States should be allowed to regulate PBMs, according to 35 state AGs advocating in Oklahoma case
A trade association for PBMs says that state PBM regulations in Oklahoma are preempted by federal ERISA and Medicare regulations.
A trade association for PBMs says that state PBM regulations in Oklahoma are preempted by federal ERISA and Medicare regulations.
In an exclusive interview, an attorney at McDermott Will & Emery's Post-Roe practice group answers questions about how Texas' trigger ban laws will impact employers, whether HIPAA protections apply to abortion access and the latest in Washington on rulemaking to strengthen ERISA preemption defense.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
In his decision, U.S. District Judge John Bates called the policy an "end-run" around the patient protections and regulations established with the passage of the Affordable Care Act.
The case alleges that insured workers paid too much because Express Scripts charged “above competitive pricing levels” and Anthem, in effect, allowed those higher prices as part of a 10-year contract deal with the PBM, in violation of ERISA.