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Carmen George
@CarmenGeorge
, 4 tweets, 2 min read Read on Twitter
This woman’s doctor ordered her #cancer drugs, which were denied and delayed, not by her “very expensive” insurance, but by a pharmacy benefit manager her insurance required her to use.

Is that legal? Yes. It’s happening to thousands across the country.

fresnobee.com/news/local/art…
fresnobee.com/news/local/art…
Many people are upset about these decisions made by pharmacy benefit managers, including doctors.

fresnobee.com/news/local/art…
Can this happen to you or someone you know who desperately needs life-saving medications? It’s very likely.

Experts say these denials and delays are only expected to get worse as large insurance companies and pharmacies are increasingly joining forces.

fresnobee.com/news/local/art…
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Carmen George
@CarmenGeorge
I was just watching a really moving #MemorialDay tribute video at the @FresnoGrizzlies game until they got to a part about America’s adversaries and showed a photo of the @AOC between images of Fidel Castro and Kim Jong-un. That was some seriously offensive editing.
Here’s the #video shown by the @FresnoGrizzlies tonight, found on @YouTube:
Here’s a response from the @FresnoGrizzlies
Read 6 tweets

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Kui'son
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Bob Collymore, Joyce Laboso, Ken Okoth these are the 3 prominent leaders who have succumbed to Cancer this past month. The number on the ground, that of poor Kenyans known to their families and friends. In KNH David and Epiot have died in the same cancer ward as my Paps.Thread
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kellan 🌊
@kellan
Good overview from @dylanscott on new congressional proposals to lower prescription costs. vox.com/policy-and-pol…
Why is it important? ~18% of US GDP is spent on healthcare, ~10% of healthcare cost is on prescription meds, but is closer to 40% of the profits. This is the low hanging fruit.
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Don Kramer
@DonKramerATL
Another difference #ACA makes!

2010-12: With my Cobra ending, in GA I stay covered via obscure HIPPA protections. My only choice: Celtic Insurance owned by Centene Corp. For my Humira drug, Celtic makes me pay tens thousands up front as pay first & manually snail mail claims 1/
To make matters worse, this insurance takes up to 9 months to reimburse me as I float tens of thousands dollars via savings or credit cards. Other times, insurance says submit my bills (as claims) from CVS Specialty Pharmacy instead, but then CVS hounds me for unpaid bills! 2/
While all this is happening, insurance has no transparency in their online portal or snail mail of the processing, status, or even the existence of my claims! I'm completely in the dark, I have to call & call & call this insurance's customer service representatives for info 3/
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TicToc by Bloomberg
@tictoc
This is the secret drug pricing system middlemen use to rake in millions bloom.bg/2CHtdw8
For example, lets say a drugstore buys a hypothetical bottle of pills for $6
When someone uses employer-provided insurance to fill a prescription, their pharmacy benefit manager (PBM) pays the pharmacy to cover the cost—$8 for the pills in this example, allowing the pharmacy to pocket $2
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Columbus Dispatch
@DispatchAlerts
This is Elvin Weir. He is battling Stage 4 colon cancer — and a convoluted healthcare system that forced him to wait weeks for chemo pills. That’s because insurance only covers the pricey drugs if filled through a specific mail-order pharmacy: AllianceRx.
bit.ly/2LjVmZT
2/ Weir isn’t the only one, cancer-care providers and pharmacists say. Instead of getting drugs at their treatment centers, Ohio cancer patients are forced to use mail-order pharmacies for insurance to cover medications. And cancer’s no waiting game.
bit.ly/2LjVmZT
3/ This is thanks to insurers and pharmacy benefit managers, or PBMs — little-known but powerful healthcare middlemen. The Dispatch’s reporting shows PBMs often direct patients to their own mail-order pharmacies, meaning they get a cut of the profits. bit.ly/2LjVmZT
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