Picking Patients’ Pockets: Exposing Insurance Schemes Targeting Orphan Diseases

Share on Facebook
Share on Twitter
Share on
LinkedIn
+

Joe Selvaggi talks with Pioneer Institute’s senior Health Care Fellows Dr. Bill Smith and Dr. Robert Popovian about their white paper “Out-of-Pocket Pirates: Pharmacy Benefit Managers (PBMs) and the Confiscation of Out-of-Pocket Assistance Programs.” This episode explores what consumers and regulators can do to ensure those with rare diseases are not left without assistance.

Guests:

Dr. William S. Smith is Pioneer’s Visiting Fellow in the Life Sciences. Dr. Smith has 25 years of experience in government and in corporate roles. His career includes senior staff positions for the Republican House leadership on Capitol Hill, the White House Office of National Drug Control Policy, and the Massachusetts Governor’s office where he served under Governors Weld and Cellucci. He spent ten years at Pfizer Inc as Vice President of Public Affairs and Policy where he was responsible for Pfizer’s corporate strategies for the U.S. policy environment. He later served as a consultant to major pharmaceutical, biotechnology and medical device companies. Dr. Smith earned his PhD in political science with distinction at The Catholic University of America.

Dr. Robert Popovian is Senior Visiting Health Policy Fellow at Pioneer Institute. Dr. Popovian is the Founder of the strategic consulting firm Conquest Advisors. He previously served as Vice President, U.S. Government Relations at Pfizer. One of the country’s foremost experts on every significant facet of biopharmaceuticals and the healthcare industry, he is also a recognized authority on health economics, policy, government relations, medical affairs, and strategic planning.

WATCH:

Recent Episodes

Intrepid Restauranteurs Endure: Passion for Community, Patrons, and Staff Mean Failure is Not on the Menu

/
Host Joe Selvaggi talks with Massachusetts Restaurant Association President and CEO Bob Luz about the devastating effects of the pandemic and lockdowns on restaurants.  They discuss the industry's creative strategy for survival, plans for reaching beyond the crisis, and the many positive improvements for this vital sector that employs 10% of the workforce in the commonwealth.

California Tax Experiment: Policy Makers Receive Valuable Economics Lesson

/
Host Joe Selvaggi talks with Stanford University Economics Professor Joshua Rauh about his research on the reaction of Californians to a tax increase, from his report, “The Behavioral Response to State Income Taxation of High Earners, Evidence from California.” Prof. Rauh shares how his research offers tax policy makers insight into the likely effects of similar increases in their own states, including here in Massachusetts.

Social Unrest Network: The Disruptive Power of Information For Leadership

/
Joe Selvaggi talks with Martin Gurri, former CIA analyst and author of Revolt of the Public and the Crisis of Authority in the New Millennium, about the wave of populism sparked by the disruptive force of the internet from Occupy to riots on Capitol Hill. Mr. Gurri shares his views on the connection between massive, broad information consumption and the new view toward elites.

Unemployment Insurance Rescue: Employer Advocate Seeks Relief to Catalyze Pandemic Recovery

/
Joe Selvaggi talks with John Regan, President and CEO of Associated Industries of Massachusetts, about the impact of higher UI rates on employers and what legislators can do to help mitigate the pain.