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The PBM Accountability Project Managing Director Mark Blum submitted a letter to Congressional leaders today urging them to take action to make health care more affordable for American patients by passing meaningful PBM reform legislation. The committee began working on legislation to rein in these middlemen in 2024 and must not miss an opportunity to advance legislation that prohibits the anti-patient, anti-competitive practices that have allowed PBMs to profit at the expens

Independent pharmacies play a significant role in delivering prescription medicines to Americans across the country, representing 35% of all retail pharmacies in the U.S.   In recent years, there has been an alarming and continuing rate of independent pharmacy closures - nea rly one in three pharmacies have closed since 2010, leaving almost 800 ZIP codes that had at least one pharmacy in 2015 now having none.   A primary factor behind the decline of independent pharmacies

By Mark Blum, Managing Director, PBM Accountability Project The insurance carrier Cigna’s Evernorth division issued a recent announcement that its pharmacy benefit manager ( PBM) Express Scripts will stop collecting manufacturer rebates in 2028. The announcement was the PBM equivalent of a head fake in football, an all-too-common deflection tactic well-known to those who have tracked the PBM industry since inception. The insurance company that owns Express Scripts wants poli

California’s SB 41 is a major win for PBM accountability, passing the legislature with broad bipartisan support and earning Governor Newsom’s signature this month.  This legislation is one of the strongest protections to date against anti-consumer PBM practices and includes important provisions to: require PBMs in California to be licensed and subject to oversight, ending their near-total lack of regulation in the state ban spread pricing – the practice where PBMs charge ins

The PBM industry’s lobbying arm is reportedly working to avoid new federal regulations, suggesting instead that PBMs police themselves....

As Congress prepares for the final legislative push of 2025, a new report from the Congressional Budget Office (CBO) reinforces the need...

The PBM Accountability Project Managing Director Mark Blum today submitted a letter to Congressional leaders urging swift action to pass...

The PBM Accountability Project Managing Director Mark Blum submitted a letter to the Federal Trade Commission (FTC) and Department of...

The House Committee on Oversight and Government Reform Chairman James Comer (R-KY) recently announced  an expanding investigation into...

As Congress returns this fall, there are likely several items on their “To Do” list – addressing healthcare costs should be near the very...

The Senate HELP Committee today held a hearing entitled, “Making Health Care Affordable: Solutions to Lower Costs and Empower Patients.”...

The PBM Accountability Project today sent a letter to Senate HELP Committee leaders supporting ongoing efforts to make healthcare more...