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	<title>empty &#8211; USA NEWS LIVE</title>
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	<title>empty &#8211; USA NEWS LIVE</title>
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		<title>Empty tech campus in Santa Clara Lands buyer at an infinite price discount</title>
		<link>https://bloggingthree.soflytech.com/2025/03/empty-tech-campus-in-santa-clara-lands-buyer-at-an-infinite-price-discount/</link>
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		<dc:creator><![CDATA[enzo2go]]></dc:creator>
		<pubDate>Tue, 04 Mar 2025 09:13:06 +0000</pubDate>
				<category><![CDATA[Technology]]></category>
		<category><![CDATA[buyer]]></category>
		<category><![CDATA[campus]]></category>
		<category><![CDATA[Clara]]></category>
		<category><![CDATA[discount]]></category>
		<category><![CDATA[empty]]></category>
		<category><![CDATA[enormous]]></category>
		<category><![CDATA[Lands]]></category>
		<category><![CDATA[Price]]></category>
		<category><![CDATA[Santa]]></category>
		<category><![CDATA[tech]]></category>
		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=25613</guid>

					<description><![CDATA[Santa Clara &#8211; A Tech Campus in Santa Clara landed a brand new owner when buying a property, which indicates that the values ​​of the office market will proceed to shake initially of 2025. Four Corner&#39;s Properties, an actual estate investment company based in Los Altos, under the direction of Bruce Burkard, bought the office [&#8230;]]]></description>
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<p>Santa Clara &#8211; A Tech Campus in Santa Clara landed a brand new owner when buying a property, which indicates that the values ​​of the office market will proceed to shake initially of 2025.</p>
<p>Four Corner&#39;s Properties, an actual estate investment company based in Los Altos, under the direction of Bruce Burkard, bought the office center in Jay Street via an all-cash deal for nearly $ 21.2 million, an office grant certificate from Santa Clara County County.</p>
<figure id="attachment_11417268" class="wp-caption alignnone size-article_inline"><img decoding="async" class=" lazyautosizes lazyload" alt="View at street level on an office campus on two buildings in 3250 to 3270 Jay Street in Santa Clara. (Google Maps)" width="1083" data-sizes="auto" src="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=620%2C9999px&#038;ssl=1" srcset="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=620%2C9999px&#038;ssl=1 620w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=780%2C9999px&#038;ssl=1 780w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=810%2C9999px&#038;ssl=1 810w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=1280%2C9999px&#038;ssl=1 1280w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2025/03/SJM-L-SCLOFFICEBUY-02.jpg?fit=1860%2C9999px&#038;ssl=1 1860w"><figcaption class="wp-caption-text">View of a sight of an office campus on two buildings in 3250 to 3270 Jay Street in Santa Clara. (Google Maps)</figcaption></figure>
<p>The price was 1 / 4 of its previous value.</p>
<p>From January 2024, the Tech Campus had an estimated value of 80.1 million US dollars, as stated from documents on the Santa Clara County Assessor&#39;s office.</p>
<aside class="related left"></aside>
<p>The Tech Campus has addresses with 3250, 3250 and 3270 Jay Street and is positioned near the exchange of the US Highway 101 and the San Tomas Expressway. According to the business real estate company Colliers, the two-building complex amounts to 149,100 square foot.</p>
<p>The buildings were previously the ServiceNow headquarters, a software company that provides cloud-based services. In recent years, ServiceNow has moved his headquarters to a brief path to a Santa Clara location within the Lawson Street.</p>
<p>It was not immediately clear whether the campus was empty on the time of the transaction.</p>
<p>Sacking values ​​in business properties are able to turn into an expanded challenge for the town, district and regional agencies of Bay Area and for public school districts that depend upon income taxes.</p>
<p>Despite the challenges of getting an office complex in a tough market, there are 4 corner objects on its website that it was successful in each heights and downs within the business real estate sector.</p>
<p>&#8220;We navigated several market cycles,&#8221; said the corporate. &#8220;We strive to maximize the value for our investors.&#8221;</p>
<p>Originally published: <time datetime="2025-03-03 08:15:20">March 3, 2025 at 8:15 a.m. PST</time></p>
