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The PBM Hitman

Organized Money

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Navigating Medicaid and PBM Challenges

This chapter explores the evolution of Medicaid and the complexities introduced by Pharmacy Benefit Managers (PBMs), particularly in Ohio. It discusses the shift towards a single PBM model aimed at improving transparency and financial efficiency, which notably benefits pharmacies and state budgets. Additionally, the chapter highlights recent legislative efforts to regulate PBM practices, shedding light on the ongoing struggles and implications for healthcare financing across various states.

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