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Sunshine in the Black Box of Pharmacy Benefits Management (PDF)
3 Axis Advisors LLC for Florida Pharmacy Association [FPA] and American Pharmacy Cooperative Inc. [APCI] 
Jan. 31, 2020 203 pages. "[Managed Care Organizations (MCOs] and PBMs appear to be using their control in managed care to incrementally shift dollars to their affiliated companies.... [The authors] believe that [they] have provided irrefutable evidence in this report that whatever strategy is in place is far from equitable for different drugs, MCOs, and pharmacies.... [A]ny pricing/payment strategy that is not equitable on all three dimensions risks having providers prioritize certain patients with certain disease states over others based on the arbitrary profitability an MCO (or its PBM) applies to the treatment." MORE >> |
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