A nonprofit publication of the Kentucky Center for Public Service Journalism

Officials say issues with Medicaid pharmacy benefit managers will be a priority in next legislative session

By Melissa Patrick Kentucky Health News State Rep. Danny Bentley didn’t mince words when he told a health advocacy group that a priority of the next legislative session will be to deal with pharmacy benefit managers’ Medicaid payments to drug stores. Independent pharmacies in Kentucky and around the nation have said for years that the problems are so bad that PBMs threaten their survival. “I’m...

Trudy Lieberman: Rising drug prices put pressure on Congress, but drug makers remain a powerful lobby

Maybe – just maybe – Americans will get some relief from the relentlessly rising prices of pharmaceuticals. That, of course, depends on Congress pushing back against the drug companies’ formidable lobbying machine, their generous campaign contributions, and the industry’s historical coziness with members of Congress. But this year seems different. When you consider that the country’s spending...

Attorney General Andy Beshear moving forward with lawsuit against three insulin makers over pricing

By Tom Latek Kentucky Today Attorney General Andy Beshear says his office is moving forward with a lawsuit against three insulin makers over skyrocketing prices and an investigation into pharmacy benefit managers who have allegedly overcharged Kentuckians, local pharmacies and the state for prescription drugs. Two requests for proposals, or RFPs, are now posted on the system where state government...

State says it won’t tolerate poor treatment of independent pharmacies in Medicaid program

By Melissa Patrick Kentucky Health News Kentucky legislators were assured last week that the state is committed to resolving the payment issues that the states’ independent pharmacies have with pharmacy benefit managers in Medicaid, issues that the pharmacies have said are so bad they threaten their survival. “We are not going to tolerate it, and we will do whatever we have to do to ensure...

New Department of Medicaid Services recommends increased regulation of Pharmacy Benefit Managers

The Cabinet for Health and Family Services Department for Medicaid Services (DMS) and Office of Health Data and Analytics has released a new report on the state’s pharmacy benefit program. “MEDICAID PHARMACY PRICING: Opening the Black Box”  looks at the impact and role of Pharmacy Benefit Managers (PBMs), which serve as intermediaries between Medicaid Managed Care Organizations (MCOs) and pharmacies....

Mark Glasper: Stop pharmacy benefits managers from fleecing Kentuckians, eliminate middleman

Thanks to new federal and state laws, including Rep. Michael Meredith’s House Bill 463 from 2018, your pharmacist can finally inform you when the real price of your medicine is less than the copayment charged by your insurer. This much-needed transparency means consumers will finally be aware of something that happens far more often than they know.   But this is only the tip of the iceberg when...