Brigham Buhler
๐ค SpeakerAppearances Over Time
Podcast Appearances
So you're arguing with United for literally three months after I've already done the surgery on you to try and get paid. And then if the dispute gets big enough, they go, show me where you collected Alex's copay or we'll sue you. And it's like, well, it says a reasonable effort. And you and I both know Alex didn't have the $10,000 to pay. I'm chasing her down. Like, it's just not good.
So you're arguing with United for literally three months after I've already done the surgery on you to try and get paid. And then if the dispute gets big enough, they go, show me where you collected Alex's copay or we'll sue you. And it's like, well, it says a reasonable effort. And you and I both know Alex didn't have the $10,000 to pay. I'm chasing her down. Like, it's just not good.
So you're arguing with United for literally three months after I've already done the surgery on you to try and get paid. And then if the dispute gets big enough, they go, show me where you collected Alex's copay or we'll sue you. And it's like, well, it says a reasonable effort. And you and I both know Alex didn't have the $10,000 to pay. I'm chasing her down. Like, it's just not good.
Does that make sense?
Does that make sense?
Does that make sense?
Well, I think we have to take away some of the incentives. And one of those would be break up the PBMs, get rid of the middlemen, do not allow them to profiteer off chronic disease and prescription medications.
Well, I think we have to take away some of the incentives. And one of those would be break up the PBMs, get rid of the middlemen, do not allow them to profiteer off chronic disease and prescription medications.
Well, I think we have to take away some of the incentives. And one of those would be break up the PBMs, get rid of the middlemen, do not allow them to profiteer off chronic disease and prescription medications.
Okay. And they're saying they're going to go after the pharmacy benefit managers.
Okay. And they're saying they're going to go after the pharmacy benefit managers.
Okay. And they're saying they're going to go after the pharmacy benefit managers.
Like, yeah. And I've had multiple congressmen and congresswomen and senators reach out that want to understand the insurance companies better. And if they were to just remove those incentives, then they're not at least making these billions of dollars in profit off of our prescription drugs.
Like, yeah. And I've had multiple congressmen and congresswomen and senators reach out that want to understand the insurance companies better. And if they were to just remove those incentives, then they're not at least making these billions of dollars in profit off of our prescription drugs.
Like, yeah. And I've had multiple congressmen and congresswomen and senators reach out that want to understand the insurance companies better. And if they were to just remove those incentives, then they're not at least making these billions of dollars in profit off of our prescription drugs.
Yes, yes. And I think that there's, there is a, it is known now, like the roof has been blown off this thing. It's not a little secret anymore. They know that these PBMs are profiteering big time off of chronic disease. And they say they're going to take it on. It's going to be an uphill battle and it'll be a bear battle.
Yes, yes. And I think that there's, there is a, it is known now, like the roof has been blown off this thing. It's not a little secret anymore. They know that these PBMs are profiteering big time off of chronic disease. And they say they're going to take it on. It's going to be an uphill battle and it'll be a bear battle.
Yes, yes. And I think that there's, there is a, it is known now, like the roof has been blown off this thing. It's not a little secret anymore. They know that these PBMs are profiteering big time off of chronic disease. And they say they're going to take it on. It's going to be an uphill battle and it'll be a bear battle.
I hope not. I hope not. There's, you know, part of politics is horse trading, right? And if they're going to implement things that hurt big pharma, which, you know, is what supposedly is being said, like some of these safety nets and protocols and vaccine protocols and, you know, taking off some of these protective covenants.
I hope not. I hope not. There's, you know, part of politics is horse trading, right? And if they're going to implement things that hurt big pharma, which, you know, is what supposedly is being said, like some of these safety nets and protocols and vaccine protocols and, you know, taking off some of these protective covenants.