Health Care Denied
@healthcaredenied.bsky.social
Health insurance is great... until you actually need to use it. Each day, patients are denied treatment & medicine by insurers making billions in profit.🤒 vs💰
https://linktr.ee/healthcaredenied
https://linktr.ee/healthcaredenied
If frustration were a health metric, prior authorization would be an epidemic.
January 2, 2026 at 5:16 PM
If frustration were a health metric, prior authorization would be an epidemic.
Consolidation does not = affordability. Large health insurers hold dominant market shares in many fully insured employer markets, sustaining high concentration levels that reduce competition. Hold health insurance conglomerates accountable.
January 1, 2026 at 5:35 PM
Consolidation does not = affordability. Large health insurers hold dominant market shares in many fully insured employer markets, sustaining high concentration levels that reduce competition. Hold health insurance conglomerates accountable.
The 340B system is broken. Mega corporations are capturing massive profits from 340B drug discounts that were intended as a lifeline to poor and vulnerable patients.
December 15, 2025 at 6:00 PM
The 340B system is broken. Mega corporations are capturing massive profits from 340B drug discounts that were intended as a lifeline to poor and vulnerable patients.
When health insurers also own doctors, pharmacies, data platforms, and care pathways, they profit from both approving and denying care, which creates inherent conflicts of interest. Vertical integration is at odds with patient outcomes and consumer affordability.
December 11, 2025 at 8:09 PM
When health insurers also own doctors, pharmacies, data platforms, and care pathways, they profit from both approving and denying care, which creates inherent conflicts of interest. Vertical integration is at odds with patient outcomes and consumer affordability.
It's open enrollment season. Choose carefully! Families are paying thousands more in premiums every year. But when they finally need care, they discover the provider list is full of ghosts: doctors who don’t exist, don’t take their plan, or stopped seeing patients long ago.
December 11, 2025 at 4:01 PM
It's open enrollment season. Choose carefully! Families are paying thousands more in premiums every year. But when they finally need care, they discover the provider list is full of ghosts: doctors who don’t exist, don’t take their plan, or stopped seeing patients long ago.
Health insurance is a broken system that finds new ways every day to deny care.
👉Anthem Blue Cross Blue Shield claims to be a good-faith negotiator while sending doctors zero-dollar offers in arbitration. That’s not negotiation — that’s a shakedown.
👉Anthem Blue Cross Blue Shield claims to be a good-faith negotiator while sending doctors zero-dollar offers in arbitration. That’s not negotiation — that’s a shakedown.
November 20, 2025 at 9:24 PM
Health insurance is a broken system that finds new ways every day to deny care.
👉Anthem Blue Cross Blue Shield claims to be a good-faith negotiator while sending doctors zero-dollar offers in arbitration. That’s not negotiation — that’s a shakedown.
👉Anthem Blue Cross Blue Shield claims to be a good-faith negotiator while sending doctors zero-dollar offers in arbitration. That’s not negotiation — that’s a shakedown.
Congress created 340B to help low-income and uninsured patients afford medication. But it's turned into a jackpot for PBMs and contract pharmacies like CVS. Today, 340B profits corporate conglomerates, not patients.
November 10, 2025 at 8:37 PM
Congress created 340B to help low-income and uninsured patients afford medication. But it's turned into a jackpot for PBMs and contract pharmacies like CVS. Today, 340B profits corporate conglomerates, not patients.
The system is broken. @mcuban.bsky.social is saying what we should all be saying: "We're the only country that uses PBMs." 🤑🆚🤒
October 28, 2025 at 8:27 PM
The system is broken. @mcuban.bsky.social is saying what we should all be saying: "We're the only country that uses PBMs." 🤑🆚🤒
Schaeffer Center white paper shows ‘spread pricing’ in 340B program steers benefits to wealthier providers and drives up costs
October 24, 2025 at 4:05 PM
Schaeffer Center white paper shows ‘spread pricing’ in 340B program steers benefits to wealthier providers and drives up costs
Limiting the control that pharmacy benefit managers have over healthcare costs is one of the most popular bipartisan policies nationwide. The system is broken. Fix it!
October 24, 2025 at 4:02 PM
Limiting the control that pharmacy benefit managers have over healthcare costs is one of the most popular bipartisan policies nationwide. The system is broken. Fix it!
Bloomberg reports that the nation's largest PBM—CVS Caremark—is pushing insurance plans to bump co-pays for weight-loss drugs to $200 out of pocket, even as CVS has negotiated higher rebates for itself!
⬆️copays + ⬆️rebates = more profits for PBMs 🤑🤑🤑
⬆️copays + ⬆️rebates = more profits for PBMs 🤑🤑🤑
October 23, 2025 at 6:02 PM
Bloomberg reports that the nation's largest PBM—CVS Caremark—is pushing insurance plans to bump co-pays for weight-loss drugs to $200 out of pocket, even as CVS has negotiated higher rebates for itself!
⬆️copays + ⬆️rebates = more profits for PBMs 🤑🤑🤑
⬆️copays + ⬆️rebates = more profits for PBMs 🤑🤑🤑
Pharmacy Benefit Managers like Express Scripts and retailers like Walmart buy and resell 340B drugs. Three PBMs in New Jersey act as contract pharmacies for 100 Michigan providers, profiting from a program meant to assist the underserved, writes Mackinac Center.
#BuyLowSellHigh
#BuyLowSellHigh
October 22, 2025 at 4:49 PM
Pharmacy Benefit Managers like Express Scripts and retailers like Walmart buy and resell 340B drugs. Three PBMs in New Jersey act as contract pharmacies for 100 Michigan providers, profiting from a program meant to assist the underserved, writes Mackinac Center.
