The law under consideration “delinks” PBM compensation from manufacturer rebates in Medicare and requires flat administrative fees, certified at fair market value. It also mandates that rebates be passed through to health plan sponsors in the employer-sponsored market. This sounds appealing, but incentives matter. When compensation no longer depends on securing better terms, bargaining effort becomes a cost center rather than a profit center. PBMs will still compete for contracts, but competition on administrative fees isn’t the same as competition on aggressive price concessions and won’t lower drug prices.
Как отмечает издание, 3 марта в Овальном кабинете Мерц присоединился к Трампу в своего рода лекции об общем союзнике — Испании. Глава Белого дома неоднократно хвалил немецкого канцлера как друга, критикуя при этом других европейцев, однако Мерц почти не говорил.
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She also noted that, though Friedmann was reading novels in jail, the book he was studying most closely was “Games People Play,” by Eric Berne, a Canadian clinician who developed a psychiatric theory he called “transactional analysis.” Berne argues that all social interactions are a type of psychological game—including crime. There are “two distinctive types of habitual criminals,” Berne writes. “Those who are in crime primarily for profit, and those who are in it primarily for the game.” Criminals in it for the game relish a “battle of wits” but often wind up in prison, because of a mixture of guilt, shame, and vanity. In fact, they may want to be caught, because “being found is the necessary payoff,” the due recognition of their daring. The book, a best-seller during the sixties, is an early and not overly convincing example of pop psychology. In his first letter to me, Friedmann urged me “not to hypothesize” about his personality. Still, his attachment to the book struck me as telling.