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Healthcare

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.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

To Market, To Market – First U.S. Biosimilar On Its Way

01/10/2015 Elizabeth Wright

On Wednesday, January 7, 2015, I attended the Food and Drug Administration (FDA) Oncologic Drugs Advisory Committee meeting that discussed and recommended approval of the first biosimilar drug, called filgrastim, under the Biologics Price Competition and Innovation Act (BPCI).

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

Jonathan Gruber Goes to Washington

12/09/2014 Elizabeth Wright

Most of you know about Jonathan Gruber. He is the Massachusetts Institute of Technology (MIT) economics professor that was hired as a consultant by the Obama administration to provide guidance on designing ObamaCare. He has often been called the “architect” of ObamaCare. What was his consulting fee just from the Department of Health and Human […]

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

Newt’s Very Bad Idea

12/06/2014 Elizabeth Wright

Former House Speaker Newt Gingrich often comes up with ideas to change how the government works.  One of his most recent suggestions has made a lot of people who care about property rights scratch their head. At a December 2, 2014 meeting of Academy of Managed Care Pharmacy executives, Speaker Gingrich was asked about the […]

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