Oz Says Big PBMs Have ‘Window’ to Quit Rebate System on Their Own

Jun 26
Jun 26, 2025

CMS Administrator Mehmet Oz, M.D. on June 24 said he hopes the country’s dominant PBMs will opt for self-directed reform in the same way major health insurers recently pledged to overhaul prior authorization.

“There’s window now where three big PBMs might actually consider doing away with the rebate/kickback system,” Oz said during the inaugural Washington, D.C., conference held by Transparency-Rx, a coalition of smaller PBMs that supports industry reform and champions transparent business models.
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.