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Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
@mass_marion
May 10 • 5 tweets • 9 min read Twitter logo Read on Twitter
a 🧵 In prep 4 today's 1pm @SenateHELP hearing on making #insulin affordable.
On graph: list price is roughly = net price (what pharma collects) + "rebates"/fees collected by Pharmacy Benefit Managers (#PBM) .

According 2 a 2021 @SenFinance "rebates" alone accounted for… twitter.com/i/web/status/1… Image
@SenateHELP @SenFinance @BernieSanders @SenBillCassidy @BoesingLoretta @NSmithholt12 @Free2CareHC @MsPattiPatti @nickjonas @tomhanks @VWOfficial @alldiabetesnews 2. With #PBM making most of the $ In the Insulin market (and for other meds) it's wild that there is little #transparency for PBM.
All of the red ovals show places where we cant see the $
Pic from our @Free2CareHC report: free2care.org/files/report.p… Image
3. If @SenateDems and @SenateGOP and @USCongress and @POTUS want to remedy the cost of Insulin and other drugs, hopefully they won't make the same mistake they did with the Inflation reduction act, "USA will NEVER solve the drug pricing problem without PBM reform – and instead… twitter.com/i/web/status/1…
4. Congress made a muddle with the poorly named Affordable Insulin now act. @CourierTimes editorial board wrote about It here: phillyburbs.com/story/opinion/…
@LloydDoggettTX and others knew It wasn't decreasing Insulin cost Image
5. The Senate might start with pointing out that what the #PBM collect are #KICKBACKS.
Why do we call them 'rebates'?
This Is from 2019
PBM and #GPO middlemen have an exclusive right to collect kickbacks and It's hurting #patients

phillyburbs.com/story/opinion/… Image

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More from @mass_marion

Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
Jun 6, 2022
"the kind of misinformation that leads to more school closings as well as burdensome mask and quarantine mandates." Thank you, @DrJBhattacharya 1/4 🧵
wsj.com/articles/the-w…
@DrJBhattacharya The kind of misinformation that is fomenting fear, is wreaking havoc with young people's lives.
On college campuses, kids worrying about covid have more mental health problems: @DartmouthHitch @washingtonpost @MartyMakary 2/4 washingtonpost.com/education/2022…
@DrJBhattacharya @DartmouthHitch @washingtonpost @MartyMakary Grateful to have collaborated with physician and Mama bear @CathSark17 on this piece. Misinformation is fueling fear and isolation. It can be deadly on campuses. @FreeCollegeKids 3/4
@StanfordMed usatoday.com/story/opinion/…
Read 4 tweets
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
May 13, 2022
🧵Re baby formula #shortages:
@PressSec us pediatricians cannot conjure up baby formula.
We will do whatever we can to help our patients but you and @POTUS need to own the colossal supply chain mess that now threatens babies.
@PressSec @POTUS @RogerMarshallMD @RepKimSchrier @MartyMakary @Rosemary100 @ab_peds @MedscapePeds 🧵While hospitals have been better at purchasing and distributing less formula, in an effort to encourage #breastfeeding , they still distribute a LOT of formula . Love to know how much @ahahospitals
🧵As for how baby formula and other supplies get into nursing homes, learn about #GPO, medtwitter !
GPO control supplies of the hospitals in 🇺🇸 including masks, drugs, medical devices, solutions, and.....
@CourierTimes @SenBlumenthal @ChuckGrassley
theintell.com/story/opinion/…
Read 8 tweets
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
May 13, 2022
Breastfeeding a 🧵
I am concerned we could have lower rates of breastfeeding now than pre-pandemic…@CDCgov do we have any data? cdc.gov/breastfeeding/…
🧵As a mom who breast fed all 3 for a year each, I can tell you that both establishing nursing and sustaining it is NOT easy. That first week was HARDER THAN INTERNSHIP.
We must give grace to those who cannot breastfeed, yet try to encourage it…
🧵As a pediatrician, I think there are too many advantages to breastfeeding. We must stop right now and promote and encourage our new moms to nurse when possible!
Read 5 tweets
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
Apr 15, 2022
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
Read 6 tweets
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
Apr 5, 2022
@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!
@thedailybeast @LloydDoggettTX 🧵3/6 The 3 @PhRMA companies making most of the insulin also profiteering... it cost about $6 to make and they charge $50...They became the big 3 because the #PBM can legally collect #kickbacks. These co bought their way onto PBM controlled formulary buckscountycouriertimes.com/story/opinion/…
Read 7 tweets
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
Feb 16, 2022
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. Image
It's REALLY important to know hospital prices! Image
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!
Read 11 tweets

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