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Louisiana sues to enforce prompt payment

On Nov. 9, the Louisiana Department of Insurance fined Express Scripts and MedImpact for delays in paying adjudicated claims on behalf of the Office of Group Benefits, which provides benefits to state employees, retirees, and their eligible dependents. The LDI began its investigation after receiving complaints from 19 independent pharmacies, which were further substantiated by the Louisiana Independent Pharmacies Association.
United States Office Of Group Louisiana Department Of Insurance Louisiana Independent Pharmacies Association Louisiana Department Express Scripts
Source: ncpa.org

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PBMs Are in Regulators' Crosshairs But Are Regulators Missing the Point?

Proposals targeting misaligned financial incentives, price transparency, and pharmacy access are important and necessary reforms. But the consequences of failing to address pharmacy benefit managersโ€™ use of market power to block competition and extract monopoly profits from payers and consumers will not be limited to drug costs โ€“ it will change all of healthcare for generations.
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