MANAGED CARE: MCOs-PBMs-Etc. Bad Faith Practices, Behind-The-Scenes Activities & More
(Articles are available for viewing by clicking on any of the following)
- “The Truth About Transparency” September-2004
- “Pharmacy Benefit Companies Financials Reported” August-18-2004 (PDF)
- “PBMs – Health Care Cost Containment Or Consumer Rip-Off” August-13-2004
- “Practical Issues With PBM Full Disclosure Laws” July-August-2004 (PDF)
- “Feds Promote Competition Among PBMs Not Further Regulation” July-30-2004
- “Mail-Order – Drug Cost Management Report Study Draws Strong Criticism From PBM Industry” July-30-2004
- “Express Scripts Faces Investigations By 20 States” July-29-2004
- “Mail-Order – PBMs Fill Less Generics Due To Therapy Patterns – Not Drug Rebates” July-29-2004
- “Seeking Relief From HMOs” July-29-2004
- “Wish List 10 Things You Want From Your PBM” July-2004
- “FTC Launches Probe Of PBM Policies Part-1” June-15-2004
- “FTC Launches Probe Of PBM Policies Part-2” June-15-2004
- “FTC Launches Probe Of PBM Policies Part-3” June-15-2004
- “13 Things Your Health Insurer Doesn’t Want You To Know” June-11-2004
- “Express Scripts Alters Rebate Policy” Posted May-23-2003
- “Medco CEO Unrepentant For Ethical Lapses” May-6-2004
- “State Lawmakers Scrutinize PBM Financial Arrangements” May-2004 (PDF)
- “Labor’s 2004 Legislative Priorities Making Rx Drug Industry Work For Consumers” April-19-2004 (PDF)
- “PBM Price-Spread Study Highlights Hidden Practice” Posted April-8-2004
- “Mail-Order – Antitrust Scrutiny Likely To Increase For PBM Mail-Order Rx Dispensing” March-24-2004
- “MCO Health Plans Lose Ground To PBM Carve Outs” March-17-2004
- “Caremark Rx To Purchase AdvancePCS” March-15-2004
- “PBMs Vilified Before House Panel” February-19-2004
- “Drug Utilization Audit Confirms Misaligned PBM Priorities” January-18-2004
- “We Are In A Health Care Crisis” 2004 Marcia Angell, Editor-in-Chief, N.E. Journal Of Medicine
- “Fact Sheet Regarding PBMs” 2004 (PDF)
- “PBM Conflict Of Interest Study – Public Notice” 2004 (PDF)
- “Mail-Order – How To Kill Your Neighborhood Pharmacy” Oct-22-2003
- “8 Stupid Things Your Hmo Does” October-16-2003
- “Health Insurance Plan Too Good – It May Be Illegal Posted” Sept-23-2003
- “Aggressive Mergers & Acquisitions In PBM Industry Appear Not To Be In Healthcare Best Interests” Sept-13-2003“
- “Caremark Rx To Purchase PBM AdvancePCS” Sept-2003
- “Curing The Increasing Healthcare Cost Affliction” August-18-2003
- “Erisa – Vapor Benefits” August-12-2003
- “More Disclosure Sought For PBMs And Drug Plans” July-19-2003 (PDF)
- “Rx Drug Consumer Information Act Of 2003 Introduced In Senate” June-19-2003
- “Kickbacks To PBMs-Pharmacy Benefit Managers” April-10-2003
- “Secret Documents Detail Mega Payments By Drug Makers To Merck-Medco To Sway Sales March-13-2003
- “Drug Store Chains Attack GAO Findings And Study Of PBMs” Feb-17-2003
- “Managed Care Claim Denials – Sometimes Following The Rules Is Not Enough” February-10-2003
- “PBMs Won’t Disclose Fees” January-10-2003
- “PBMs Practices Under Increased Scrutiny And Are Increasingly The Defendants In Lawsuits” Jan-2003
- “The Ten Commandments For HMOs” Posted-2003
- “The Ten Commandments For HMOs Questions” Posted 2003
- “Did Insurer Cheat Disabled Clients?”
- “Health Care Fraud”
- “Health Care Fraud A Serious And Costly Reality For All Americans” (PDF)
- “When Your Health Plan Won’t Pay – Know Your Rights”
- “Make Your Health Insurer Pay”
- “Some Notes on Healthcare HMO “Subrogation”
- “What to Do When Insurance Companies Won’t Pay”
- “What If Your Disability Benefits Were Suddenly Cut Off”
- “Gunning The HMOs How Much Of John Q Is True”
- “Disability Insurance Lawsuit Index 07-2001-to-06-2002”
- “Fight A Denied Health Claim”
- “PBMs-Drug Companies Monitor Oversight Of Physicians Drugs Prescribed”
- “10 Things Your Health Insurer Won’t Tell You (Part 1)”
- “10 Things Your Health Insurer Won’t Tell You (Part 2)”
- “Senior Citizens Advice – Tips To Avoid Health Insurance And Other Age Related Frauds”
- “Long Term Care: Won’t The Government Pay?”
- “Humana Refused To Pay Doctor’s Recommended Life Threatening Treatment For Cancer Patient”
- “Complaints Voiced Against ConserviCare MCO”
- “Managed Care Fraud And Abuse Find A Home”
- “When PPO Is Silent To Some It Describes Illegal Discounts And Billing Schemes”