
๐งHealth & wellness community (+ podcast!) ๐ฅผBoard certified ambulatory care pharmacist ๐Advocate for community pharmacy + appropriate med use #StopPBMAbuse
Joined November 2019
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Katie Trotta, PharmD, BCACP retweeted
๐๐๐๐ข๐๐๐ซ๐ ๐ข๐ฌ ๐ฉ๐๐ฒ๐ข๐ง๐ ๐๐จ๐๐ญ๐จ๐ซ๐ฌ ๐๐๐๐ ๐ฐ๐๐ ๐๐ฌ ๐ญ๐จ ๐ฉ๐ซ๐๐๐ญ๐ข๐๐ ๐๐๐๐ ๐ฆ๐๐๐ข๐๐ข๐ง๐.
๐๐ข๐ง๐๐ ๐๐๐๐, ๐ข๐ง๐๐ฅ๐๐ญ๐ข๐จ๐ง ๐ก๐๐ฌ ๐ซ๐ข๐ฌ๐๐ง ๐๐.๐%.
Medicareโs physician payment formula (the Conversion Factor)?
Down 9.9%.
Thatโs not โfiscal responsibility.โ
Thatโs institutional gaslighting.
๐๐๐๐ง๐ฐ๐ก๐ข๐ฅ๐, ๐๐๐๐๐ง๐ฌ๐ ๐๐จ๐ง๐ญ๐ซ๐๐๐ญ๐ฌ, ๐๐๐ ๐ฌ๐๐ฅ๐๐ซ๐ข๐๐ฌ, ๐๐ง๐ ๐ข๐ง๐ฌ๐ข๐๐๐ซ ๐ญ๐ซ๐๐๐๐ฌ ๐๐ฅ๐จ๐ฎ๐ซ๐ข๐ฌ๐ก.
But the doctors treating Medicare patients?
Theyโre being asked to do more with less, year after year, because โ๐ก๐๐ฒ, ๐ฐ๐ ๐๐จ๐งโ๐ญ ๐ก๐๐ฏ๐ ๐ญ๐ข๐ฆ๐ ๐ญ๐จ ๐๐ซ๐ข๐๐ ๐๐จ๐ง๐ ๐ซ๐๐ฌ๐ฌ ๐ฅ๐ข๐ค๐ ๐๐ฏ๐๐ซ๐ฒ๐จ๐ง๐ ๐๐ฅ๐ฌ๐โ, while the cost of running a practice skyrockets.
If the American people want Congress to preserve access to care for aging Americans, itโs time to speak up and tie Medicareโs payment formula to inflation, just like their own salaries.
๐๐ง๐ญ๐ข๐ฅ ๐ญ๐ก๐๐ง, ๐ ๐จ๐จ๐ ๐ฅ๐ฎ๐๐ค ๐๐ข๐ง๐๐ข๐ง๐ ๐ ๐๐จ๐๐ญ๐จ๐ซ ๐ฐ๐ก๐จโ๐ฅ๐ฅ ๐ญ๐๐ค๐ ๐๐๐๐ข๐๐๐ซ๐.
Theyโre busy trying to survive the 20th century in the 21st.
#HealthcarePolicy #Medicare #PhysicianBurnout #InflationMath #FixTheFormula
Katie Trotta, PharmD, BCACP retweeted
Worked with some awesome colleagues and former students on this scoping review of literature related to the impact that PBMs have on community pharmacies.
sciencedirect.com/science/arโฆ
Katie Trotta, PharmD, BCACP retweeted
WATCH: After @ChuckGrassley asks what the antitrust agencies are doing about PBMs that raise drug prices, harm patients, and hurt local pharmacists, @linakhanFTC breaks down how the @FTC is cracking down on the industry.
Katie Trotta, PharmD, BCACP retweeted
The winner of competition between Amjevita (-55%) and Amjevita (-5%) is higher $$ Amjevita. Clear ex. how biosims on PHARMACY side do NOT bring prices down. CVS makes more $$ on higher list pr The battle to win formulary placement is no different w/ biosims, highest price WINS!
Huh? @CVSHealth $CVS #PBM admits "plan sponsors will benefit from significant savings" of #biosimilars
Sorry, patients! #Amjevita (list price -55% vs. #Humira) is non-preferred, i.e., not lowest cost for patients with deductibles or coinsurance
Yuck.
drugch.nl/3Fya0v4
Katie Trotta, PharmD, BCACP retweeted
The US labor market blows past expectations to add an astonishing 517,000 jobs in January, even as the Fed continues to raise rates cnn.it/3JCkSuE
Katie Trotta, PharmD, BCACP retweeted
"It is creating pressures on legacy PBMs to explain why their prices have been so bad relative to what a startup is offering ... @mcuban and his company are pulling the rug out from under them." - @A_Ciaccia
modernhealthcare.com/supply-โฆ @PBGHealth @mcuban @costplusdrugs @alex_kacik
Katie Trotta, PharmD, BCACP retweeted
Most of traditional school is a waste of your kids' time.
