Patient advocate. Speaker. Writer. DVT/PE survivor. Knowledge empowers, action transforms.
Pittsboro, NC
Joined December 2011
- Tweets11.8K
- Following1.2K
- Followers2.2K
- Likes10.3K
Pinned Tweet
Thank you @RPTHjournal @isth @MaryCushmanMD for providing a welcoming home for science & discourse among researchers, clinicians AND patients! I appreciate the opportunity to publish in your journal & share the patient perspective. #PatientEngagement onlinelibrary.wiley.com/doi/…
CVS Caremark will no longer be the NC State Health Plan’s PBM after January 2028.
NC’s State Health Plan switching who administers its members’ benefits, again newsobserver.com/news/politi…
Beth Joyner Waldron retweeted
Is this the end of rivaroxaban for acute VTE?
@LanaCastellucci presenting the COBBRA trial - 1st RCT comparing apixaban to riva over 3 months.
56% reduction in bleeding risk with apixaban.
A safer Rx with the same efficacy.
#ISTH2025
“Negotiations with Caremark have been unsuccessful…..
The Plan is now evaluating its options to recover money owed and to determine its future relationship with Caremark.”
DST and NC State Health Plan are issuing a statement today concerned with stalled negotiations with CVS Caremark. We are dedicated to providing reliable and affordable medication to members and are fighting to keep costs down. See full release here: nctreasurer.com/news/press-r… #ncpol
I sooo told them thusly this contract would be trouble. 🤷🏻♀️
“The State Health Plan, part of the state Treasurer's Department, said in a news release it has reached an "untenable impasse" with CVS Caremark, accusing the company of refusing to honor its current contract.”
NC State Health Plan dispute with CVS Caremark may lead to litigation, premium rise newsobserver.com/news/politi…
Proof retired seniors are not ‘choosing’ Medicare Advantage, they are being coerced by employers. This today from State of NC Health Plan:
Beth Joyner Waldron retweeted
.@washingtonpost reported the American Society of Hematology “estimates 12 million hospitalized patients” use the drug heparin each year, and with its “key active ingredient” sourced in China, many are worried because of the Administration’s “tariff campaign.” washingtonpost.com/health/20…
Alarming.
“It’s a six-month production cycle...So one can only assume that we’re not picking flu strains this year.”
Beth Joyner Waldron retweeted
‼️NEW PETITION! Please sign and share our latest petition to the Department of Government Efficiency @DOGE @DOGECommittee to stop allowing pharmacy benefit managers (PBMs) like OptumRx, CVS Caremark, and Express Scripts from price gouging taxpayers, increasing drug prices, harming patients, and decimating America's pharmacy access. 🖊👉 chng.it/ydkPm6JQtt
@mass_marion @TruthRX @_APCI @angrydadwi @econliberties @BethWaldron @Commpharmacy @TedOkonCOA @PharmacyPodcast
Beth Joyner Waldron retweeted
⁉️Express Scripts "no longer has a media department." Did they all quit? "Since then, Anthem Blue Cross and Blue Shield, along with Express Scripts, have not provided coverage for the drug. 👉When I reached out to Anthem BCBS, a public relations director said the prescription benefit manager it works with, Express Scripts, was responsible for the denial. I also reached out to Express Scripts for clarification. ‼️👉A customer service representative told me the company no longer has a media department but said 👉Express Scripts follows the coverage criteria set by insurance companies and that it was the insurance company that denied coverage."
wkbw.com/news/local-news/its…
Beth Joyner Waldron retweeted
Some of you saw that Merck lowered the list price on their Type 2 diabetes drug Januvia by 42%. See below for prescription drug insurance/PBM that dropped the drug in Nov from the formulary/insurance coverage & is recommending a lesser known diabetes drug instead cc @A_Ciaccia
CVS Caremark dropped Januvia.
managedhealthcareexecutive.c…
I & many other patients with blood clots…especially those with cancer associated clots & pregnant women.…have taken enoxaparin. The generic is still wildly expensive of this life saving blood thinner. Now we learn PBMs profited from a dramatic mark ups ranging 100-1000%.
1. Today @FTC published its second interim staff report on the 3 major pharmacy benefit managers.
It finds these PBMs marked up several specialty generic drugs by thousands of percent, generating them more than $7.3 billion in extra revenue from 2017-22.
ftc.gov/news-events/news/pre…
Beth Joyner Waldron retweeted
UnitedHealth Group and the other two health giants got around 12% of their total profits in 2021 by overcharging patients and employers for pharmaceuticals, according to the Federal Trade Commission. ftc.gov/news-events/news/pre…
FTC to discuss PBM findings. Talk is good, but patients can’t keep waiting for action—from Congress or FTC. The facts are already abundant & clear. Nontransparent PBM profit maxing practices put patient lives at risk. As premium paying consumers, we deserve robust protections.
On Tuesday @FTC will consider several items at its commission meeting, spanning mega-investors buying up housing, the rights of independent contractors, and new findings from the PBM study.
To offer public comments at the meeting, sign up by 8pm tonight:
ftc.gov/speaker-registration…
Increase premiums, reduce care.
I hate to say I told you thusly, but it’s the classic Aetna/CVS Caremark playbook. NC state employees deserve better.
wunc.org/health/2025-01-07/n…
And days after annual enrollment ended, leaving Medicare patients without access to their doctors. If consumers can only make insurance changes once a year why are insurers able to make changes year round?
Beth Joyner Waldron retweeted
"When pharmacies close, some customers simply stop taking vital medications. In a 2019 study of older adults taking cardiac drugs — such as statins, beta blockers and blood thinners — adherence to prescribed regimens dropped immediately among those whose pharmacies had closed, compared with that of the control group. The decline persisted after a year."
nytimes.com/2024/12/21/healt…
Beth Joyner Waldron retweeted
“We have a system that was in many ways designed by and for the insurance industry, thanks to its spending billions and billions of dollars lobbying lawmakers at the federal and state level, and pushing misleading talking points along the way.” #NYTLetters nyti.ms/41DA2c6
My Letter to the Editor published in the New York Times to United Healthcare CEO's recent oped.
It's time for ALL of us to speak up, share our personal experiences & for advocates to network together to improve care.
Read my response in the New York Times to United Healthcare CEO's recent oped (second letter down in link) It's time for ALL of us to speak up, share our personal experiences & for advocates to network together to improve care. nytimes.com/2024/12/16/opini…
