Re:US commercial insurers pay 254% of Medicare for the same ...
by rexroad on Sunday March 22, 2026 @02:54PM
(#47480794)
Author here. Issue #4 is now live — pharmacy benefit managers.
Three companies process 80% of US prescriptions. The FTC spent two years
investigating them and documented $7.3B in specialty drug markups at
PBM-owned pharmacies alone. Ohio's state auditor found $224.8M in spread
pricing extracted from one state's Medicaid program in a single year.
Six mechanisms, $30B/year booked conservatively. Running total across
four issues: $128.6B.
Three companies process 80% of US prescriptions. The FTC spent two years investigating them and documented $7.3B in specialty drug markups at PBM-owned pharmacies alone. Ohio's state auditor found $224.8M in spread pricing extracted from one state's Medicaid program in a single year.
Six mechanisms, $30B/year booked conservatively. Running total across four issues: $128.6B.
github.com/rexrodeo/american-healthcare-conundrum