Some insurers are bypassing hospital pharmacies and physician offices and instead sending more complex drugs through third-party pharmacies, which shifts who gets to buy and bill for these complex …
Samantha Liss | KFF Health News
Insurers say the policies are needed because hospital markups are too high. But hospitals argue that adding an intermediary results in unnecessary risks and delays, and they say some insurers have their own or affiliated pharmacy companies, creating financial motives for controlling the source of the medications. The patients, meanwhile, are left to deal with the red tape.
“I don’t think we should have more sympathy toward one party or the other,” Bai said. “Nobody is better than the other. They’re all trying to make money.”report from the Massachusetts Health Policy Commission
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