Wind down the private health insurers

Years 1–5 · State insurance commissioners; NAIC; UHADiscuss this step

Pharmacy benefit managers

endsBy waveDrugs & devices

Today

Three PBMs process about 80% of prescriptions; rebates, spread pricing, formulary placement.

Under the plan

Role ends for UHP; pharmacies are paid acquisition cost plus a dispensing fee by UHA.

Trade-off

Transparent prices; loses PBMs' (contested) role in squeezing manufacturer prices.