Jeremy Pilaar and Albert (Haotian) Wang present the weaknesses in current legislative reforms targeting pharmacy benefit managers. They suggest that lawmakers focus on reining in PBM income, limiting fees that PBMs can charge, and empowering state legislative efforts.  

COMMENTARY

States Can Facilitate an AI Slowdown Without the Federal Government

The artificial intelligence industry recently called for an antitrust exemption to coordinate self-regulation as...

RESEARCH

Economics Is Opening Up at the Edges, but Not at the Top

In new research, Markus Eberhardt, Giovanni Facchini, and Valeria Rueda find that a growing share of PhD graduates from top U.S. economics programs are leaving academia, looking beyond North America, and moving into the private sector, especially towards the tech industry.
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A New Capitalisn’t Episode

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Financial Transparency Reduces the Accumulation of Offshore Fortunes

In new research, Annette Alstadsæter, Niels Johannesen, Ségal Le Guern Herry & Gabriel Zucman find that Norwegian households that become wealthy today are much less likely to adopt offshore tax evasion strategies under modern high-transparency standards. 

Transplanting FRAND Principles from SEP to Data Licensing  

In new research, Tingting Song examines how FRAND principles typically used to discipline excessive or discriminatory terms in SEP licensing can be applied to data brokers in data licensing.

What Makes a Venture Capitalist Successful?

In new research, Blake Jackson and Ilya Strebulaev track the careers of 100,000 people working at venture capital firms in the United States to ask which investors succeed and why. They find that five percent of VCs generate 90 percent of the industry's profits, that the backgrounds investors bring with them predict who ends up in that group, and that public recognition itself opens the doors to the deals that keep them at the top.

Private Equity Is Buying Life Insurers, and the Public Bears the Heightened Risk.

In new research, Pranjal Drall and Andrew Granato argue that the move of private equity firms into life insurance has increased the probability that insurers will go insolvent. If they do, under an obscure system of insurance guaranty funds, the losses will spread out beyond the insolvent insurer’s creditors to other insurers and, ultimately, taxpayers. 

Wealth Buys Power, but Americans Are Focused on the Wrong Wealthy

Matthew Lucky reviews The Everywhere Millionaire: Who Is Really Rich in America and How They Got There by Owen Zidar and Eric Zwick, now out at Henry Holt and Co.

READING LISTS

Americans spend significantly more on health care than any other country. Why? Answers to this question range from hospital monopolies to perverse incentives to opaque pricing to medical licensing to pharmaceutical firms abusing IP practices to “creeping consolidation.” Why is the US health care system so broken? And what can antirust do about it? Catch-up on our coverage of antitrust and the US health care system.

The Prescription for Better Health Insurance? Competition.

Anticompetitive behavior, such as consolidation, in the health-insurance industry has allowed a small group of insurers to dominate the market. One of the main drivers of this behavior is “adverse selection,” where individuals know more about how sick they are than insurance companies do. To mitigate the risk of paying out more claims than they can cover, insurers often raise their premiums. Kellogg’s Amanda Starc and her colleague argue that, to create a truly healthy health-insurance marketplace, regulators and policymakers need a framework for rethinking the complex interactions between adverse selection and regulatory guardrails.

Antitrust as a Cure for the Private Equity Disease

The United States healthcare system has experienced an expansion of private equity ownership. In new research, Theodosia Stavroulaki argues that private equity acquisitions risk harming healthcare by increasing prices, reducing quality of care, limiting access to care, and hurting the labor force.

Pharma’s AI Boom Has Bet on the Wrong Bottleneck

Investors have poured billions into using artificial intelligence to discover new drugs, and 2026 is the first real test of whether AI-designed medicines actually helps patients. The boom has genuinely transformed the search for molecules — but that was never the costly, failure-prone part of making a medicine, and there AI has so far had little to add. Capital, and the public subsidies have not yet priced the difference, writes Michael A. Santoro.

The Pharmaceutical Benefits Manager Settlements Are a Novel Advance for the FTC and Competition Enforcement

In February, the Federal Trade Commission settled with pharmaceutical benefits manager (PBM) Express Scripts. The FTC had sued Express Scripts and two other large PBMs under the long dormant Section 5 of the FTC Act, which targets “unfair methods of competition.” The settlement suggests that the FTC may succeed in addressing the convoluted contracts between PBMs, drug manufacturers, health insurers, and employers that drive up drug prices for Americans. It also opens unchartered territory for antitrust enforcement and the limits of Section 5, argue Fiona Scott Morton and Mariah Smith.

George J. Stigler, one of the most influential economists of the 20th century, won the Nobel Prize in Economic Sciences in 1982 “for his seminal studies of industrial structures, functioning of markets, and causes and effects of public regulation.” His research upended the idea that government regulation was effective at correcting private-market failures. Stigler introduced the idea of regulatory capture, in which regulators could be dominated by special interests. These regulators would work for the benefit of large, monied organizations rather than the public good. Catch up on ProMarket's coverage of his legacy.

Call for Papers for 2027 Stigler Center Conference: Will AI Kill Markets (and Democracy)?

The Stigler Center is putting out a call for papers for its 2027 annual conference. The theme of this year's conference will be the...

Media Capture Doesn’t Need the Newsroom

In new research, Andrey Simonov, Daniil Mikhailov, Ruben Enikolopov, and Ruben Durante estimate that when a 2016 law pushed Russia’s leading news aggregator Yandex to reduce its references to independent outlets, readers kept following its recommended news stories as before, reducing traffic to the excluded outlets. In response, excluded outlets changed the news they produced.

New York’s Congestion Toll Helped Ambulances Move Faster

In new research, Yulia Chikish, Gregory J. Colman, Dhaval M. Dave, Brad R. Humphreys, Zachary Santamaria, and Zachary Winship find that New York City congestion pricing has reduced emergency medical services response times.

AI Governance Needs a Macroprudential Turn

Artificial intelligence agents are beginning to interact in ways that create risks beyond individual misalignment with corporate and social expectations. As happened with global finance after the 2007 crisis, AI governance needs to begin focusing on how good agents can still produce bad systems.

Mineral Concentration Jeopardizes America’s AI Industry

The discussion about concentration in artificial intelligence markets focuses on the least concentrated layer, the models. The chokepoint that actually threatens AI is the production of refined minerals that go into chips, data centers, and electricity production, writes Piyush Akimitsu.   

Competition Law Must Protect the Citizen, Too

Walid Chaiehloudj argues that when a scientifically substantiated large but uncertain risk, like environmental damage, conflicts with standard competition analysis, competition authorities need to defer to a precautionary citizen-consumer standard that takes into consideration the risks of that harm.

Can Regulation Prevent Collusion Against Environmental Standards?

In recent research, Jorge Alé-Chilet, Cuicui Chen, Jing Li, and Mathias Reynaert find that when faced with environmental regulations, collusion among German car manufacturers reduced their expected non-compliance fines and significantly increased consumer and producer surplus. At the same time, social welfare decreased by billions of euros because of increased pollution.

COLUMNS

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