Brigham Buhler
๐ค SpeakerAppearances Over Time
Podcast Appearances
And we should write them a non-abusive drug. This is a 17 year old kid. Don't put them on an opioid. Insurance says, no, we're not covering that. Why? Because they're getting a kickback on your kid being on an opioid.
And we should write them a non-abusive drug. This is a 17 year old kid. Don't put them on an opioid. Insurance says, no, we're not covering that. Why? Because they're getting a kickback on your kid being on an opioid.
And we should write them a non-abusive drug. This is a 17 year old kid. Don't put them on an opioid. Insurance says, no, we're not covering that. Why? Because they're getting a kickback on your kid being on an opioid.
It shouldn't be. That's the point. It's insane. And they structured a deal where there was a gag clause where the U.S. government doesn't even have line of sight into how much money the insurance companies are making off of these PBMs. And so like why that's important. The insurance industry last year cleared a trillion dollars. Over a trillion dollars in revenue. That's how much they made.
It shouldn't be. That's the point. It's insane. And they structured a deal where there was a gag clause where the U.S. government doesn't even have line of sight into how much money the insurance companies are making off of these PBMs. And so like why that's important. The insurance industry last year cleared a trillion dollars. Over a trillion dollars in revenue. That's how much they made.
It shouldn't be. That's the point. It's insane. And they structured a deal where there was a gag clause where the U.S. government doesn't even have line of sight into how much money the insurance companies are making off of these PBMs. And so like why that's important. The insurance industry last year cleared a trillion dollars. Over a trillion dollars in revenue. That's how much they made.
Yes, in revenue. UnitedHealthcare alone, let's break that down, $373 billion was generated in revenue by UnitedHealthcare. 60% of that came from kickbacks at their pharmacy benefit manager. They're getting money on every drug that you're prescribed.
Yes, in revenue. UnitedHealthcare alone, let's break that down, $373 billion was generated in revenue by UnitedHealthcare. 60% of that came from kickbacks at their pharmacy benefit manager. They're getting money on every drug that you're prescribed.
Yes, in revenue. UnitedHealthcare alone, let's break that down, $373 billion was generated in revenue by UnitedHealthcare. 60% of that came from kickbacks at their pharmacy benefit manager. They're getting money on every drug that you're prescribed.
That's what I'm trying to ring the bell on.
That's what I'm trying to ring the bell on.
That's what I'm trying to ring the bell on.
You're correct. So what happened is these insurance companies that were supposed to drive down the cost of prescription drug care went to Big Pharma and sat at the table and instead of driving down our costs said, we have an idea. Why don't you mark up the cost? And Big Pharma's like, mark up the cost? Yeah, charge us 30% more.
You're correct. So what happened is these insurance companies that were supposed to drive down the cost of prescription drug care went to Big Pharma and sat at the table and instead of driving down our costs said, we have an idea. Why don't you mark up the cost? And Big Pharma's like, mark up the cost? Yeah, charge us 30% more.
You're correct. So what happened is these insurance companies that were supposed to drive down the cost of prescription drug care went to Big Pharma and sat at the table and instead of driving down our costs said, we have an idea. Why don't you mark up the cost? And Big Pharma's like, mark up the cost? Yeah, charge us 30% more.
We'll pass that bill on to the consumer, the employer and the taxpayer. And then we will hold that money at our PBM as a profit center. And so the reason Ozempic and these weight loss drugs are so expensive is roughly again, this isn't me saying it. This is a Senate House Finance Committee.
We'll pass that bill on to the consumer, the employer and the taxpayer. And then we will hold that money at our PBM as a profit center. And so the reason Ozempic and these weight loss drugs are so expensive is roughly again, this isn't me saying it. This is a Senate House Finance Committee.
We'll pass that bill on to the consumer, the employer and the taxpayer. And then we will hold that money at our PBM as a profit center. And so the reason Ozempic and these weight loss drugs are so expensive is roughly again, this isn't me saying it. This is a Senate House Finance Committee.
They uncovered about 30 percent of the profitability of most drugs is being held by the pharmacy benefit managers.
They uncovered about 30 percent of the profitability of most drugs is being held by the pharmacy benefit managers.