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<p><em>image credit : www.mercurynews.com</em></p>
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		<title>Applovine shares Tumble, while empty seller query Axon AD software</title>
		<link>https://bloggingthree.soflytech.com/2025/02/applovine-shares-tumble-while-empty-seller-query-axon-ad-software/</link>
					<comments>https://bloggingthree.soflytech.com/2025/02/applovine-shares-tumble-while-empty-seller-query-axon-ad-software/#respond</comments>
		
		<dc:creator><![CDATA[enzo2go]]></dc:creator>
		<pubDate>Wed, 26 Feb 2025 19:44:31 +0000</pubDate>
				<category><![CDATA[Technology]]></category>
		<category><![CDATA[Applovine]]></category>
		<category><![CDATA[Axon]]></category>
		<category><![CDATA[empty]]></category>
		<category><![CDATA[question]]></category>
		<category><![CDATA[seller]]></category>
		<category><![CDATA[shares]]></category>
		<category><![CDATA[software]]></category>
		<category><![CDATA[Tumble]]></category>
		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=25270</guid>

					<description><![CDATA[Shares of Applovine On Wednesday by 16%, when two empty sellers reported that the corporate&#39;s integrity doubts the corporate&#39;s artificial intelligence axon promoting software, which prompted the tech giant to grow to be the first-class tech stock of 2024. Empty seller Fuzzy Panda claimed that the Axon model was &#8220;the connection of a house of [&#8230;]]]></description>
										<content:encoded><![CDATA[<p></p>
<div id="RegularArticle-ArticleBody-5" data-module="ArticleBody" data-test="articleBody-2" data-analytics="RegularArticle-articleBody-5-2"><span class="HighlightShare-hidden" style="top:0;left:0"></span></p>
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<p>Shares of <span class="QuoteInBody-quoteNameContainer" data-test="QuoteInBody" id="RegularArticle-QuoteInBody-1">Applovine<span class="QuoteInBody-inlineButton"><span class="AddToWatchlistButton-watchlistContainer" id="-WatchlistDropdown" data-analytics-id="-WatchlistDropdown"><button class="AddToWatchlistButton-watchlistButton" aria-label="Add To Watchlist" data-testid="dropdown-btn"><span class="AddToWatchlistButton-addWatchListFromTag"></span></button></span></span></span>    On Wednesday by 16%, when two empty sellers reported that the corporate&#39;s integrity doubts the corporate&#39;s artificial intelligence axon promoting software, which prompted the tech giant to grow to be the first-class tech stock of 2024.</p>
<p>Empty seller <a href="https://fuzzypandaresearch.com/app-stock-meta-google-malware-mobile-games-advertising/" target="_blank">Fuzzy Panda</a> claimed that the Axon model was &#8220;the connection of a house of cards&#8221; based on fraudulent promoting tactics.</p>
<p>&#8220;We believe that Applovin has drawn every trick in the book,&#8221; says the post office. &#8220;We were told that they steal data <span class="QuoteInBody-quoteNameContainer" data-test="QuoteInBody" id="RegularArticle-QuoteInBody-3">Meta<span class="QuoteInBody-inlineButton"><span class="AddToWatchlistButton-watchlistContainer" id="-WatchlistDropdown" data-analytics-id="-WatchlistDropdown"><button class="AddToWatchlistButton-watchlistButton" aria-label="Add To Watchlist" data-testid="dropdown-btn"><span class="AddToWatchlistButton-addWatchListFromTag"></span></button></span></span></span>    In your e-commerce print. We also discovered that Applovin used consumers and their data in a way <span class="QuoteInBody-quoteNameContainer" data-test="QuoteInBody" id="RegularArticle-QuoteInBody-4">Google<span class="QuoteInBody-inlineButton"><span class="AddToWatchlistButton-watchlistContainer" id="-WatchlistDropdown" data-analytics-id="-WatchlistDropdown"><button class="AddToWatchlistButton-watchlistButton" aria-label="Add To Watchlist" data-testid="dropdown-btn"><span class="AddToWatchlistButton-addWatchListFromTag"></span></button></span></span></span>    And <span class="QuoteInBody-quoteNameContainer" data-test="QuoteInBody" id="RegularArticle-QuoteInBody-5">Apple<span class="QuoteInBody-inlineButton"><span class="AddToWatchlistButton-watchlistContainer" id="-WatchlistDropdown" data-analytics-id="-WatchlistDropdown"><button class="AddToWatchlistButton-watchlistButton" aria-label="Add To Watchlist" data-testid="dropdown-btn"><span class="AddToWatchlistButton-addWatchListFromTag"></span></button></span></span></span>    App Store guidelines. &#8220;</p>
