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Healthcare

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Gold, Silver, Bronze (oh, Platinum too)

04/15/2015 Elizabeth Wright

In years past, when people heard the terms Gold, Silver, Bronze, they thought about the Olympic medals.  Now, they likely think of ObamaCare with its metallic collection of expensive healthcare plans of Platinum, Gold, Silver, and Bronze.

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

340B Drug Discount Program Finally Gets a Congressional Hearing

04/09/2015 Elizabeth Wright

House Energy and Commerce Subcommittee on Health holds first hearing on the 340B drug discount program since 2005.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

King v. Burwell: Judicial Branch Should Judge, Not Legislate

03/11/2015 Thomas Schatz

On Wednesday, March 4, 2015, the Supreme Court heard oral arguments to King v. Burwell.  It is one of four lawsuits that challenge the IRS’s regulation that allows subsidies to assist people to purchase health insurance in Federally-facilitated Exchanges under the Affordable Care Act (ACA), better known as ObamaCare.  The plaintiffs argued that the plain language of the law only allows subsidies to assist people in an Exchange “established by a State” while the Obama administration is arguing the IRS was correct when it decided to provide subsidies for enrollees in both types of Exchanges.  The Exchanges are the on-line marketplaces where people can shop and purchase health insurance. The Supreme Court heard the case because there have been conflicting rulings within the lower courts as to whether the IRS acted legally.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Medicare House of Cards: Bringing Down the RAC Program

03/11/2015 Leslie Paige

All of Washington, D.C., as well as the rest of the country, has been binging on the third season of the wildly popular Netflix original series “House of Cards,” the sordid tale of Washington politicians who will stop at nothing to bend the power structure to their will in order to gain power, prestige, and money.

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

GAO Cites Billions Left on the Chopping Block

03/11/2015 Curtis Kalin

The prevailing wisdom inside the Beltway and especially among big-government politicians and bureaucrats is one that was espoused by House Minority Leader Nancy Pelosi (D-Calif.) in 2013.  Flummoxed by a reporter’s question on budget cuts, she literally threw up her hands and exclaimed, “The cupboard is bare! There’s no more cuts to make!”

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Supreme Court Hears King v. Burwell

03/04/2015 Elizabeth Wright

Today, March 4, 2015, the Supreme Court heard oral arguments to King v. Burwell.  It’s a big deal because it could decide whether the Affordable Care Act (ACA), better known as ObamaCare, survives in its current format.  More to the point, the decision will have implications regarding the balance of power between the three co-equal […]

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

When Will Congress Fix the 340B Drug Discount Program?

02/13/2015 Elizabeth Wright

The 340B drug discount program to help uninsured, low-income individuals obtain prescription drugs has strayed from its mission.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The House Votes to Repeal ObamaCare

02/04/2015 Elizabeth Wright

The House of Representatives voted today on H.R. 596, a bill that would repeal and replace ObamaCare.  H.R. 596 passed by a vote of 239 to 186.  The bill was introduced by Rep. Bradley Byrne (R-Ala.) and had 98 co-sponsors.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Repealing Obamacare – Is It Doable?

01/27/2015 Elizabeth Wright

On January 6, the 114th Congress convened and is now under Republican control, with 54 senators out of 100 in the Senate and 246 representatives out of 435 in the House.  One of the major Republican campaign promises was the full repeal of the Affordable Care Act (ACA), more often referred to as ObamaCare.  But can it be done?

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

Social Security Reform: Time to Go Big

01/27/2015 staff

Among the rules adopted by the House of Representatives is a new provision that bars the transfer of money between the Social Security old age and survivors insurance (OASI) trust fund and the disability insurance (DI) trust fund.  Congress has authorized 11 transfers from OASI to DI in order to temporarily patch the DI trust fund.  In 1994, the last time that DI was on the verge of going broke, Congress reallocated 0.6 percentage points of the payroll tax from OASI to the DI program.  The rule change prevents another temporary fix from occurring and provides a significant opportunity for Congress to adopt reforms in order to help ensure the future solvency of both programs.

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