Social return on investment. Economic impact of health inequity. CDC’s $3 billion investment. 2022 AEA Awards. Health Affairs: top podcasts of 2022.

The evolution of PBMs over the past 2 decades

A ViewPoint by Richman and Adashi in JAMA this week provides a nice overview of the pharmacy benefit manager (PBM) marketplaces as well as some considerations for the Federal Trade Commission (FTC) to consider.  Below I summarize some of the developments in the PBM market in recent decades. Of particular note is that PBMs have…


Options for CMS price negotiation. Magic mushroom medicine. CBO’s options for reducing provider reimbursement. Orthopedic surgeons and private equity. New Alzheimer’s drug. Value-based payment and US health spending.

2022 Publications

As we have turned the leaf to 2023, I figured I’d share the publications I had last year: Publications Forma F, Chiu K, Shafrin J, Boskovic DH, Veeranki SP. Are caregivers ready for digital? Caregiver preferences for health technology tools to monitor medication adherence among patients with serious mental illness. Digital health. 2022 Mar;8:20552076221084472. Jackisch…

Impact of medication cost-sharing on adherence, clinical outcomes, health care utilization, and costs

This is the paraphrased title of a paper by Fusco et al. (2023). The authors conduct a systematic literature review of studies published between 2010 and 2020 and find that among the 79 articles screened: The majority of publications found that, regardless of disease area, increased cost-sharing was associated with worse adherence, persistence, or discontinuation.…

Quotations of the Day

‘Seek Simplicity . . . and Distrust It’ Alfred North Whitehead And a second… There is no such thing as perfection, only the relentless, thirsty matching of an organism to its environment. Siddhartha Mukherjee in The Gene: An Intimate History


Nursing home administrators opinions on COVID-19 Home births on the rise. Physician work-life balance: 2001-2021 Cross country comparison: Health financing and health outcomes Top scientific advances of 2022.