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3 Min Read

HHS adopts AMA-backed changes to Medicare’s Plan Finder

With the changes, patients will have more accurate information and will be able to choose plans that actually include their trusted physicians and hospitals. 

Press Releases
Billing statement marked past due
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3 Min Read

One wrinkle to surprise billing law? Health plans aren’t paying up

The No Surprises Act created a way to settle out-of-network disputes, but losing health plans aren’t complying. New bipartisan bill would fix that.

Access to Care
Balanced pills and supplements
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4 Min Read

A handful of PBMs have nearly 70% share in 3 product markets

New evidence sheds light on the need for more transparency and oversight of pharmacy benefit manager (PBM) policies and practices. Learn more.

Access to Care
Crouching figure holding up a giant pill
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4 Min Read

In PBM market, competition is hard to come by

AMA analysis details low competition in a market that is drawing scrutiny from Congress and regulators.

Access to Care
Elderly person holds a box of medication
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4 Min Read

Unchecked power in PBM industry puts patients at risk of harm

The combination of low competition among pharmacy benefit managers and high vertical integration with insurers poses significant risk for patients.

series
Leadership
Leadership Viewpoints
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2 Min Read

Aug. 1, 2025: Advocacy Update spotlight on pharmacy benefit managers under scrutiny

Pharmacy Benefit Managers under scrutiny and more in the latest Advocacy Update spotlight.

Advocacy Update
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7 Min Read

Aug. 1, 2025: National Advocacy Update

No Surprises Act Enforcement Act introduced with AMA support and more in the latest National Advocacy Update.

Advocacy Update
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2 Min Read

Aug. 1, 2025: State Advocacy Update

AMA and ASCO release white and brown bagging issue brief and more in the latest State Advocacy Update.

Advocacy Update
Customer making a contactless payment
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4 Min Read

These 4 big names are the largest PBMs in the U.S.

Four PBMs have two-thirds of the market, says new AMA report. More transparency, accountability are needed.

Access to Care