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PBMs are not required to share how these rebate rates are calculated and this can result in local pharmacies being paid back less or the same as the sticker prices of the drugs themselves. [30] Vertical integration of PBMs can lead to a preference for PBM-affiliated pharmacies compared to unaffiliated pharmacies. Some PBMs may increase the ...
For this measure, plans are allowed to select a random sample of the population and supplement claims data with data from medical records. By doing so, plans may identify additional immunizations and report more favorable and accurate rates.
The FTC released a 60-page report Tuesday targeting the biggest three pharmacy benefit managers, claiming the companies hiked the prices of specialty drugs to generate $7.3 billion in revenue from ...
Methodologically, the learning sciences differs from other fields in educational research. It focuses on the study of learners, their localities, and their communities. The design-based research methodology is often used by learning scientists in their inquiries because this methodological framework considers the subject of study to be a complex system involving emergent properties that arise ...
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 ...
The research-based design process is a research process proposed by Teemu Leinonen, [1] [2] inspired by several design theories. [ 3 ] [ 4 ] [ 5 ] It is strongly oriented towards the building of prototypes and it emphasizes creative solutions, exploration of various ideas and design concepts, continuous testing and redesign of the design solutions.
Listed pros and cons must, as for all content, be sourced by a reference, either in the list or elsewhere in the article. (A "criticisms and defenses" list is a backwards pro and con list. The opposing side is presented first, followed by the responses of the defending side. Lists of this form seem to grow out of more contentious articles.)
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