Health AffairsOpinion

Federal PBM Reforms In Action And In Context

This article examines the PBM-related provisions in the 2026 Consolidated Appropriations Act in the context of other federal ...
The American Journal of Managed Care

5 Policy Goals Driving PBM Reform Efforts

Compensation reforms prohibit price- or rebate-linked PBM revenue in Part D, pushing flat service-fee models and broadly capturing affiliates such as rebate GPOs and aggregators. Reform priorities aim ...
JD Supra

Finding Calm During the PBM Storm: What Health Plans Can Do As FTC Litigation Intensifies

Tensions between the Federal Trade Commission (FTC) and pharmacy benefit managers (PBMs) continue to mount, bringing PBM practices and calls for reform back into the spotlight. On September 17, 2024, ...
JD Supra

PBM Contracting and Administration: What Are the Rules of the Road for Self-Insured Employees?

In February 2024, a group representing (among others) the Johnson & Johnson Group Health Plan and its component plans (Plaintiffs) sued Johnson & Johnson and The Pension & Benefits Committee of ...