Pharmacy Benefit Managers and Their Role in Inflating Specialty Drug Prices
Understanding the Role of Pharmacy Benefit Managers
Pharmacy benefit managers (PBMs) play a crucial role in the healthcare landscape, controlling how medications are accessed and priced. Recently, they have come under fire for allegations of inflating specialty drug prices, leading to higher costs for patients and insurers alike.
Key Issues Surrounding Specialty Drug Pricing
- Increased financial burden for patients relying on specialty medications.
- Transparency concerns regarding PBM pricing practices.
- Impact on healthcare affordability and accessibility.
Recent Developments in Illinois
During a recent Illinois House Health Care Committee hearing, lawmakers scrutinized the policies and practices of PBMs, aiming to shed light on their influence in drug pricing. Lawmakers are exploring potential reforms to enhance transparency and ensure that patients are not unfairly penalized due to inflated prices.
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