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Healthcare

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Trump Administration to Allow States to Establish Work Requirements for Medicaid

11/14/2017 Spencer Chretien

Since its establishment in 1965, the federal government and the states have jointly administered Medicaid.  The program’s characteristics and logistics vary from state to state, and there is always some give-and-take between the states and the feds.  States want more flexibility; the federal government wants to make sure states are complying with the law.  One […]

340B, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

New CMS Rule Will Help Reduce Drug Costs

11/07/2017 Elizabeth Wright

On Wednesday, November 1, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a new rule that will lower costs to taxpayers and Medicare beneficiaries for certain outpatient pharmaceuticals purchased under the 340B drug discount program. According to CMS Administrator Seema Verma, “As part of the President’s priority to lower the cost of prescription […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Maine’s Fiscal Future Tied to Medicaid Expansion

11/06/2017 Spencer Chretien

On November 7, 2017, Mainers will head to the polls to vote on four ballot measures, including Question 2, which would expand Medicaid in the state to cover able-bodied adults without children whose income is equal to or less than 138 percent of the federal poverty line.  In an off-year election, not many will vote; […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Another Dumb Idea from Democrats on Drug Costs

10/26/2017 Elizabeth Wright

Today, House Oversight and Government Reform Committee Ranking Member Elijah Cummings (D-Md.), Sen. Patrick Leahy (D-Vt.), Sen. Bernie Sanders (I-Vt.), Rep. Lloyd Doggett (D-Texas) and Rep. Peter Welch (D-Vt.), held a press conference to engage in their usual screed  against pharmaceutical companies and provide a “solution” to lower drug costs in Medicare Part D.  Rep. […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Will the Alexander-Murray Bill Prop Up or Make Big Changes to Obamacare?

10/21/2017 Elizabeth Wright

Late Thursday night last week, President Trump announced his administration would stop providing Cost-Sharing Reduction (CSRs) payments to insurers.  What are CSRs?  They are subsidies, or reimbursements, given to insurers by federal taxpayers for issuing reduced deductibles and copayments to low-income individuals that participate in the Obamacare exchanges.  CSRs are not payments given directly to […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Cook County Soda Tax Repealed After Only Two Months in Effect

10/19/2017 Spencer Chretien

When politicians decide to tax something new, taxpayers rarely see the end of it.  This adage is especially true of so-called “sin taxes,” levies on products like alcohol, tobacco, and, increasingly, soda.  Those in government always appreciate more money, and politicians like beating up on unpopular industries.  It’s a two-pronged argument:  you shouldn’t be buying […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

President Trump’s Executive Order on Healthcare

10/13/2017 Elizabeth Wright

Today, President Donald Trump signed an Executive Order (EO), “Promote Healthcare Choice and Competition Across the United States,” with the goals of bringing financial relief and more healthcare choices to millions of Americans. Since the Patient Protection and Affordable Care Act (ACA), or Obamacare, was signed into law, Americans have seen their health insurance options limited while […]

General Waste, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Welcome to Medicare … or not

10/12/2017 Thomas Schatz

Individuals who are not on Social Security at age 65 are supposed to sign up for Medicare anytime between three months before their 65th birthday and three months thereafter. I turn 65 on January 9, 2018, and thought I should get an early start by checking everything out exactly three months before that date.  After […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Epic Fail or Phoenix Rising?: Obamacare Repeal and Replace

09/27/2017 Elizabeth Wright

For seven years, Republicans in Congress have promised that repealing Obamacare would be a top priority.  They have failed, at least for now. The Republican Senate made the decision yesterday not to have a vote on the Graham-Cassidy-Heller-Johnson legislation that would have repealed and replaced the Patient Protection and Affordable Care Act (ACA), or Obamacare.  At least […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Graham-Cassidy is Far Superior to Obamacare

09/23/2017 Elizabeth Wright

Sens. Lindsey Graham (R-S.C.), Bill Cassidy (R-La.), Dean Heller (R-Nev.), and Ron Johnson (R-Wisc.) introduced a replacement plan for the Patient Protection and Affordable Care Act (ACA), better known as Obamacare, on September 13, 2017.  The Graham-Cassidy bill is expected to be considered on the floor of the Senate next week.  As it gains support […]

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