Lisa Yourman

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Lisa Yourman

Lisa Yourman

@lyourman

Mother of 2 who happen to have cystic fibrosis/T1d & loving life! Help families w/eff strategies. Author: CF in the Classroom #bestisyettocome #trifecta

New Jersey, USA Katılım Ocak 2009
1.4K Takip Edilen357 Takipçiler
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InsuranceOligopoly
InsuranceOligopoly@InsOligopoly·
Life of retail independent pharmacy in the World of the mafioso Pharmacy Benefit Manager Statin atorvastatin, generic for Lipitor. Cost $1.44 PBM allows $0.73 PBM pays $0.73 Patient copay $0 PBM CVS/Caremark is paying below cost. Is paying below what they themselves, CVS pharmacy, other chains would accept. Then, the PBM uses a discounted amount from the submitted average wholesale price of $207.62 to bill payor. If that number is 50%, it’s still $103.81. While they paid us $0.73 Additionally, they prevent us from dispensing 90 day supply, something they offer via their own mailorder. Yes, this is what PBMs do thousands of times per day, 365 days per year. Underpaying pharmacy and over billing payors. @RepAuchincloss @RepBuddyCarter @RepJamesComer @linakhanFTC @BedoyaFTC @RKSlaughterFTC @MHolyoakFTC @JCScottPCMA @pcmanet @JusticeATR @RobertKennedyJr @VivekGRamaswamy @DOGE @mcuban @costplusdrugs @GOPoversight @OversightDems @SquawkCNBC @SquawkStreet @DrugChannels @Commpharmacy @A_Ciaccia
InsuranceOligopoly tweet mediaInsuranceOligopoly tweet media
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Lisa Yourman
Lisa Yourman@lyourman·
Thank you @costplusdrugs ! Your company has made a difference in savings for consumers and reveals the dark side of PBM’s. New drug. Insurance approves a prescription for only 9 tablets 90 day supply - $25 copay. @costplusdrugs fills it as 90 pills for $10.40 plus $5 shipping!
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Mark Cuban
Mark Cuban@mcuban·
If you truly want to change healthcare and drug pricing for the better, it starts with what you do for your owned and portfolio companies Stop using the big insurance companies and their big 3 PBMs and you will see your drug pricing,and healthcare $ drop immediately. Get enough of your peers to do the same and you will change the behavior of the people that are forcing the country to over pay for meds and care and prices will come down with or without legislation At @costplusdrugs we get requests to sell our meds around the world because our pricing is transparent and cheaper than in many countries. Big pharma wants to see this change. They hate dealing with the big insurance and PBMs . The only thing holding them back is the Fortune 5000 not acting in their own self interest If you want a simple couple tests. Try these 1. Look at your rebate contracts from the last 4 years. Then compare what your PBM promised vs want they paid. It won't be the same 2. Ask your PBM to add Humira biosimilar Yusimry to their formulary for you. They charge you probably 3k per month after rebates. Yusimry is $594. Completely transparent pricing at @costplusdrugs 3. Ask them for all your claims for humira and all specialty generics. They won't give them to you without charging you and taking forever. If they do get them to you , go to costplusdrugs.com and compare pricing The prices are high because we let the system become an opague mess. All of us that have any way in our corporate healthcare decisions and self insure are the ones that created this mess We also can fix it by direct contracting , transparency and rebate free PBMs. If which there are many Here is some more insight : youtube.com/live/DiA6hAslO… starts at the 36 minute mark.
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YouTube
Bill Ackman@BillAckman

The best way to reduce drug prices in the U.S. is to make it illegal for drug companies to sell the same drugs abroad for lower prices than they sell them for here. This will force a globally negotiated price that will be lower than the prices that U.S. consumers pay now and higher than what foreigners pay now. Otherwise we are stuck with a system where American consumers subsidize drug development for the rest of the world. Ask any pharma company CEO. They will agree that the above approach will have the intended effect.

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Lisa Yourman
Lisa Yourman@lyourman·
@mcuban Thank you for bringing this to the attention of the public. In addition we have another problem which is PBM’s (middle men) either own insurance companies, or the insurance companies own the PBM’s. Seems like another type of AT&T monopoly.
Mark Cuban@mcuban

Most of the drug pricing issues are industry middle men induced problems that have been exasperated because big companies dont understand the money they spend on meds and health care There is a correlation between the number of contracts required by payers, providers, distributors and PBMs and a drug's price. M4A wont solve that problem, not will de-regulation. @costplusdrugs has a chance to.

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Donny Osmond
Donny Osmond@donnyosmond·
This summer tour has been one of the best US tours I've ever done. The audiences have been absolutely amazing. I saw this picture today and and noticed the date. Who'd a thought that exactly 47 years ago I'd still be touring... and loving every bit of it. Thank you to everyone who came to my concerts this summer. It's been so much fun. One more show... Reno, and then I'm back to my residency at Harrah's Las Vegas. Yeah baby!
Donny Osmond tweet media
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