"If the Supreme Court were
to say states have the ability to regulate the PBM marketplace inside ERISA
plans, that would be a huge change. It would give states an almost unlimited
ability to force payers to pay a rate [to pharmacies] they deem
sufficient."
— Jeff Myers, founder of health care consulting firm OptDis,
talked with AIS's Health Plan
Weekly about the Supreme Court's decision to review whether PBMs
are acting as agents under the Employee Retirement Income Security Act of 1974,
and what the outcome could mean for the industry.
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