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#OptumRX

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Geriatric Gardener<p>Starmer &amp; Streeting are both total c*nts! </p><p>“Video: UnitedHealth, deeply embedded in NHS, says its ‘critical’ role is to prevent ‘unsustainable’ treatment”</p><p>by Skwawkbox <span class="h-card" translate="no"><a href="https://mastodon.social/@skwawkbox" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>skwawkbox</span></a></span> <span class="h-card" translate="no"><a href="https://mastodon.cloud/@UKLabour" class="u-url mention" rel="nofollow noopener noreferrer" target="_blank">@<span>UKLabour</span></a></span> </p><p>“22yo US man died after price of asthma inhaler increased by $473 – CEO’s comments put spotlight on govt’s NHS health rationing plans”</p><p><a href="https://skwawkbox.org/2025/02/16/video-unitedhealth-deeply-embedded-in-nhs-says-its-critical-role-is-to-prevent-unsustainable-treatment/" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">skwawkbox.org/2025/02/16/video</span><span class="invisible">-unitedhealth-deeply-embedded-in-nhs-says-its-critical-role-is-to-prevent-unsustainable-treatment/</span></a></p><p><a href="https://mstdn.social/tags/Press" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Press</span></a> <a href="https://mstdn.social/tags/Britain" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Britain</span></a> <a href="https://mstdn.social/tags/UK" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UK</span></a> <a href="https://mstdn.social/tags/NHS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>NHS</span></a> <a href="https://mstdn.social/tags/UnitedHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealth</span></a> <a href="https://mstdn.social/tags/UHG" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UHG</span></a> <a href="https://mstdn.social/tags/OptumRX" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRX</span></a> <a href="https://mstdn.social/tags/Witty" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Witty</span></a> <a href="https://mstdn.social/tags/ICS" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ICS</span></a> <a href="https://mstdn.social/tags/Starmer" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Starmer</span></a> <a href="https://mstdn.social/tags/Streeting" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Streeting</span></a> <a href="https://mstdn.social/tags/Labour" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Labour</span></a> <a href="https://mstdn.social/tags/Rationing" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Rationing</span></a> <a href="https://mstdn.social/tags/Neoliberal" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Neoliberal</span></a> <a href="https://mstdn.social/tags/ProfitBeforePatients" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>ProfitBeforePatients</span></a></p>
Punk Metal n Bowie<p>The Associated Press: <a href="https://kolektiva.social/tags/Wisconsin" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Wisconsin</span></a> couple sues <a href="https://kolektiva.social/tags/Walgreens" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Walgreens</span></a> and <a href="https://kolektiva.social/tags/OptumRx" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRx</span></a>, saying son died after $500 price rise for <a href="https://kolektiva.social/tags/asthma" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>asthma</span></a> <a href="https://kolektiva.social/tags/meds" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>meds</span></a><br><a href="https://apnews.com/article/wisconsin-asthma-medicine-lawsuit-walgreens-optum-8b4130ab404e513fbd68c9e02b51976b" rel="nofollow noopener noreferrer" translate="no" target="_blank"><span class="invisible">https://</span><span class="ellipsis">apnews.com/article/wisconsin-a</span><span class="invisible">sthma-medicine-lawsuit-walgreens-optum-8b4130ab404e513fbd68c9e02b51976b</span></a></p>
DB 🌎🌏🌍<p>A 22-year-old Wisconsin man died of a severe asthma attack because he couldn't afford the price of his inhaler, which was no longer covered by his insurance.</p><p>This young man was murdered by the for-profit healthcare system in the United States. </p><p><a href="https://todon.eu/tags/OptumRx" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRx</span></a> <a href="https://todon.eu/tags/UnitedHealthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealthcare</span></a> <a href="https://todon.eu/tags/Greed" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Greed</span></a> <a href="https://todon.eu/tags/USpolitics" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USpolitics</span></a> <a href="https://todon.eu/tags/LuigiMangione" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>LuigiMangione</span></a> <a href="https://todon.eu/tags/CEO" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>CEO</span></a></p>
BedastGPT<p>Looks like OptumRx has told my pharmacy they don't want to cover the one triptan I found that they are supposed to cover.</p><p>OptumRx is owned by United Healthcare.</p><p>I'm so sick of this.</p><p><a href="https://beige.party/tags/USHealthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USHealthcare</span></a> <a href="https://beige.party/tags/UHC" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UHC</span></a> <a href="https://beige.party/tags/UnitedHealthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealthcare</span></a> <a href="https://beige.party/tags/UnitedHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealth</span></a> <a href="https://beige.party/tags/OptumRx" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRx</span></a></p>
BedastGPT<p>I found one generic triptan covered, in the form of a nasal spray: zolmitriptan. I'm a little concerned about the potential side effects, but I haven't had any issues with sumatriptan, so maybe it'll be fine.</p><p>This is such a stupid problem to be having.</p><p><a href="https://beige.party/tags/USHealthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USHealthcare</span></a> <a href="https://beige.party/tags/OptumRx" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRx</span></a> <a href="https://beige.party/tags/UHC" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UHC</span></a> <a href="https://beige.party/tags/UnitedHealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealthCare</span></a> <a href="https://beige.party/tags/UnitedHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealth</span></a> <a href="https://beige.party/tags/Migraine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Migraine</span></a></p>
