AffirmedRx, a Public Benefit Corporation’s Post

Thoughts on this? >> Biden administration says IRA negotiations will result in $6B in 2026 Medicare savings >> Comment below! >>> lqventures.com #strategy #competitiveintelligence #marketing #pharma #biotech #productmarketing #pharmaceutical #healthcare

Thoughts on this? >> Biden administration says IRA negotiations will result in $6B in 2026 Medicare savings >> Comment below! >>> lqventures.com #strategy #competitiveintelligence #marketing #pharmaceutical #pharma #healthcare #biotech #productmarketing

Congress punts on PBM reform, while class action attorneys heat up with breach of fiduciary duty lawsuits. As stated in the plaintiff's suit against J&J: "30. Fiduciaries must also ensure that their agreements with service providers and the amounts they pay to those service providers are reasonable. Fiduciaries must make a diligent effort to compare alternative service providers in the marketplace, seek the lowest level of costs for the services to be provided, and continuously monitor plan expenses to ensure that they remain reasonable under the circumstances. Fiduciaries also cannot ignore the power their plans wield to obtain favorable rates. Put simply, wasting beneficiaries’ money is imprudent. 31. Fiduciaries cannot discharge their fiduciary duties simply by relying on the advice of third-party service providers, consultants, or experts..." https://lnkd.in/eTn4D9_6

Partially designed to allow spread-pricing profit to fund indigent care. Selling to poor members at full mark-up needs be prohibited, however reimbursed by insurance companies at mark-up is an original goal. https://lnkd.in/er253as2

Thoughts on this? >> Medicare negotiations have concluded. What's next for court cases against the IRA? >> Comment below! >>> lqventures.com #strategy #competitiveintelligence #marketing #pharma #pharmaceutical #productmarketing #healthcare #biotech

The 2025 MA and Part D rule has been finalized. This is substantially what was proposed. Lots here on brokers and agents, D-SNPs, and more. Analysis to come. Dig in. https://lnkd.in/eYnCABhd #medicareadvantage

Update on the Federal Trade Commission 6(b) investigation into PBM business practices. Letter from FTC to Sen. Grassley: "Although our compulsory orders were issued in June 2022, and May and June 2023, to date no company has turned over sufficient documents and data to be in full compliance with those orders. FTC staff continues to push the PBM/GPOs to finalize their production of documents and data required by the Orders as quickly as possible. The respondents have proceeded with varying levels of speed in their productions and compliance with the Orders. We expect to have all the materials very soon. If, however, some of the companies fail to fully comply with the orders or engage in any actionable delaying tactics, the FTC can take them to court to compel compliance." H/T to Maya Goldman Axios for posting and writing https://lnkd.in/eEm4Zpga

The problem of rebates and fees…

Thoughts on this? >> Medicare negotiations have concluded. What's next for court cases against the IRA? >> Comment below! >>> lqventures.com #strategy #competitiveintelligence #marketing #pharma #healthcare #biotech #pharmaceutical #productmarketing

🚨 The FTC is planning to sue the big three PBMs! 🚨 We are here now, and things are about to change. With all we’ve been through, it’s time to reset our mindset and keep fighting. Our words create reality, and God willing, we are going to get our industry back. This is just the beginning. We must continue to push, demand justice, and stand strong against those who threaten our livelihood. The fight has been long, but this is our moment. Let’s keep fighting and make our voices heard. #PBMReform #BanMailOrder