Discover and read the best of Twitter Threads about #GPO

Most recents (6)

a 🧵 In prep 4 today's 1pm @SenateHELP hearing on making #insulin affordable.
On graph: list price is roughly = net price (what pharma collects) + "rebates"/fees collected by Pharmacy Benefit Managers (#PBM) .

According 2 a 2021 @SenFinance "rebates" alone accounted for… twitter.com/i/web/status/1… Image
@SenateHELP @SenFinance @BernieSanders @SenBillCassidy @BoesingLoretta @NSmithholt12 @Free2CareHC @MsPattiPatti @nickjonas @tomhanks @VWOfficial @alldiabetesnews 2. With #PBM making most of the $ In the Insulin market (and for other meds) it's wild that there is little #transparency for PBM.
All of the red ovals show places where we cant see the $
Pic from our @Free2CareHC report: free2care.org/files/report.p… Image
3. If @SenateDems and @SenateGOP and @USCongress and @POTUS want to remedy the cost of Insulin and other drugs, hopefully they won't make the same mistake they did with the Inflation reduction act, "USA will NEVER solve the drug pricing problem without PBM reform – and instead… twitter.com/i/web/status/1…
Read 5 tweets
🧵Re baby formula #shortages:
@PressSec us pediatricians cannot conjure up baby formula.
We will do whatever we can to help our patients but you and @POTUS need to own the colossal supply chain mess that now threatens babies.
@PressSec @POTUS @RogerMarshallMD @RepKimSchrier @MartyMakary @Rosemary100 @ab_peds @MedscapePeds 🧵While hospitals have been better at purchasing and distributing less formula, in an effort to encourage #breastfeeding , they still distribute a LOT of formula . Love to know how much @ahahospitals
🧵As for how baby formula and other supplies get into nursing homes, learn about #GPO, medtwitter !
GPO control supplies of the hospitals in 🇺🇸 including masks, drugs, medical devices, solutions, and.....
@CourierTimes @SenBlumenthal @ChuckGrassley
theintell.com/story/opinion/…
Read 8 tweets
a 🧵Who has interest in #PBMs?
The AMA Foundation has a corporate donors circle that gives them 💵
Here is a pic of the 2018 donors.
Highlighted companies are or own PBM
Pink asterisks are large lobby groups (as is the AMA)
Purple dots are of interest
ama-assn.org/system/files/2…
2/5 🧵Here's a list of grants received by AMA... Why does our government... @CMSGov give the AMA over $500,000 💵 in a year to"transform clinical practices"?
How's that transformation going?

(and why should AMA be able to lobby a government that gives them 💵?)
3/5 🧵Looks 👀to me as though the alliance of health policy has a fancy dinner and sponsors an event with AMA, also sponsored by Pharma, Insurance companies and big hospital system ascension.
Did we get that wrong?
More about the alliance of health policy....
Read 7 tweets
Another way to look at the 🇺🇸 HC spend:
70% of physicians owned by a hospital or corporation
Hospital systems own many clinics
This makes hospital costs really important to examine. Image
It's REALLY important to know hospital prices! Image
Even though the last 2 US administrations have a rule on hospital price transparency, only 15% of hospitals are complying.
Rest are hiding their prices
If you are hiding something you must have sumptin to hide!
Read 11 tweets
1. Check out another way #PBM are making bank:
Insurer owns PBM who owns specialty pharmacy
Specialty pharmacy= pharmacy dispensing 💊💉stored under temp + special conditions: Chronic disease patients really need good specialty pharmacies. But....
beckershospitalreview.com/payer-issues/h…
2. Insurer can force patient to use their in-house specialty pharmacy... thus...Aetna makes pts use CVS, BCBS+Cigna makes pts use accredo, etc
Besides the whopping conflict of interest....
3. ...there ⬇️ motivation 2 deliver 💉💊in quality manner so drugs actually work.
Cystic Fibrosis patients get sicker due to #PBM @ExpressScripts shoddy delivery of 💊
Migraine patients: same
Express Scripps don't care.
@amfmigraine @CF_Foundation @VP
nbcnews.com/specials/milli…
Read 17 tweets
Here's who is on projectn95.org/partnersorg
@EpsilonTheory pointed out how the AMA used this group to gain much needed membership. epsilontheory.com/ama-bitfd/
So why is project N-95 and unitedstatesofcare who is a key partner not pointing out the GPO role, @ASlavitt?
@Free2CareHC Image
Show 🇺🇸 da healthcare money!!! 🤑💰
Here's the video on the project N-95:
@ASlavitt (formerly of Ingenix which became @Optum )
Tells us that lots of people are making bank. 💵
I agree.
Let's be transparent.
@DrugChannels @Free2CareHC @PtRightsAdvoc Image
Read 3 tweets

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