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submitted 1 month ago by cymbal_king@lemmy.world to c/news@lemmy.world

In a report, the regulator sharply criticized pharmacy benefit managers, a reversal from its longstanding hands-off approach to policing the companies.

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[-] DarkNightoftheSoul@mander.xyz 110 points 1 month ago

middlemen driving up prices? in america's healthcare system?? that seems unlikely tbh

[-] teft@lemmy.world 49 points 1 month ago

Middlemen driving up prices! At this time of year! At this time of day! In this part of the country! Localized entirely within our healthcare system!

Can I see it?

[-] octopus_ink@lemmy.ml 81 points 1 month ago

I'll stop posting this when it's not so true for so many.

[-] pyre@lemmy.world 8 points 1 month ago

so who takes over after you die?

[-] squirrelwithnut@lemmy.world 46 points 1 month ago

By "middlemen" does she mean "the insurance industry"?

[-] cymbal_king@lemmy.world 27 points 1 month ago

The article details issues with pharmaceutical benefit managers, which 2 of the big 3 are owned by insurance companies and the third is owned by CVS

[-] RagingRobot@lemmy.world 10 points 1 month ago

CVS is also selling insurance now btw

[-] Nougat@fedia.io 43 points 1 month ago

That's kind of the only reason ~~middlemen~~ middlepeople exist. To buy things for a lower price, sell those same things at a higher price, and keep the difference.

[-] snooggums@midwest.social 35 points 1 month ago

There is a level of value being added when the middlepeople handle transportation, logistics, ensure availability, etc. It isn't only buying and selling in a vacuum like the stock market.

That said, a lot of them take far more value than they add, which is a problem.

[-] SeaJ@lemm.ee 12 points 1 month ago

Agreed for most cases. But for the medical industry, pharmacy benefit managers, which are largely owned by the insurance companies, do nothing but drive up the price because they are acting more like a monopsony. So it's a case of the insurance companies often getting paid two (if they own the pharmacy benefit manager) or three times (if they own the clinic) and adding an extra cost each step of the way.

[-] Tujio@lemmy.world 5 points 1 month ago

Sorta. As a middleman who works his ass off to make other people's lives easier, it's not quite as black and white. My job is kind of unique, though. We are geographically located in the only access point for a niche market. Our vendors physically cannot supply our customers, so we middle.

I'm sure there are a shitload of useless middlers suckling off the consumer's teat, but sometimes we are necessary.

[-] catloaf@lemm.ee 27 points 1 month ago

Shame that they probably can't do anything about it with the Chevron decision.

[-] FlyingSquid@lemmy.world 10 points 1 month ago

Don't worry, I was told here on Lemmy after SCOTUS struck down Chevron that putting these sort of things in the hands of the judiciary was a good idea.

I'm curious if the people who insisted that felt the same way after SCOTUS also said that the president can commit crimes?

[-] Asafum@feddit.nl 8 points 1 month ago

Imagine thinking that the very same people that don't even need to be qualified as a judge could be qualified to handle any question that involves specific expertise...

Of course those idiots didn't get it, but that decision was 110% a gift to the ownership class... Yet again... This fucking rubber stamp scotus gives Republicans even more power as is intended...

[-] Ranvier@sopuli.xyz 5 points 1 month ago

I suppose if we had way more judges who worked on a much quicker timeline and retained independent qualified experts in all these areas, and the judges weren't just partisan hacks, then Chevron being struck down might not be so bad. But that's not the world we live in. Slow decisions by corrupt judges that don't know anything about what they're ruling on. Just look at some of the ridiculous fda related rulings trying to go after abortion.

But that's basically why at the time it was originally ruled on you had liberals upset about Chevron and conservatives happy (basically a more conservative executive and more liberal court at that time).

One slight silver lining is that it may make it easier for judges to strike down Trump admin regulations if he wins the election. But that is kind of cold comfort. Probably have worse issues than that if Trump is re elected.

[-] Buelldozer@lemmy.today 4 points 1 month ago

This has nothing to do with Chevron. The Federal Trade Commission has had clear authority over issues like this for a very long time.

[-] Reverendender@sh.itjust.works 5 points 1 month ago

You understand they don't anymore, right? Because of Chevron.

[-] Buelldozer@lemmy.today 6 points 1 month ago

The FTC has statutory authority over the regulation of trade. It doesn't rely on Chevron except in highly specific edge cases and this likely wouldn't be one.

Chevron only ever applied in cases where the law was ambiguous or had gaps. The removal of Chevron didn't suddenly render every Agency under the Executive powerless and if you think it did then you need to go back to wherever Mass Media you got your education from and demand a refund.

[-] kikutwo@lemmy.world 12 points 1 month ago

Really? You think PBM's are driving up pricing? Genius!

[-] Whirling_Cloudburst@lemmy.world 9 points 1 month ago

image

So, we just need to cut out the middlemen.

[-] Fedizen@lemmy.world 7 points 1 month ago

PBMs have always been a trojan horse

[-] GiddyGap@lemm.ee 6 points 1 month ago

Really? You don't say...

[-] b3an@lemmy.world 4 points 1 month ago

An investigation by The New York Times published last month found that the benefit managers often act in their own interests, at the expense of patients, employers and taxpayers.

So shocked. 🙄 Why it takes so many years for them to notice or do anything.

this post was submitted on 09 Jul 2024
314 points (99.4% liked)

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