HealthCommentary

Exploring Human Potential

PBM’s – Their Origins and Parentage.

With the controversy swirling over insulin pricing, and sticker shock for seniors meeting deductibles on their Medicare Part D choices, it’s useful to shine a light on PBM’s – their origins and parentage. They would, of course, prefer to remain in the shadows, managing a vast array of legal kickbacks with others within the Medical-Industrial […]

The Origin Story of PBM’s.

Mike Magee Do you know the origin story of PBMs, and why they and their middlemen hold 6 of the top 25 spots in the Fortune 500? Here’s a starter course, excerpted from “CODE BLUE: Inside the Medical Industrial Complex” where the full answer resides. “When PBMs began, insurers and employers believed that this new […]

Why Is Lamar Alexander (R-TN) Confused?

Mike Magee The Medical-Industrial Complex in the United States is expert at feigning cross-sector competition while quietly signaling to members that there is plenty of graft and profit in the $4 trillion (20% of GDP) for all. The net output, more evident than it ever was in the days of ’90 era “Harry and Louise” […]

Will the Health Care Bubble Burst in 2019?

source Mike Magee In the dead heat of the summer of 2018, we’re experiencing an epic  “non-real fight” over “non-real work” with potential real consequences in 2019. The initial battle lines were drawn some months back when Jeff Bezos, Warren Buffett and Jamie Dimon recognized a unique opportunity to dip into the wasteful troughs of […]

The Pharmacy Benefit Manger (PBM) Syndicate

Mike Magee “Syndicate: a self-organizing group of individuals, companies, corporations or entities formed to transact some specific business, to pursue or promote a shared interest. In most cases formed groups aim to scale up their profits.” Drug channel companies including Pharmacy Benefit Managers (PBMs) (like United Healthcare’s Optum, Express Scripts and CVS/Caremark) and distributors (like […]

The Basics of Pharma Kickbacks – Opaque & Complex

Mike Magee With great fanfare, the New York Times announced this week that UnitedHealthcare   “would stop keeping millions of dollars in discounts it gets from drug companies and share them with its customers.” For awhile, pharma, insurers, pharmacies and PBMs have been pointing fingers at each other over escalating costs. That’s become more difficult of […]

The MIC Circular Firing Squad

Mike Magee If you want to see the Medical-Industrial Complex (MIC) in full “circular firing squad” mode, simply check out the recent Energy & Commerce Committee hearings on soaring drug prices hosted by chairman Rep. Greg Walden (R-OR). Delivering tough talk to committee members, he said, “Consider yourself on [the working group] if you’re on […]

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