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  #361  
Old 07-11-2019, 02:02 PM
dinapolice dinapolice is offline
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What a let down...
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  #362  
Old 07-11-2019, 02:22 PM
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Good.

The rebate-based proposal wasn't gong to actually fix anything. It was one more example of insurers (and PBMs) being held to blame for a cost-side problem.
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Old 07-11-2019, 02:33 PM
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Good.

The rebate-based proposal wasn't gong to actually fix anything. It was one more example of insurers (and PBMs) being held to blame for a cost-side problem.
I generally agree, Iíd like to see rebates to PBMs and physicians end, for the most part. But the bigger deal is the International Pricing Index. If that goes through itíll be an order of magnitude bigger.
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  #364  
Old 07-11-2019, 03:27 PM
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I’m just going to point out that PBM linked stocks shot up today. While I agree that the index or some other nationally negotiated rates would be the bigger piece, it seems like Wall Street agrees that more gaming/less transparency leads to higher profits.

https://www.marketwatch.com/amp/stor...3-FAA10DD5801C
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Old 07-11-2019, 03:38 PM
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Iím just going to point out that PBM linked stocks shot up today. While I agree that the index or some other nationally negotiated rates would be the bigger piece, it seems like Wall Street agrees that more gaming/less transparency leads to higher profits.

https://www.marketwatch.com/amp/stor...3-FAA10DD5801C
Stocks fell on the manufacturer side, which makes sense. Continuing to pay out rebates is good for PBMs, bad for pharma.
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Old 07-11-2019, 04:04 PM
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Stocks fell on the manufacturer side, which makes sense. Continuing to pay out rebates is good for PBMs, bad for pharma.
Could also be interpreted as the market expecting that getting rid of rebates in the proposed fashion was going to make pharma a lot of money...
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Old 07-11-2019, 04:26 PM
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Could also be interpreted as the market expecting that getting rid of rebates in the proposed fashion was going to make pharma a lot of money...
Fair point.
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Old 07-11-2019, 04:33 PM
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Could also be interpreted as the market expecting that getting rid of rebates in the proposed fashion was going to make pharma a lot of money...
Yep, when you think through how the gap would have changed, and how that would impact CGDP for manufacturers, the stock movements make sense.

I wonder how much steam the proposal to move CGDP to the cat has. Having it in the gap seems to leave weird wiggle room everywhere.
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Old 07-11-2019, 05:14 PM
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I agree with everyone here on the pharma versus PBM effects. Something something present value of future cash flows changing for these two players because P(event) changed.
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