Thread by @mass_marion

1. Check out another way #PBM are making bank:
Insurer owns PBM who owns specialty pharmacy
Specialty pharmacy= pharmacy dispensing 💊💉stored under temp + special conditions: Chronic disease patients really need good specialty pharmacies. But....
beckershospitalreview.com/payer-issues/h…

2. Insurer can force patient to use their in-house specialty pharmacy... thus...Aetna makes pts use CVS, BCBS+Cigna makes pts use accredo, etc
Besides the whopping conflict of interest....

3. ...there ⬇️ motivation 2 deliver 💉💊in quality manner so drugs actually work.
Cystic Fibrosis patients get sicker due to #PBM @ExpressScripts shoddy delivery of 💊
Migraine patients: same
Express Scripps don't care.
@amfmigraine @CF_Foundation @VP
nbcnews.com/specials/milli…

4. Children suffering cause BIG box associated #PBM specialty pharmacy is in it for the 💵💵💵
Shoddy PBM delivery = waste of needed pricy specialty 💊💉accessandaffordability.org/about/patient-…
@P4AD_ @PatientsRiseNow @WWFH_DE @BiosimsCouncil @IAmBiotech @JimGreenwood
@Free2CareHC @Rosemary100

5. And Lord-a mercy, look 👀 what 💵these #PBM specialty pharmacies make: accounted for almost 1/3 of PBMs’ total gross profits in 2019.
For a job shoddily done. drugchannels.net/2020/07/pbm-ow… @DavidBalatHC

6. Bipartisan probe called by @ChuckGrassley @SenatorHassan on #PBM. YES PLEASE!!
iowacapitaldispatch.com/2021/05/10/gra…

@ChuckGrassley, @SenatorHassan , can you actually get the job done?
2019:@RonWyden @ChuckGrassley probed #PBM.
How long does it take y'all to discover that PBM are America's pharmacy pirates? 🏴‍☠️
@Free2CareHC knows
@MartyMakary knows
@ZDoggMD knows
desmoinesregister.com/story/opinion/…

7. Back to the first tweet in thread where @ahahospitals moaned that the insurers @AHIPCoverage don't allow hospitals to manage 💊💉 4 patients, but require the insurers own specialty pharmacy....a conflict of interest to be sure...

8. Why concern that specialty pharmacies get 2 manage the 💊💉 and make the 💵 , @ahahospitals ?
Maybe cause there is a 2nd middlemen, the hospital middlemen GPO and " Hospitals sometimes get a cut of the GPOs’ fees. " wsj.com/articles/where…
@physvrxshortage @WSJhealth @VP45

There IS a second spitter, America!! 🇺🇸
Another middleman!
#PBM= prescription drug middlemen
And
#GPO = hospital supply middlemen
PBM+ GPO are only industries in America to get to receive legalized kickbacks
Amazing!!!

9. There IS a second spitter, America!! 🇺🇸
Another middleman!
#PBM= prescription drug middlemen
And
#GPO = hospital supply middlemen
PBM+ GPO are only industries in America to get to receive legalized kickbacks
Amazing!!!

10. @VanityFair @dianafalzone know about the #GPO (Group Purchasing Organizations) who sometimes prevented #PPE from getting to hospital workers.
@RobertPearlMD, @ASlavitt @EricTopol did you know?
vanityfair.com/news/2020/05/c…
@PAMEDSociety @FloridaMedical @RethinkLets @JerryAshton

11. @WashTimes knows about the #GPO hospital middlemen.
So does @SenBillCassidy @RonWyden
So did @TomCoburnMD RIP, good Senator Coburn!
washingtontimes.com/news/2018/mar/…

12. @MatureAmericans @townhallcom know about the GPO middlemen and were #braveenough to write this: townhall.com/columnists/and…

13. @PennLive knows about the #GPO middlemen pennlive.com/opinion/2018/0…

14. My fave paper 2 know bout #GPO/#PBM kickbacks is @CourierTimes : I serve 4 free on the editorial board,
Kickbacks are costing and killing Americans with ⬆️ cost and dangerous #drugshortages theintell.com/opinion/201902…
Watcha gonna do, @RepBrianFitz + @SenBobCasey +@SenToomey ?

P.S. it was so cute when the head of the GPO lobby, @HSCA called me a “conspiracy theorist” in the press THREE TIMES for advocating for ⬇️cost
Here’s his charming 3rd time.
Hey, GPO, I don’t get paid to advocate for my patients and I don’t mind.

How much did you pay this man?