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by vitus
482 days ago
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> Banning the middle layers here (absent other changes) just means that the companies that replace their spots in the top 20 will be vertically integrated conglomerates that manufacturer, distribute, prescribe and provide insurance (i.e. payment plans) for pharmaceutical drugs. Except these companies are already vertically integrated, to a large degree. All the biggest insurers have their own in-house PBMs. CVS (the parent company of Aetna) has Caremark. Cigna has Express Scripts. Anthem (fine, Elevance) has CarelonRx. UnitedHealth Group has Optum. |
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