#BuyLowSellHigh
#BuyLowSellHigh
Reposted by Health Care Denied
Neighborhood pharmacies are one of the most accessible health care locations in the country, but over the past five years thousands of U.S. pharmacies have closed leaving behind "pharmacy deserts" that impact local communities. (via @us.theconversation.com)
Community pharmacies are closing. Here's what to do if your neighborhood location does too
Neighborhood pharmacies are one of the most accessible health care locations in the country, but over the past five years thousands of U.S. pharmacies have closed leaving behind "pharmacy deserts"…
buff.ly
February 22, 2025 at 10:04 PM
Neighborhood pharmacies are one of the most accessible health care locations in the country, but over the past five years thousands of U.S. pharmacies have closed leaving behind "pharmacy deserts" that impact local communities. (via @us.theconversation.com)
Beware during open enrollment. Choosing the wrong health insurance plan can haunt you throughout the year. Choosing a plan with a ghost network can leave you without access to care. 👻🤒
October 21, 2025 at 10:51 PM
Beware during open enrollment. Choosing the wrong health insurance plan can haunt you throughout the year. Choosing a plan with a ghost network can leave you without access to care. 👻🤒
Another state joins the fight for PBM accountability!!
October 11, 2025 at 10:31 PM
Another state joins the fight for PBM accountability!!
Sure would be great if @gavinnewsom.bsky.social
and @mcuban.bsky.social got together to talk PBM reform (hint, hint). 😉
and @mcuban.bsky.social got together to talk PBM reform (hint, hint). 😉
October 8, 2025 at 11:05 PM
Sure would be great if @gavinnewsom.bsky.social
and @mcuban.bsky.social got together to talk PBM reform (hint, hint). 😉
and @mcuban.bsky.social got together to talk PBM reform (hint, hint). 😉
It's happening all over the country. PBMs are strangling independent pharmacies. The system is broken. Hold PBMs accountable!
October 7, 2025 at 10:58 PM
It's happening all over the country. PBMs are strangling independent pharmacies. The system is broken. Hold PBMs accountable!
New York Times, 9/26/2025, Reporting by Ann Carrns
October 2, 2025 at 7:00 PM
New York Times, 9/26/2025, Reporting by Ann Carrns
For years, we've been fed a bunch of 💩 that vertical integration and market consolidation in healthcare will lower costs. If that's true, then why are employers facing the biggest increase in health costs in more than a decade — almost 9 percent on average? 😡
a woman in a black jacket with the words stop lying behind her
ALT: a woman in a black jacket with the words stop lying behind her
media.tenor.com
October 2, 2025 at 6:59 PM
For years, we've been fed a bunch of 💩 that vertical integration and market consolidation in healthcare will lower costs. If that's true, then why are employers facing the biggest increase in health costs in more than a decade — almost 9 percent on average? 😡
Bloomberg reports that the nation's largest PBM—CVS Caremark—is pushing insurance plans to bump co-pays for weight-loss drugs to $200 out of pocket, even as CVS has negotiated higher rebates for itself!
⬆️ copays + ⬆️r ebates = more profits for PBMs 🤑🤑🤑
⬆️ copays + ⬆️r ebates = more profits for PBMs 🤑🤑🤑
a man with a beard is standing in front of a blackboard with mathematical equations .
ALT: a man with a beard is standing in front of a blackboard with mathematical equations .
media.tenor.com
October 2, 2025 at 3:32 PM
Bloomberg reports that the nation's largest PBM—CVS Caremark—is pushing insurance plans to bump co-pays for weight-loss drugs to $200 out of pocket, even as CVS has negotiated higher rebates for itself!
⬆️ copays + ⬆️r ebates = more profits for PBMs 🤑🤑🤑
⬆️ copays + ⬆️r ebates = more profits for PBMs 🤑🤑🤑
Limiting the control that pharmacy benefit managers have over healthcare costs is one of the most popular bipartisan policies nationwide. 📢The system is broken. 💥Fix it!
September 30, 2025 at 8:28 PM
Limiting the control that pharmacy benefit managers have over healthcare costs is one of the most popular bipartisan policies nationwide. 📢The system is broken. 💥Fix it!
The 340B system is broken. Mega corporations are capturing massive profits from 340B drug discounts that were intended as a lifeline to poor and vulnerable patients.
September 29, 2025 at 6:30 PM
The 340B system is broken. Mega corporations are capturing massive profits from 340B drug discounts that were intended as a lifeline to poor and vulnerable patients.
Schaeffer Center white paper shows ‘spread pricing’ in 340B program steers benefits to wealthier providers and drives up costs
September 29, 2025 at 6:09 PM
Schaeffer Center white paper shows ‘spread pricing’ in 340B program steers benefits to wealthier providers and drives up costs
A lot of states around the country are putting patients first by standing up to PBMs that force community pharmacies out of business. But we need more states to show leadership. Who's next?
September 23, 2025 at 9:42 PM
A lot of states around the country are putting patients first by standing up to PBMs that force community pharmacies out of business. But we need more states to show leadership. Who's next?
When a handful of middlemen control prices and access, patients pay the price. PBMs influence:
✅Drug costs
✅Pharmacy payments
✅Availability of medicine
It's time for transparency and accountability.
✅Drug costs
✅Pharmacy payments
✅Availability of medicine
It's time for transparency and accountability.
September 8, 2025 at 4:49 PM
When a handful of middlemen control prices and access, patients pay the price. PBMs influence:
✅Drug costs
✅Pharmacy payments
✅Availability of medicine
It's time for transparency and accountability.
✅Drug costs
✅Pharmacy payments
✅Availability of medicine
It's time for transparency and accountability.