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The Knox-Keene Health Care Service Plan Act of 1975 is a set of Californian laws that regulate Healthcare Service Plans. Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [58] SB 966: Pharmacy benefits
Pharmacy benefit managers are companies that handle prescription drug benefits for health insurance companies, large employers, and Medicare prescription drug plans - a group often referred to as ...
One is “spread pricing,” when a PBM charges its health plan clients more for a drug than it pays to the pharmacy that delivers it, and pockets the difference. (PBMs say this is an option ...
Pharmacy benefits managers (PBMs) are employing new strategies to squeeze independent pharmacies, even as the industry faces pressure from the federal government, which is looking for ways to curb ...
Psychiatry is, and has historically been, viewed as controversial by those under its care, as well as sociologists and psychiatrists themselves. There are a variety of reasons cited for this controversy, including the subjectivity of diagnosis, [1] the use of diagnosis and treatment for social and political control including detaining citizens and treating them without consent, [2] the side ...
Many people living with SMI experience institutional recidivism, which is the process of being admitted and readmitted into the hospital. [7] This cycle is due in part to a lack of support being available for people living with SMI after being released from the hospital, frequent encounters between them and the police, as well as miscommunication between clinicians and police officers. [7]
Lawmakers and PBM critics say higher drug prices lead to higher fees to PBMs; the higher the price of a covered drug, the steeper the potential discount, some of which PBMs keep as profit.
Sanism in the legal profession can affect many people in communities who at some point in their life struggle with some degree of mental health problems, according to Perlin. This may unjustly limit their ability to legally resolve issues in their communities such as: "contract problems, property problems, domestic relations problems, and ...