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The Hidden Power of Pharmacy Benefit Managers: A Closer Look

IntroductionPharmacy Benefit Managers (PBMs) have been around for over half a century, acting as intermediaries in the pharmaceutical industry. However, recent criticisms suggest that these ‘middlemen’ may be wielding too much control over healthcare decisions, with patients bearing the brunt of the consequences. The Role of PBMsPBMs are responsible for constructing formulary lists that detail…

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UnitedHealthcare’s Controversial Prior Authorization Policy Withdrawn Amid Widespread Criticism

UnitedHealthcare (UHC), the biggest health plan provider in the United States, abruptly withdrew a highly controversial policy that would have required prior authorization for colonoscopies. The policy, which drew considerable backlash from healthcare professionals and associations, will be replaced with an alternative advance notification process. This proposed replacement will require physicians to gather and submit…

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DDNC Fall Institutional & Board Member Policy Roundtable

Summary Report DDNC Fall Institutional & Board Member Policy Roundtable October 30,2018 The Digestive Disease National coalition (DDNC) hosted its annual Fall Institutional & Board Member Policy Roundtable on Tuesday, October 30, 2018. Representatives from over 30 DDNC constituent and institutional member organizations gathered together at the Johnson & Johnson Washington office for a one-day…