<p>The reports of Fuzzy Panda and <a href="https://culperresearch.com/latest-research" target="_blank">Culper research</a> Come after a wonderful income within the fourth quarter of February, which felt the Wall Street on Applovin Bullisch. CEO Adam Foroughi announced that the corporate would split its mobile gaming segments and that the Axon model would proceed to expand to other e-commerce sectors similar to healthcare, automobiles and more. Applovine&#39;s promoting revenues rose by 73% within the quarter and reached almost 1 billion US dollars.</p>
</div>
<div class="group">
<p>&#8220;We believe that the recent success of Applovine is based on mobile games on the systematic exploitation of app permissions that enable the advertisements themselves, silence, backdoor app installations directly on the telephones of the user with just one click-a single click that is often accidental thanks to the notorious UX-GIMICKS of the company,&#8221; wrote analysts of Culper Research.</p>
<p>The share of the corporate based in Palo Alto rose over 700% in 2024 and was the highest performer within the sector.</p>
<p>Fuzzy Panda confirmed to CNBC that the corporate was still not in Applovine. Culper Research, who shared research results with Fuzzy Panda in line with a letter from Culper Research founder Christian Lamarco, didn&#8217;t immediately answer a confirmation request on the time of publication.</p>
<p>Applovin refused to comment.</p>
</div>
</div>
<p><em>image credit : www.cnbc.com</em></p>
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		<title>Empty offices characterize the downtown areas of San Jose, Oakland and San Francisco</title>
		<link>https://bloggingthree.soflytech.com/2024/07/empty-offices-characterize-the-downtown-areas-of-san-jose-oakland-and-san-francisco/</link>
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		<dc:creator><![CDATA[enzo2go]]></dc:creator>
		<pubDate>Thu, 18 Jul 2024 10:10:08 +0000</pubDate>
				<category><![CDATA[Business]]></category>
		<category><![CDATA[areas]]></category>
		<category><![CDATA[characterize]]></category>
		<category><![CDATA[downtown]]></category>
		<category><![CDATA[empty]]></category>
		<category><![CDATA[Francisco]]></category>
		<category><![CDATA[Jose]]></category>
		<category><![CDATA[Oakland]]></category>
		<category><![CDATA[offices]]></category>
		<category><![CDATA[San]]></category>
		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=9310</guid>

					<description><![CDATA[SAN JOSE — Downtown areas of the Bay Area&#39;s three largest cities are seeing a high variety of empty offices, in line with a brand new report, indicating that companies and staff are still avoiding the region&#39;s urban cores. In the second quarter of 2024 (April to June), a couple of third of office buildings [&#8230;]]]></description>
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<p>SAN JOSE — Downtown areas of the Bay Area&#39;s three largest cities are seeing a high variety of empty offices, in line with a brand new report, indicating that companies and staff are still avoiding the region&#39;s urban cores.</p>
<p>In the second quarter of 2024 (April to June), a couple of third of office buildings in downtown San Jose, Oakland and San Francisco were vacant, reported industrial real estate firm CBRE.</p>
<figure id="attachment_10690266" class="wp-caption alignnone size-article_inline"><img decoding="async" class=" lazyautosizes lazyload" alt="A drone view of the 1914 Cathedral Building in downtown Oakland in March. Visitor numbers in downtown Oakland increased 20.6% last year, according to a new report from the University of Toronto&#39;s School of Cities. (Jane Tyska/Bay Area News Group)" width="4463" data-sizes="auto" src="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=620%2C9999px&#038;ssl=1" data-attachment-id="10690266" srcset="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=620%2C9999px&#038;ssl=1 620w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=780%2C9999px&#038;ssl=1 780w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=810%2C9999px&#038;ssl=1 810w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=1280%2C9999px&#038;ssl=1 1280w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/05/SJM-L-SDTRECOVERY-0510-7.jpg?fit=1860%2C9999px&#038;ssl=1 1860w"><figcaption class="wp-caption-text">Downtown Oakland, including the Cathedral Building on Broadway, in a drone image, May 2024. (Jane Tyska/Bay Area News Group)</figcaption></figure>
<p>According to the CBRE report, emptiness rates within the inner city districts of those three major cities reached an all-time high or record level within the second quarter.</p>
