Mr. Scott of @pcmanet, the lobby group for #PBM has been called one of The Hill newspaper’s “Top Association Lobbyists” each year from 2015 to 2020.
Yesterday he spoke at the @FTC hearing on how mergers are affecting healthcare. Let's dissect what this lobbyist said 🧵1/6....
Scott of @pcmanet told @FTC that there were over 70 #PBM.
True, but from DrugChannels, we can see that SIX PBM control 95% of the prescription drug claims in the US
THAT is one WAAAAAY conslidated market! 🧵2/6
The lobbyist Scott of @pcmanet told @linakhanFTC that #PBM were the only players in the market that saved money on prescription drugs.
Whatever you are "doing " to "save 💵"
it ain't working.
Meanwhile #PBM and associated co are at the top of the fortune 500. 🤔 🧵3/6
How did PBM get so rich?
-Spread pricing, which amounts to robbing Medicaid
-DIR clawbacks
-predation of Mom and Pop Pharmacies
-Vertical Integration
-Replacement of the physician workforce
-Collecting kickbacks
Read details in @bizcatalyst360 bizcatalyst360.com/america-its-ph… 🧵4/6
corporations, like #PBM " are now the big players in medicine. They suck in vast amounts of 💵, and they spend part of that 💵 making sure the rules of the road in American healthcare favor them, not the patient. @medpagetoday@RIPMedicalDebt medpagetoday.com/publichealthpo… 🧵5/6
@pcmanet and #PBM lobbied to eliminate the "rebate" rule that would eliminate safe harbor protections for drug KICKBACKS and pass 💵 directly to consumers at the pharmacy counter.
In #insulin hearings, @HouseCommerce were excellent on this issue! fiercehealthcare.com/payer/pbms-con… 🧵6/6
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@thedailybeast The Affordable Insulin Now Act “ does not lower the price of insulin by one penny,” said @LloydDoggettTX
He's right.
It's a cap on the copay only.
Americans, including the uninsured will STILL pay 800% more than they should for insulin and many other drugs.
🧵1/6
@thedailybeast@LloydDoggettTX 🧵2/6 👀who the profiteers are in the Insulin Cartel
Net price is approx what the big 3 manufacturers pull in.
List price= net price + 💵 #PBM make
PBM are responsible for lion's share of cost of insulin, which will not ⬇️ with this bill.
Uninsured will still pay 800% ⬆️ BOO!
Another way to look at the 🇺🇸 HC spend:
70% of physicians owned by a hospital or corporation
Hospital systems own many clinics
This makes hospital costs really important to examine.
Even though the last 2 US administrations have a rule on hospital price transparency, only 15% of hospitals are complying.
Rest are hiding their prices
If you are hiding something you must have sumptin to hide!
1. In today's op ed in @CourierTimes , The head of TRG healthcare tells us that #PBM provide better access at a lower price.
When you are done laughing, 🤣
read all his unsubstantiated claims here: theintell.com/story/opinion/…
3. Patients DO NOT use BIG #PBMs + mail order for affordability and ease.
They use them because the BIG PBM are merged with the insurance and the mergers themselves leave patients with few choices and damaged goods. TY @CynthiaMcFadden@NBCNewsnbcnews.com/specials/milli…
My recent Op Ed got the attention of @AARP HQ in Washington DC.
Here in rebuttal they state I am fueled by Big Pharma.
Let me be clear
I take no 💰 to advocate.
I am fueled by the need to create an affordable sustainable medical landscape.
👀 when disgruntled members sued the AARP for not acting in their interest, AARP lawyers said there is no requirement for the AARP to “act with the interests of [members] in mind.”
Why act for members when United healthcare pays you? commitmenttoseniors.org/aarp-says-its-…
AARP opposed drug 'rebates' going direct to seniors.
(They are not rebates, they are KICKBACKS!)
Instead the money could flow to PBM like Optum who are owned by AARP top funder, United HC.
This was against the wishes of 3/4 of AARP members dispatch.com/opinion/201907…#boycottAARP
Oh, I see…
“The American Hospital Association (AHA) joined the Federation of American Hospitals in 2019 to lobby against proposed legislation that would have repealed the POH ban.” armoneyandpolitics.com/ten-years-gone…
THIS @ahahospitals
The group that ranks 5th in lobbying.
The group that wants to hide prices
This is the group that wants to restrict who can own hospitals.
1. Here is something to know about physicians, Mr O'Neill:
Despite your maligning our millennia old profession,
you could show up in the ER with an appy, MVA, or your sick child and we would treat you + loved ones.
No questions asked.
We would keep your information private.
2. I have questions, @dp_oneill
Hope you don't mind being transparent, because your extensive work in the healthcare IT field is affecting billions of Americans. dponeill.com
3. Question 1: Is there a standing seat/s on the @SenateHELP committee for a RWJF? Does it depend on what party is in charge of the senate? @SenSchumer@LeaderMcConnell