“Kabuki drug-pricing constructs.” Is there pharma, insurance company, pharmacy benefit manager “collusion” on drug pricing?

“HHS Secretary Alex Azar today testified before the Senate’s Committee on Health, Education, Labor, and Pensions (HELP) on the Trump administration’s blueprint to lower drug prices. Among the administration’s top priorities, said Azar, was creating incentives for drug makers to lower list prices for drugs. “Everybody wins when list prices rise,” he said, “except for

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The Mystery of the Hospital CLAUSTROPHOBIA CLUSTER

Recently a friend was told by his doctor he needed an MRI and said that he could get it at the hospital on the campus where the doctor’s office was located, or at a private imaging center two blocks away. This reminded me of the mystery of the Claustrophobia Cluster about twenty years ago, in

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I am still a family medicine physician and still see my own patients each day. My nurse and I review all messages for the day and all phone calls are returned before we leave. (A)

Sounds great! But with the transformation of health care more and more physicians are “employed” and not in “private practice.” The Medical Group Management Association reports that more than 50 percent of physicians are now employed by organizations affiliated with health systems. In some specialties, like cardiology, that is closer to 75 percent. Discussion of

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