<figure id="attachment_10435585" class="wp-caption alignnone size-article_inline"><img decoding="async" class=" lazyautosizes lazyload" alt="The San Francisco skyline as seen from the ferry to Alcatraz in San Francisco, Calif., on Wednesday, April 3, 2024. (Shae Hammond/Bay Area News Group)" width="4800" data-sizes="auto" src="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=620%2C9999px&#038;ssl=1" data-attachment-id="10435585" srcset="https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=620%2C9999px&#038;ssl=1 620w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=780%2C9999px&#038;ssl=1 780w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=810%2C9999px&#038;ssl=1 810w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=1280%2C9999px&#038;ssl=1 1280w,https://i0.wp.com/www.mercurynews.com/wp-content/uploads/2024/04/MAG-ALCATRAZ-43.jpg?fit=1860%2C9999px&#038;ssl=1 1860w"><figcaption class="wp-caption-text">San Francisco skyline seen from a ferry to Alcatraz Island, May 2024. (Shae Hammond/Bay Area News Group)</figcaption></figure>
<p>Here are some details on the second quarter office emptiness levels within the urban cores of the three cities:</p>
<p>— San Francisco had by far the very best emptiness rate for office buildings among the many three downtown areas. In the second quarter, the emptiness rate was 36.8% – a record high.</p>
<p>– In downtown Oakland, the office emptiness rate was 31.8%, a historic high.</p>
<p>– In Downtown San Jose, the office emptiness rate was 31.5%, which is comparable to the primary quarter of 2024 (January to March) and the third quarter of 2023 (July to September) emptiness rate.</p>
<p>Subletting efforts by tenants searching for to vacate their office space could exacerbate the emptiness problem within the Bay Area usually and in downtown markets specifically.</p>
<p>Large-scale layoffs at technology firms and a decline within the tech industry&#39;s need for employment opportunities have led to more empty office buildings across the Bay Area.</p>
<p>Moreover, it is evident that even after the lifting of coronavirus-related business closures ordered by state and native authorities, staff haven&#8217;t returned to their jobs at the identical rate as before the COVID outbreak.</p>
<p>An evaluation of the CBRE report shows that the issues look like particularly acute within the inner-city districts.</p>
<p>While the office emptiness rate in downtown San Jose was 31.5% within the second quarter, the office emptiness rate in Silicon Valley as a complete was 19.5%.</p>
<p>Likewise, the emptiness rate in downtown Oakland, at 31.8%, was far worse than the general office emptiness rate of 21.8% within the East Bay region, which incorporates Oakland, Berkeley, Emeryville, Alameda, San Leandro and Richmond.</p>
<p>San Jose&#39;s business and political leaders are concerned in regards to the shortage of office staff and have increased their give attention to what Mayor Matt Mahan calls the &#8220;experience economy&#8221; to draw more people downtown.</p>
<p>Downtown San Jose&#39;s experience economy consists of a greater number of unique entertainment and dining options attributable to the dearth of office staff.</p>
<p>There are indications that forward-looking firms, similar to providers of artificial intelligence technologies, could help strengthen the three inner-city districts.</p>
<p>“Increased demand from AI-related companies has helped drive active demand” from firms searching for office space in Silicon Valley, CBRE reported.</p>
<p>Originally published: <time datetime="2024-07-17 13:35:21">July 17, 2024 at 1:35 p.m.</time></p>
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<p><em>image credit : www.mercurynews.com</em></p>
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		<title>Health &#124; Biden&#039;s plan to save lots of Medicare patients money on drugs risks empty shelves, pharmacists say</title>
		<link>https://bloggingthree.soflytech.com/2024/06/health-bidens-plan-to-save-lots-of-medicare-patients-money-on-drugs-risks-empty-shelves-pharmacists-say/</link>
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		<dc:creator><![CDATA[enzo2go]]></dc:creator>
		<pubDate>Mon, 17 Jun 2024 18:55:50 +0000</pubDate>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Biden39s]]></category>
		<category><![CDATA[drugs]]></category>
		<category><![CDATA[empty]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[money]]></category>
		<category><![CDATA[Patients]]></category>
		<category><![CDATA[pharmacists]]></category>
