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Episode 391 - Chris Hamilton

Cleared Hot

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Unraveling Healthcare Costs: Insurance and PBMs

This chapter explores the intricate financial landscape of health insurance and the pivotal role of pharmacy benefit managers (PBMs) in drug pricing. It reveals how a large insurance company's revenue is predominantly driven by healthcare services rather than traditional premiums and discusses the implications of recent healthcare laws on pricing transparency. Additionally, the chapter highlights the monopolistic trends in the industry, emphasizing how the consolidation of insurance and healthcare services can limit choices and inflate costs for patients.

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