The market for pharmacy benefit manager services is highly concentrated, with commercial insurers often sharing ownership of PBMs. analysis announced today by the American Medical Association. A 2020 data-driven study of the commercial insurance market analyzes the market share of the three most commonly used PBM services by insurers: negotiating rebates with pharmaceutical companies, building retail pharmacy networks, and managing and processing pharmacy claims. We found that 97% were made up of the 10 largest PBM companies. .
“The American Medical Association already has serious concerns about PBM’s business practices that could adversely affect patient access to prescription medicines and their costs.” Said Jack Resneck Jr, MD, President of AMA “The PBM market requires careful scrutiny as less competition and greater vertical integration may encourage anti-competitive business practices that could harm patients. is.”
AHA is urged The Federal Trade Commission prohibits commercial health plans that direct patients to third-party specialty pharmacies in which they have a financial interest, preventing health care providers from procuring and controlling the drugs they administer to their patients. I asked for scrutiny.
