
News
from the fight to #SaveIndiePharmacy
New York Times’ The Middlemen series

MinnesotaCare expansion is a matter of fiscal responsibility
Expanding MinnesotaCare to include undocumented workers is not just a matter of compassion; it is a matter of fiscal responsibility.

The Topline: Tens of thousands of Minnesotans to lose health insurance
Roughly 150,000 Minnesotans would lose health insurance under congressional Republicans’ plan to cut funding for Medicaid and other social services, according to an estimate released last week by Democrats on the Senate Joint Economic Committee.

Gov. Walz, Minnesota lawmakers roll back state health care for undocumented adults
Several DFL lawmakers of color loudly protested behind a closed door Thursday morning as Gov. Tim Walz and lawmakers announced that undocumented adults will no longer have access to a state health insurance program after this year.

CVS Health overcharged Medicaid programs, states complain in lawsuit
Four state attorneys general sued CVS Health and its pharmacies for allegedly submitting “false and fraudulent” claims to state Medicaid programs.

Cutting Care From Patients Saves Only a Fraction of What Cutting Insurance Abuse Would
Lawmakers say cuts to Medicaid and CHIP will save money — but patients will pay with their lives, while Big Insurance cashes in.

Minnesota can save Medicaid dollars — if we cut out the middlemen
The Connecticut model has saved money and improved care

Lawmakers want Indiana to own its own pharmacy benefit manager for state plans like Medicaid
The goal of the bill is to give Indiana a “seat at the table” to play a role in negotiating rebates, pricing, distribution and dispensing fees

‘Ghost network’ of US healthcare providers amounts to fraud, lawsuit says
Class action finds ‘staggering’ cases of people struggling to find mental health care coinciding with mental health crisis

Pa. pharmacists say they’re receiving less money for drugs dispensed to Medicaid patients
Pennsylvania DHS says it will try to compel the insurance companies to reverse course, even though violated state contracts requiring that changes to pharmacy reimbursement rates be cleared with DHS first.

Indiana paid $7 billion to administer prescription drug benefits in five-year period according to new report
Indiana lawmakers are calling for more oversight of “pharmacy benefit managers,” or “PBMs” for short, following a report presented to the Health Care Cost Oversight Task Force this week. According to that preliminary report, Indiana paid $7 billion to administer prescription drug benefits for Hoosiers enrolled in the state’s Medicaid program and state employee plan through FY 2017 through FY 2022.
NY Governor Hochul Launches New Statewide Medicaid Pharmacy Benefit Program
Long-Awaited Transition to NYRx Provides Eight Million Members Expanded Access to Prescription Medications at More Than 5,000 Pharmacies Statewide
Drugmakers including Purdue Pharma paid pharmacy benefit managers not to restrict painkiller prescriptions, a New York Times investigation found.