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As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024.
Medicaid spending rose by $7 billion (2%) in part because of more persons enrolled due to the Affordable Care Act. Unadjusted for timing shifts, in 2017 Medicare spending was $595 billion and Medicaid spending was $375 billion. [31] Medicare covered 57 million people as of September 2016. [32]
One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion. [19] As of February 2009, the projected net cost of the program over the 2006 to 2015 period was $549.2 billion. [20]
In 2003, research and development expenditures were approximately $95 billion (equivalent to $151 billion in 2023 [108]) with $40 billion (equivalent to $63.5 billion in 2023 [108]) coming from public sources and $55 billion (equivalent to $87.3 billion in 2023 [108]) coming from private sources.
HRSA's $10 billion budget (FY 2015) [3] provides direct health care to 23 million people. Its health center program supports medical, oral and behavioral health services to uninsured and underinsured individuals through a nationwide network of community-based clinics and mobile medical vans.
(Reuters) -The U.S. Department of Justice announced a lawsuit on Wednesday accusing pharmacy chain CVS of filling illegal opioid prescriptions and billing federal health insurance programs ...
The Government of Canada found that during the 2020-2021 year, the country had spent 12.3 billion dollars on medication costs. [59] In Canada, each province and territory publicly funds their own insurance plan rather than a national insurance plan. [60] With differing insurance plans, the medication costs the public varies from area to area. [61]
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