Democratic Senators Demand Information on Telehealth Provider Affiliations with Eli Lilly and Pfizer

April 9, 2025

EGWP marketplace medicaid Medicare

Four Democratic senators sent a letter to five telehealth companies that have held contracts with Pfizer and Eli Lilly, inquiring about their financial relationships and possible influence on prescriptions for medications. The letter was signed by the ranking member of the Senate Judiciary Committee and member of Senate Democratic leadership, Sen. Dick Durbin (D-IL), and the ranking member of the Senate Health, Education, Labor and Pensions (HELP) Committee, Sen. Bernie Sanders (I-VT), as well as Sens. Peter Welch (D-VT) and Elizabeth Warren (D-MA).

The letter accuses these arrangements of sending direct-to-consumer advertisements that steer patients toward particular medications and create the potential for inappropriate prescribing that can increase health care spending. The letters were addressed to the CEOs of 9amHealth, Thirty Madison (Cove), Form Health, Populus Health Technologies, and UpScriptHealth, and demand answers to questions by April 15.

legislation

Virginia and Hawaii Introduce PDAB Legislation

The Virginia Senate introduced a bill to establish a Prescription Drug Affordability Board (PDAB) to review drugs with a wholesale acquisition cost (WAC) of $60,000 or more per year or a WAC increase of $3,000 or more in any 12-month period. For drugs deemed to cause an affordability challenge, the legislation authorizes the PDAB to […]
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February 12, 2026

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Solutions

AHIP Shares Update on Plan Progress to Simplify Prior Authorization

AHIP shared progress on the voluntary, multi-year commitments made by AHIP, BCBSA, and leading health plans (including Cigna Healthcare) to streamline and simplify prior authorization. Health plans serving nearly 270 million Americans are participating in this initiative. The 2026 commitments took effect on Jan. 1 and include: reducing the scope of claims subject to prior […]
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February 12, 2026

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legislation

DOL Issues Proposed Rule on Improving Transparency into PBM Fees

Pursuant to President Trump’s Executive Order “Lowering Drug Prices by Once Again Putting Americans First,” the Department of Labor’s (DOL’s) Employee Benefits Security Administration (EBSA) issued a proposed rule that would require providers of PBM services and affiliated entities of brokerage and consulting services to disclose direct and indirect compensation to their self-funded ERISA fiduciary […]
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February 12, 2026

EGWP marketplace medicaid Medicare

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