Potential Big Impact If Firms That Own Pharmacy Benefit Managers Must Break Up

While PBM reforms that passed earlier this year will spur further changes in the way business is conducted, it’s anti-trust ...
The American Journal of Managed Care

5 Policy Goals Driving PBM Reform Efforts

Transparency mandates require detailed disclosure of rebates, spread pricing, fees, and reimbursement methodologies, expanding plan sponsor audit rights and increasing CMS oversight of PBM reporting ...
Investopedia

Unveiling the Role of Pharmacy Benefit Managers (PBMs)

Jack Du has 3+ years of experience working with Brown Investment Group and 2+ years as an investment analyst. Anthony Battle is a CERTIFIED FINANCIAL PLANNER™ professional. He earned the Chartered ...
JD Supra

PBM reform: The intersection of legislation and regulations

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. February 5, 2026 – Often in the policy realm (and especially in the health space), major reforms are ...
JD Supra

Highlights and Shortfalls of Recent PBM Legislation

There have been a series of court cases and federal legislation targeting the spread pricing model often used by pharmacy benefit managers (PBM). Spread pricing involves two points of time in ...
The American Journal of Managed Care

Under the Magnifying Glass: A Wave of Drug Price Transparency

Federal pharmacy benefit manager transparency reforms must contend with concentrated pharmaceutical markets that lack competitive conditions. Learnings from transparency will shape future drug pricing ...
RealClearMarkets

Let Drug Buyers See the Books of Pharmacy Benefit Managers

Pharmacy Benefit Managers (PBMs) play a large role in deciding which drugs patients receive and how much they pay. Yet their fees, rebates, and contracts remain largely hidden from employers, insurers ...