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Healthcare

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

The Fix is In…

08/10/2013 Leslie Paige

The deal has been made; Congress and President Obama figured out a way to provide continued subsidies for healthcare premiums for congressional staff.  The Office of Personnel Management (OPM) just released the proposed regulation, which can be found here. Despite what many have noted is a lack of statutory authority to issue this regulation, it nonetheless […]

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

Unions Wake Up from their Four-Year Slumber

07/23/2013 staff

Well, who would have thought that the very unions that spent millions of dollars to get Obamacare signed into law are now complaining to Democrat leaders in Congress about the same law, telling them, “We have a problem; you need to fix it.” In the letter to Senate Majority Harry Reid (D-NV) and Minority Leader […]

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

Waking Up to Reality

06/26/2013 staff

The press and many fans of Obamacare are beginning to wake up to problems with the healthcare law.  It appears reality, not the Utopia that was promised, is settling in.  I have written about this in an earlier blog found here.  Now, the New York Times is pondering another possible scenario with respect to the law and employers.  […]

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

Some Animals Are More Equal Than Others

06/15/2013 staff

In April, I wrote about a developing story that some members of Congress were looking for ways to get themselves and their staff out from participating in Obamacare.  There was such a large kerfuffle and outrage about it that news reports quickly surfaced that Congress was doing no such thing. Yesterday Politico broke another story […]

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

Recovery Audit Contracting: The Wave of the Future

06/08/2013 staff

On the large list of sources of waste in Medicare, improper payments are near the top.  According to a February 27, 2013 Government Accountability Office (GAO) report, “In 2012, the Medicare program covered more than 49 million elderly and disabled beneficiaries at an estimated cost of $555 billion, and reported improper payments estimated to be more than $44 billion.”  Medicare’s high level of complexity and susceptibility to improper payments are among the reasons that the GAO designates Medicare as a high-risk area.  One method that has proven successful in reducing improper payments is the increased usage of recovery audit contractors (RACs).

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

Peeling Back Another Onion

05/22/2013 staff

As I wrote last week, HHS Secretary Kathleen Sebelius has gotten herself into some hot water concerning her solicitation for donations for non-profit groups that will help with the implementation of Obamacare.  She asked for donations from corporations, some of which are regulated by HHS, and foundations. Reuters reports the non-profit “Enroll America” seems to […]

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

Show Me the Money

05/17/2013 staff

The Washington Post had an interesting column a few days ago.  It seems Health and Human Services (HHS) Secretary Kathleen Sebelius is asking for more money from health industry officials to help implement Obamacare since Congress is refusing to provide more funds.  While the effort is caged as asking for “donations” it does not take […]

Budget, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Durable Medical Equipment: Free Market Principles Will Deliver Best Options for Taxpayers

05/03/2013 Thomas Schatz

In 2003, Congress passed the Medicare Modernization Act (MMA – P.L. 108-173). This law made some substantial changes to Medicare and adding competitive forces to the program was a strong theme.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Never Mind

04/27/2013 staff

Yesterday, I blogged about a story in the newspaper Politico that said members of Congress were looking for ways to exempt themselves and their staff from Obamacare.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

What’s Good for the Goose is Good for the Gander – NOT!

04/26/2013 staff

All you need to do to find out how “wonderful” the Affordable Care Act or Obamacare will be for all of us is to go to the White House Web site.  In almost reverent slogans the Obama Administration claims.

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