit managers to increase transparency, ban spread pricing, and restrict vertical integration after limited federal action.
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