Unbiased Analysis of Today's Healthcare Issues

Are PBM exclusion lists value-based?

Value-based insurance design (VBID) is a simple concept.  In short, interventions that provide high-value should be covered with little cost sharing; treatments with low-value should be covered with higher rates of cost sharing or in some cases perhaps not even covered at all. A paper by Cohen et al. (2017) aims to see how far […]

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Will CVS Caremark split up?

CVS is the second largest pharmacy in the U.S. with over 7000 stores.  Caremark Pharmacy Services is a pharmacy benefit management (PBM) company, providing benefit management services to health plans.  In March of 2007 the two firms merged.  The combined firm not only has $99 billion in sales, CVS Caremark also has the ability not to […]

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