The FTC is currently investigating the six largest PBMs — which account for 97 percent of the market — because of their business practices, including “complicated and unclear methods to determine pharmacy reimbursement,” according to the FTC.
Pennsylvania joins nearly 20 other states that have introduced legislation aimed at regulating PBMs.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
