This posting will analyze the "over" questions that are rarely asked or answered.  I imagine many of my fellow DPC physicians have made some of these observations as well, and we need to find a way to share these observations in a tactful way with our patients and each other. Read on to determine if you might be over-insured, over-doctored, over-lawyered, or just overwhelmed.

MT, CO, AR, KY, IN, FL, GA, VA, SC, and PA all have legislative efforts in various stages.  Each are discussed with details provided where available.  A few new articles and events are highlighted as well.

Pharmacy Benefit Managers (PBMs) were designed to negotiate lower prices for prescription medications and pass those savings along to the payers (employers, patients, and health plans).  Doing this in an honest manner and respecting their fiduciary duty to these various players was not all that lucrative so the PBMs shrugged off their fiduciary duties and began taking undisclosed margins and kickbacks from both sides of the equation, negotiating mainly on their own behalf, making certain to complicate pricing arrangements as much as possible to keep all other parties in the dark.