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Stuart Piltch Offers Insight on Cigna’s Initiative to Lower Patient Drug Costs

  • Cigna Group plans to limit out-of-pocket medication expenses for US patients, in response to increasing scrutiny of pharmacy benefit managers (PBMs) in prescription drug pricing.
  • The changes aim to ensure patients benefit directly from negotiated discounts and rebates, preventing them from paying the full list price for medications.
  • Cigna's initiative also protects patients with high out-of-pocket costs by ensuring they don't pay more for their medication than their employer contributes, directing rebate dollars more directly to patient cost-sharing.
  • While these changes are seen as positive, they may not significantly impact the overall market. Stuart Piltch, a healthcare and insurance expert, emphasizes the need for a more comprehensive approach to address high drug costs.

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