Posts Tagged 'Medicare'

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’

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’

Independent Pharmacies Vital to Rural Health, Study Affirms

By Kevin Schweers

Independent community pharmacies continue to play a critical role in rural health care, according to new research. The ranks of these pharmacies declined slightly in recent years and somewhat stabilized after several turbulent years that coincided with implementation of the Medicare prescription drug benefit, researchers concluded.

Continue reading ‘Independent Pharmacies Vital to Rural Health, Study Affirms’

Legislation Promoting #PharmacyChoice for Seniors Now Has 74 Congressional Supporters

By Stephanie DuBois, Director, Marketing Communications

Sharing personal stories about the impact that so-called “preferred” networks have on their patients and businesses, community pharmacists around the country made their voices heard on social media during the August Congressional recess and in early September. Their powerful pleas helped to push the total number of Congressional supporters for critical pharmacy choice legislation to 74 as of Sept. 19. Continue reading ‘Legislation Promoting #PharmacyChoice for Seniors Now Has 74 Congressional Supporters’

Health Economist Shreds PBMs’ Claim of Large Cost Increase from “Any Willing Pharmacy” Medicare Proposal

By Kevin Schweers

Claims by pharmacy benefit managers (PBMs) that a massive cost increase would result from legislation giving Medicare seniors in medically underserved areas more convenient access to discounted or “preferred” copays are “theoretically baseless,” a noted health care economist and antitrust expert argues in a new analysis.

Continue reading ‘Health Economist Shreds PBMs’ Claim of Large Cost Increase from “Any Willing Pharmacy” Medicare Proposal’

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