		<category><![CDATA[plan]]></category>
		<category><![CDATA[risks]]></category>
		<category><![CDATA[save]]></category>
		<category><![CDATA[shelves]]></category>
		<guid isPermaLink="false">https://bloggingthree.soflytech.com/?p=6588</guid>

					<description><![CDATA[Just months after the Biden administration&#39;s latest policy to cut back drug costs for Medicare patients took effect, independent pharmacists can barely afford to stock certain pharmaceuticals. &#8220;It wouldn&#39;t matter if the governor himself came in and said, &#39;I need to fill this prescription,&#39;&#8221; said Clint Hopkins, a pharmacist and co-owner of Pucci&#39;s Pharmacy in [&#8230;]]]></description>
										<content:encoded><![CDATA[<p><img decoding="async" src="https://www.mercurynews.com/wp-content/uploads/2024/06/US-NEWS-DRUG-POLICY-PHARMACISTS-FEARS-MCT.jpg?w=1400px&amp;strip=all" /></p>
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<p>Just months after the Biden administration&#39;s latest policy to cut back drug costs for Medicare patients took effect, independent pharmacists can barely afford to stock certain pharmaceuticals.</p>
<p>&#8220;It wouldn&#39;t matter if the governor himself came in and said, &#39;I need to fill this prescription,&#39;&#8221; said Clint Hopkins, a pharmacist and co-owner of Pucci&#39;s Pharmacy in Sacramento, Calif. &#8220;If I lose money doing it, it&#39;s a no.&#8221;</p>
<p>A regulation that took effect in January changes prescription drug prices for Medicare beneficiaries. For years, prices included pharmacy incentives, potential rebates and other adjustments made after the prescription was filled. Now, adjustments are made on the pharmacy counter, lowering overall costs for patients and the federal government. But the brand new system means less money for pharmacies that procure and store drugs, pharmacists say.</p>
<p>Pharmacies are already fighting staffing shortages, drug shortages, the fallout from opioid lawsuits and rising operating costs. While independent pharmacies are essentially the most vulnerable, some large pharmacy chains are also feeling a money crunch &#8211; particularly those whose parent corporations do not need a pharmacy profit manager, the businesses that negotiate drug prices between insurers, drug manufacturers and pharmacies.</p>
<p>A senior official on the Centers for Medicare &#038; Medicaid Services said the difficulty must be resolved by pharmacies, Medicare insurers and PBMs.</p>
<p>&#8220;We cannot interfere in the negotiations that take place between plans and pharmacy benefit managers,&#8221; Meena Seshamani, director of the Center for Medicare, said at a conference on June 7. &#8220;We cannot tell a plan how much to pay a pharmacy or a PBM.&#8221;</p>
<p>Nevertheless, CMS has reminded insurers and PBMs in several letters that they&#8217;ve an obligation to supply beneficiaries with the promised drugs and other services.</p>
<p>Several independent pharmacists told KFF Health News they&#8217;ll soon be reducing the number of medicines they carry on their shelves, especially brand-name drugs. Some have even decided to stop accepting certain Medicare drug plans, they said.</p>
<p>In his re-election campaign, President Joe Biden has touted his administration&#39;s actions to make pharmaceuticals cheaper for Medicare patients, hoping to appeal to voters concerned about rising health care costs. His achievements <a href="https://www.kff.org/medicare/issue-brief/explaining-the-prescription-drug-provisions-in-the-inflation-reduction-act/">include a law</a>the Inflation Reduction Act, which caps the worth of insulin for Medicare patients at $35 a month, caps drug spending by Medicare patients at $2,000 a 12 months starting next 12 months, and allows this system to barter low drug prices with manufacturers.</p>
<p>More than 51 million people have drug coverage through Medicare. CMS officials estimated that the brand new rule to cut back pharmacy costs would save enrollees $26.5 billion from 2024 to 2032.</p>
<p>Prescriptions from Medicare patients can account for at the least 40% of pharmacy sales, in accordance with a <a href="https://ncpa.org/newsroom/news-releases/2024/02/27/local-pharmacies-brink-new-survey-reveals">February survey</a> from the National Community Pharmacists Association.</p>
<p>Independent pharmacists say the brand new rule is causing them financial hardship and putting a strain on some Medicare patients. Hopkins, of Sacramento, said a few of his newer customers used to depend on an area pharmacy but switched to his store after they may now not get their medications there.</p>
