andrewcook80.bsky.social

28 September 2026 07:40

Insurance can affect what patients pay, but the pricing chain is more complicated. PBMs negotiate drug prices and benefits for health plans. Patient costs also depend on plan design, deductibles, and coinsurance. There’s more to unpack here.

Sam Richmond

richmond93.bsky.social

28 September 2026 04:47

PBM reform should be about improving transparency and accountability without losing the negotiating power they bring to the table. The goal should be lower costs and better access, not weakening a system that serves millions of patients.

Keri Kinsella

kinsellakeri.bsky.social

28 September 2026 04:47

Reform makes sense, but good reform should target incentives without assuming the middleman is the problem. PBMs can negotiate lower net prices and steer utilization, so removing those functions without proving a better alternative could backfire.

Sarah Tompkins

tompkinssarah.bsky.social

28 September 2026 04:47

Pharmacy advocacy matters, and so does getting the reform right. Independent pharmacies deserve fair reimbursement, but PBMs also provide important negotiating and benefit management functions. The goal should be fixing bad incentives without removing what works.

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