If you want your kids to thrive in a 21st-century world, these are the top 7 skills you need to be teaching them.
(And let's be real โ most adults need to learn these, too) ๐
Katie Trotta, PharmD, BCACP retweeted
This is beyond problematic! @HHS @CMS allowing drug co-pay accumulator & maximizer programs by the insurer #PBM complex to take money away from those who need it most. Ironic that as the @JoeBiden agencies give lip service to fixing health disparities they are fueling them.
This is problematic! Benefit plans with copay #accumulators and #maximizers "pose a disproportionate burden on historically marginalized populations and people of color, further exacerbating existing health disparities"
Poster from @amcporg Nexus
drugch.nl/3CZOAWD
Katie Trotta, PharmD, BCACP retweeted
1. FTC has voted to order the six largest pharmacy benefit managers (PBMs) to produce documents and data as part of an inquiry into PBMs and their impact on patients, pharmacies, payers, and doctors.
ftc.gov/news-events/news/preโฆ
Katie Trotta, PharmD, BCACP retweeted
Last week, I had the chance to speak with a class of third graders.
They had just done a unit on government and my job was to come in and be an example of an elected official.
I spoke for a few minutes, then opened it up for questions.
And they were *ready.*
/thread/
Katie Trotta, PharmD, BCACP retweeted
Three companies (CVS, UHG, and Anthem) will make $756 billion in combined 2022 revenue.
Just let that sink in.
Katie Trotta, PharmD, BCACP retweeted
Remarkable that @ExpressScripts hired outside counsel, wrote a cease and desist letter to @Axios & demanded destruction of documents โseems like a per se prior restraint in violation of the 1st Amendmentโwhy are they so afraid?
"Employers foot a chunk of the bill for millions of workers' scripts. But secret contracts, which are nothing new in health care, are blocking employers from understanding whether they are paying reasonable drug prices."
@bobjherman @A_Ciaccia @TPPF
axios.com/aon-express-scriptโฆ
Katie Trotta, PharmD, BCACP retweeted
With regards to prevention of atherosclerotic cardiovascular disease: Pharmacologic therapies typically only furnish a 10-25% reduction of relative risk, while lifestyle measures may reduce risk by over 80%.
Our new paper is out now! sciencedirect.com/science/arโฆ โ at Newport Beach, CA
Katie Trotta, PharmD, BCACP retweeted
ARSENIC is readily absorbed by rice plants in contaminated soil. Rice produced in the US South where cotton was sprayed w/ arsenic-based pesticides is highest in arsenic (high in CA too). Organic does not help! If you eat rice, choose India, Pakistan, Thailand.
Katie Trotta, PharmD, BCACP retweeted
1. In today's op ed in @CourierTimes , The head of TRG healthcare tells us that #PBM provide better access at a lower price.
When you are done laughing, ๐คฃ
read all his unsubstantiated claims here: theintell.com/story/opinion/โฆ
Katie Trotta, PharmD, BCACP retweeted
Exclusive: #340B Continues Its Unbridled Takeover of #Pharmacies and #PBMs
==> drugch.nl/3vlUvOJ <==
30,000 (1) #pharmacy locations now act as #340B contract pharmacies
Biggest players:
@Walgreens $WBA
@CVSHealth $CVS
@Walmart $WMT
@ExpressScripts $CI
@OptumRx $UNH
Katie Trotta, PharmD, BCACP retweeted
Today a patient brought us $15,000 worth of insulin to be destroyed after their spouse passed away. This is the waste that is generated by forcing patients to use mail order pharmacies. Itโs so painful throwing this away knowing how many patients canโt afford their own insulin ๐ญ
Katie Trotta, PharmD, BCACP retweeted
This. Is. Asinine.
Pharmacies are moving mountains to administer #COVID19 vaccinations only to be sidetracked by predatory #PBM audits?! @POTUS @VP @CMSGov @HHSGov @ewarren @SenSchumer the time for #PBMreform is NOW!! #TwitteRx @Commpharmacy
Pharmacist colleague who is COVID testing and providing 300 doses of the COVID vaccine to his community this week just got notice of an onsite audit from @CVSHealth coming up 2 weeks from now. They canโt be regulated soon enough. @NeilBreslin44 @DickGottfried #FixRx
Katie Trotta, PharmD, BCACP retweeted































