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When Regulation Replaces Markets: Lessons from West Virginia’s PBM Experiment

December 18, 2025

West Virginia has recently added new layers of healthcare regulation, expanding government involvement in a system that is already complex and costly. Though often promoted as consumer-friendly reforms, these policies can alter incentives in ways that raise costs and strain access, particularly for rural communities and independent providers.

A more effective approach is to simplify the rules that drive up costs and discourage innovation, while restoring competition and choice. By prioritizing transparency, flexible delivery models, and policies that empower patients and providers rather than mandates, West Virginia can improve access and outcomes without doubling down on red tape.