<p>At the guts of the issue is money flow, pharmacists say. Under the old system, pharmacies and PBMs coordinated rebates and other transactions behind the scenes several times a 12 months, leading to pharmacies reimbursing any overpayments.</p>
<p>Now, PBM rebates are immediately applied to every prescription filled, reducing pharmacies&#39; money available. That has made it especially difficult, pharmacists say, to stock brand-name drugs, which might cost tons of or hundreds of dollars to produce every month.</p>
<p>Some patients have had to choose from their pharmacy and their drug plan. Kavanaugh Pharmacy in Little Rock, Arkansas, now not accepts Medicare drug plans from Cigna and Wellcare, said co-owner and pharmacist Scott Pace. He said the pharmacy made the change because the businesses use Express Scripts, a PBM that has cut its reimbursements to pharmacies.</p>
<p>“We had a lot of Wellcare patients in 2023 who either had to switch plans to stay with us or who had to find a new provider,” Pace said.</p>
<p>Pace said a patient&#39;s drug insurance recently reimbursed him $40 less for a fentanyl patch than he would have paid to buy the drug. &#8220;Because we had a long-standing relationship with this patient and he was dying, we took a $40 loss to take care of the patient,&#8221; he said.</p>
<p>Express Scripts acknowledged that some pharmacies are fighting money flow problems and recently decided to hurry up the payment of bonuses for meeting the corporate&#39;s performance targets, said spokeswoman Justine Sessions. She declined to reply questions on cuts in pharmacy payments.</p>
<p>Express Scripts, a part of the Cigna Group, <a href="https://www.drugchannels.net/2024/04/the-top-pharmacy-benefit-managers-of.html">23% of prescription requests processed</a> Last 12 months, it ranked second behind CVS Health with a 34% market share.</p>
<p>In North Carolina, pharmacist Brent Talley said he recently lost $31 when he filled a prescription for a month&#39;s supply of a weight-control and diabetes medication.</p>
<p>To mitigate such losses, Talley&#39;s Hayes Barton Pharmacy sells CBD products and specialty items reminiscent of reading glasses, bath products and books on local history. &#8220;But that won&#39;t come close to making up for the loss incurred by selling prescription drugs,&#8221; Talley said.</p>
<p>His pharmacy also delivers dose-packaged medications to Medicare patients in assisted living facilities and nursing homes. The reimbursement arrangements with PBMs for that business are more favorable than for filling prescriptions in person, he said.</p>
<p>When Congress added drug coverage to Medicare in 2003, lawmakers privatized the profit by requiring the federal government to contract with private insurance firms to manage this system.</p>
<p>Insurers offer two options: Medicare Advantage plans, which generally cover drugs along with hospital care, doctor visits and other services, and stand-alone drug plans for individuals with traditional Medicare insurance. Insurers then contract with PBMs to barter drug prices and pharmacy costs with drug manufacturers and pharmacies.</p>
<p>The terms of PBM contracts are generally secret and limit what pharmacists can tell patients—for instance, when asked why a drug is out of stock. (In 2018, it took an act of Congress to lift restrictions on disclosing the money price of a drug, which might sometimes be lower than an insurance copay.)</p>
<p>The Pharmaceutical Care Management Association, a trade group that represents PBMs, has repeatedly warned CMS &#8220;that pharmacies would likely receive lower payments under the new Medicare Part D rule,&#8221; said spokesman Greg Lopes. His group opposes the change.</p>
<p>Realizing that the brand new policy could cause money flow problems for pharmacies, Medicare officials delayed implementation of the rule for a 12 months before it went into effect to present pharmacists more time to regulate.</p>
<p>“We have heard from pharmacies that they have concerns about their reimbursement,” Seshamani said.</p>
<p>But the agency is currently not doing enough to assist, said Ronna Hauser, vp of policy and pharmacy affairs on the National Community Pharmacists Association. &#8220;They have not taken any action even though we have alerted them to possible violations,&#8221; she said.</p>
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<p>©2024 KFF Health News. Distributed by Tribune Content Agency, LLC.</p>
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