In this clip from the Relentless Health Value podcast, we explore the issue of co-insurance being calculated based on artificially inflated list prices, which do not reflect the actual cost covered by insurance plans or Pharmacy Benefit Managers (PBMs). This practice leads to patients paying higher out-of-pocket costs for medications, especially generics. The discussion highlights the need for co-insurance to be based on realistic numbers to make healthcare services more affordable.
Listen to the full episode: https://youtu.be/Ln4YfyAWo3Y
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