Archive for the 'Medicare' Category

Southern California Pharmacists Expanding Their Role

By John Norton

An intriguing example of how pharmacist-driven pilot programs are helping to reinvent health care is contained in the Los Angeles Times’ article by Soumya Karlamangla called “Pharmacists try a more personal approach to treatment”. Continue reading ‘Southern California Pharmacists Expanding Their Role’

Medicare Part D Any Willing Pharmacy Legislation Supported by Key Consumer Organizations

By Michael Rule

Recently, a dozen patient rights and consumer-oriented organizations sent a letter to Congress endorsing H.R. 793, the Ensuring Seniors Access to Local Pharmacies Act. Continue reading ‘Medicare Part D Any Willing Pharmacy Legislation Supported by Key Consumer Organizations’

Patients, Pharmacists Share Problems with Aetna/Coventry 2015 Medicare Drug Plans

By Kevin Schweers

Community pharmacists and some Medicare beneficiaries reported a number of problems in early January related to changes to the pharmacy network of 2015 Aetna/Coventry Medicare Part D plans. Continue reading ‘Patients, Pharmacists Share Problems with Aetna/Coventry 2015 Medicare Drug Plans’

The “Lock-In” Pharmacy Approach to Rx Drug Abuse

By Kevin Schweers

A proposal to restrict certain Medicare beneficiaries to use only a dedicated, “lock-in” pharmacy for their controlled substances is now a part of legislation introduced by two House lawmakers. Continue reading ‘The “Lock-In” Pharmacy Approach to Rx Drug Abuse’

Study Highlights Independent Pharmacies’ Role in Caring for Underserved Patients

By Kevin Schweers

Independent community pharmacies play a key health role in underserved, inner-city communities and that fact is reaffirmed by some of the results of a study in the November Health Affairs, which also urged policymakers to consider incentives to foster more pharmacies in neglected areas.

Continue reading ‘Study Highlights Independent Pharmacies’ Role in Caring for Underserved Patients’

The Morning After

By Kurt A. Proctor, Ph.D., RPh, NCPA Senior Vice President, Strategic Initiatives

After a great NCPA Annual Meeting in Austin, we weren’t done. On Wednesday, October 22nd we kept the momentum going with a day-long “Networking for High Performance Pharmacies” program for a standing room only crowd of 140 industry leaders. This provocative program afforded like-minded pharmacists not only the opportunity to get to know each other but to engage with public and private payers to hear about their plans for pay-for-performance and quality related network inclusion criteria.

Continue reading ‘The Morning After’

Medicare Reprimands PBMs over Apparent Prescription Drug Benefit Violations

By Kevin Schweers

On the eve of open enrollment for the 2015 plan year for Medicare Advantage and Medicare Part D drug plans, The New York Times has recounted concerns repeatedly raised by Medicare officials concerning pharmacy benefit managers (PBMs) that have inappropriately delayed or denied access to prescription drugs. Continue reading ‘Medicare Reprimands PBMs over Apparent Prescription Drug Benefit Violations’


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