PBMs are pocketing patient money and increasing costs

 

Source: Matthew Kandrach, CASE (The Hill)

Pharmacy Benefit Managers (PBMs) — health insurance middle-men wedged between plan managers, drug manufacturers, patients and pharmacies — are pushing a new payment scheme called accumulator adjustment programs (AAPs) that could increase out‐of‐pocket costs for patients and substantially raise annual health-care costs for American consumers.

Unfortunately, PBMs are pushing insurers and large employers to adopt accumulator adjustment programs that prevent the full out‐of‐pocket cost of certain medications from counting towards a patient’s annual deductible.

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