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Joined June 2023
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Iowa made major progress this year, passing reform to reduce prior authorization burdens and strengthen coverage denial reviews. But middlemen and insurers are still capturing over $1 trillion in administrative costs nationwide. #PBMreform must continue.
desmoinesregister.com/story/…
ICYMI: #PBMs are hurting our local pharmacies - Congress must do more to ensure Iowans can access affordable medicines. iowacapitaldispatch.com/2026…
In Colfax, IA, the last pharmacy became the only lifeline for care after the town's doctor's office closed, so locals stepped up to keep it open. They lost $100K+ in year one — a direct result of #PBM under-reimbursement. #PBMreform can’t wait.
Read more:
kwqc.com/2026/09/07/rural-io…
The 340B program was designed to help vulnerable patients, but in Iowa, #PBMs and retail chains are skimming a cut of the discounts through "contract pharmacies," shifting savings away from those who need them most to line their own pockets.
Read more:
desmoinesregister.com/story/…
ICYM: The IRS is accusing the insurance conglomerate, UnitedHealth group, of funneling money out to a foreign subsidiary between 2017 and 2020 to hide profits and underpay taxes. We need reforms to hold insurance giants accountable.
Read more:
statnews.com/2026/08/17/unit…
ICYMI: A report earlier this year from @46brooklyndata found that the Big 3 #PBMs have been abusing “specialty drug” labeling for generics and cost Medicare around $1.5 billion every year, all to line their own pockets
Read more: static1.squarespace.com/stat…
"The FTC under President Trump won't stand for anticompetitive behavior that drives up prices for American consumers." - @FTC Chairman Ferguson, after settling with CVS Caremark, one of the Big 3 PBMs, over rebate-driven insulin pricing. #PBMreform ftc.gov/news-events/news/pre…
A recent audit of state Medicaid records found that #PBMs have made more than $100 million through overbilling and incomplete savings passthrough from 2019 to 2021 - Iowans deserve better - we need #PBMreform statnews.com/pharmalot/2026/…
.@iastateauditor Rob Sand annoucned in an audit of 3 PBMs in the state Medicaid system found that 1/3 companies overcharged the program by $100 million. Read more here: desmoinesregister.com/story/…
In response to increasing pressure and commonsense legislation by lawmakers, OptumRx has announced an end to spread pricing, which many argue exploits plan sponsors and patients for profit. We must continue to push for further #PBMreform. Read more: healthcaredive.com/news/optu…
PBM Accountability Project of Iowa retweeted
C what was in my farm mailbox. A flyer thanking me for my senate leadership is rare. I thx the organization for telling Iowans abt my work to reduce drug prices
While the game has changed with recent #PBMreforms, the Big 3 and other #PBMs have found a new way to stack the deck. PBM-affiliated GPOs represent the newest way that #PBMs look to profit off of patients and pharmacies. Read more here: modernhealthcare.com/politic…
New study found that insurers integrated with a PBM did not pass through savings to enrollees as lower premiums. Vertical integration between #PBMs and Insurers result in major conflicts of interests at the expense of patients and must be reformed now. ldi.upenn.edu/our-work/resea…
New research from @USCSchaeffer reveals just 3 #PBMs dominate Medicaid, Medicare Part D, & commercial markets in Iowa and across the US, reinforcing why #PBMreform is crucial for patients. Read the study here: schaeffer.usc.edu/research/p…
OptumRx – owned by UnitedHealth Group – is one of the nation's largest insurers. Learn more on how vertical integration of insuers and #PBMs impacts employer costs, pharmacy access, and what patients pay here: pbmaccountability.org/post/s…
We applaud @RepMMM for pulling back the curtain on #PBMs’ new playbook of using GPOs during last week's E&C hearing:
“Are PBM GPOs just to cover for the Big Three to say in a contract that they pass through 100% of the rebates they get..." Learn more here: hntrbrk.com/pbm-gpo-congress…
PBM Accountability Project of Iowa retweeted
In the new yr I expect Congress to work to lower the cost of Rx drugs I suggest passing my Pharmacy Benefit Manager (PBM) reforms ASAP #99countymeetings
Thanks @ChuckGrassley for all your work to advance #PBMreforms & lower Rx costs!
We applaud Senator @ChuckGrassley for his support towards reining in #PBMs by signing onto the Pharmacy Benefit Manager (PBM) Price Transparency and Accountability Act. This is a crucial peice of #PBM reform legilsation and must be passed into law. finance.senate.gov/chairmans…
“#PBMs play a significant role in the pharmaceutical drug supply chain. They act as middlemen processing prescriptions, negotiating prices [and] setting formularies.” Congress must follow @ChuckGrassley's lead holding PBMs accountable and pass #PBMReform grassley.senate.gov/news/new…
