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February 2026
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Day: February 4, 2026

TPA Attempts To Steal Money From Plan Sponsor

A True Story By Bill Rusteberg

Rarely have we seen documented evidence like this of a practice long held secret within our industry.

Continue reading TPA Attempts To Steal Money From Plan Sponsor
Posted on February 4, 2026February 5, 2026Categories Uncategorized

How Do Reference Based Pricing Plans Reprice To Medicare When They Can’t?

TPA’s cannot convert revenue-code-only bills to Medicare yet they do. How in the world do they do that?

Continue reading How Do Reference Based Pricing Plans Reprice To Medicare When They Can’t?
Posted on February 4, 2026February 4, 2026Categories Uncategorized

FTC Consent Order Forces Structural Rewrite of How PBMs Operate

“This consent order more consequential than almost any reg or law to be considered in the last 5 years!”

Continue reading FTC Consent Order Forces Structural Rewrite of How PBMs Operate
Posted on February 4, 2026February 4, 2026Categories Uncategorized
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