BedastGPT<p>Forgot one drug in my drug coverage research: sumatriptan. If you suffer migraines, either episodic or chronic, you know what this is.</p><p>Coverage denied.</p><p>So researching...I can't find any triptans covered.</p><p>I guess fuck people with migraines? Just take high strength pain killers?</p><p>No wonder we have an opioid crisis.</p><p>Need to do more research. I refuse to fall back to rescue medications.</p><p><a href="https://beige.party/tags/USHealthcare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>USHealthcare</span></a> <a href="https://beige.party/tags/OptumRx" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>OptumRx</span></a> <a href="https://beige.party/tags/UHC" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UHC</span></a> <a href="https://beige.party/tags/UnitedHealthCare" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealthCare</span></a> <a href="https://beige.party/tags/UnitedHealth" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UnitedHealth</span></a> <a href="https://beige.party/tags/Migraine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Migraine</span></a></p>
Chuck Darwin<p>Health insurance companies are notorious for exploiting prior authorization schemes to avoid paying for care and have denied claims at alarming rates in recent years.</p><p>However, corporate consolidation of industry “middlemen” that experts say are partially to blame for the prescription drug affordability crisis has received less scrutiny from the general public, <br />despite efforts by lawmakers and the Federal Trade Commission (FTC) to shine light on the notoriously opaque and confusing corporate bureaucracy that determines the cost of medicine.</p><p>We often hear about Big Pharma selling drugs at high prices <br />and insurance companies dragging their feet when it comes time to pay the bill, <br />but the prices patients pay out of pocket for pharmaceuticals is largely shaped by the connective tissue between insurers and drug manufacturers: <a href="https://c.im/tags/pharmacy" class="mention hashtag" rel="tag">#<span>pharmacy</span></a> <a href="https://c.im/tags/benefit" class="mention hashtag" rel="tag">#<span>benefit</span></a> <a href="https://c.im/tags/managers" class="mention hashtag" rel="tag">#<span>managers</span></a>, or PBMs. </p><p>PBMs have been around for decades, but the largest PBMs have merged with major insurance companies to form conglomerates, <br />including UnitedHealth Group’s <a href="https://c.im/tags/OptumRx" class="mention hashtag" rel="tag">#<span>OptumRx</span></a>.</p><p>In theory, PBMs negotiate discounts and rebates paid by drug makers that are passed onto insurance companies and their patients, <br />but the lack of transparency in that process has long frustrated lawmakers and regulators attempting to contain the skyrocketing cost of medicine.</p><p>The PBMs say their secret negotiations with drug companies make prescriptions more affordable for consumers, <br />but this system has not shown to protect patients from sticker shock at the pharmacy counter.</p><p>Nearly 30 percent of Americans say they haven’t taken prescribed medication due to cost, <br />and an estimated 1.1 million Medicare patients alone could die over the next decade because they cannot afford the drugs prescribed by their doctors, <br />according to the American Hospital Association. </p><p>The FTC reports that in 2023, the U.S. spent more than $722 billion on prescription drugs, <br />💥nearly as much as the rest of the world combined.</p><p>Clearly the system is not working for patients or public health, <br />and policy makers in both parties have increasingly focused on the PBMs <br />and their recent mergers with major insurance companies. </p><p>According to a two-year FTC investigation on health care conglomerates released in July, <br />PBMs are “powerful middlemen inflating drug costs and squeezing Main Street pharmacies.”</p><p>“We’ve heard accounts of how the business practices of PBMs may deprive patients of access to the most affordable medicines <br />and how doctors find themselves having to subordinate their independent medical judgment to PBMs’ decision-making at the expense of patient health,” <br />FTC Chair Lina Khan said in a statement at the time.<br /><a href="https://truthout.org/articles/its-not-just-denied-claims-insurance-firms-are-hiring-middlemen-to-deny-meds/" target="_blank" rel="nofollow noopener noreferrer" translate="no"><span class="invisible">https://</span><span class="ellipsis">truthout.org/articles/its-not-</span><span class="invisible">just-denied-claims-insurance-firms-are-hiring-middlemen-to-deny-meds/</span></a></p>
Town vs. Beagle Killer<p>Star Tribune: UnitedHealth&#39;s Optum gets FDA warning letter over &#39;serious deficiencies&#39; at infusion facility Star Tribune: UnitedHealth&#39;s Optum gets FDA warning letter over &#39;serious deficiencies&#39; at infusion facility.<br /><a href="https://www.startribune.com/unitedhealths-optum-receives-fda-warning-letter-over-serious-deficiencies-at-infusion-facility/600244514/" target="_blank" rel="nofollow noopener noreferrer" translate="no"><span class="invisible">https://www.</span><span class="ellipsis">startribune.com/unitedhealths-</span><span class="invisible">optum-receives-fda-warning-letter-over-serious-deficiencies-at-infusion-facility/600244514/</span></a></p><p><a href="https://c.im/tags/OptumRX" class="mention hashtag" rel="tag">#<span>OptumRX</span></a><br /><a href="https://c.im/tags/UnitedHealthCare" class="mention hashtag" rel="tag">#<span>UnitedHealthCare</span></a> <a href="https://c.im/tags/UHC" class="mention hashtag" rel="tag">#<span>UHC</span></a> </p><p>Not the least bit happy with OptumRX so far.</p>