PBMA Statement on Trump Administration Efforts to Rein in Health Insurance Middlemen

As 2025 comes to a close, President Trump announced his Administration’s plans to convene health insurance CEOs in an effort to address their role in driving up healthcare costs for the American people. PBM Accountability Project Managing Director Mark Blum issued the following statement:

“We are pleased to see President Trump and his Administration’s attention on the corporate insurers and PBMs that currently dominate the healthcare system and play a significant role in driving up the cost of and limiting access to affordable healthcare in the United States. The Administration has already worked to compel some healthcare corporations to negotiate and deliver meaningful cost-saving reforms. Achieving real and durable prescription savings for Americans, however, will require even greater focus on the sprawling and opaque business practices embedded within the nation’s mega health insurance system.

“For too long, the vertically integrated health insurance conglomerates and their PBM subsidiaries have used anti-competitive business practices to significantly inflate costs for patients, taxpayers, government programs, employers and labor unions to maximize their corporate profits at the expense of American citizens. As we have consistently stated, any meaningful reform must confront profiteering by America’s mega-insurance corporations and their PBM subsidiaries.

“Now is the time for the Administration and Congress to fully commit to cracking down on their harmful practices by breaking the link between insurer and PBM compensation and the price of medicines; increasing transparency across the entire health insurance marketplace supply chain; and addressing abuses enabled by their vertical consolidation.

“Too many Americans do not expect a happy New Year as they wonder how they will pay the soaring cost of prescription medicines they cannot afford. On their behalf, the PBM Accountability Project, our members and allied organizations head into the new year with renewed expectation that Congress and the Administration will enact meaningful and impactful reforms. We recommit our effort in encouraging our elected leaders in take the actions required to reform the multi-headed Hydra of complex and purposefully opaque practices through which the mega-insurance industry exploits Amerca’s working families and our seniors.”