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PBMs

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Breaking the Law – Again

02/20/2016 Elizabeth Wright

Since the Affordable Care Act (ACA), or Obamacare, was signed into law on March 2010, the Obama administration has changed the law 43 times without Congressional approval. The Galen Institute has been keeping track of these administrative changes, which you can find here. Apparently another illegal administrative action, which will cost the U.S.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Rogue “Drug” Companies Face Congress

02/06/2016 Elizabeth Wright

On Thursday, February 4, the House Committee on Oversight and Government Reform held a hearing entitled, “Developments in the Prescription Drug Market.”

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

CBO’s Obamacare Enrollment Numbers: Not Looking Good

01/29/2016 Elizabeth Wright

There has not been much news coverage on a January 25, 2016 Congressional Budget Office’s (CBO) report: “Budget and Economic Outlook: 2016 to 2026.” The likely reason is the news about the Affordable Care Act is not good.  However, some health policy experts are not shy about telling us what is going on. Brian Blase of the Mercatus Institute wrote about the CBO report in his January 26 Forbes column…

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Wyoming Legislature Continues to Reject Medicaid Expansion

01/27/2016 Elizabeth Wright

On Friday, January 22, 2016, the Wyoming Joint Appropriations Committee struck out Governor Matt Mead’s budget proposal to expand Medicaid as provided for under the Affordable Care Act (ACA), better known as Obamacare.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Why the Obamacare Reconciliation Bill is So Important

01/20/2016 Elizabeth Wright

On Wednesday, January 6, 2016, the House of Representatives passed H.R. 3762, the Restoring American’s Healthcare Freedom Reconciliation Act, by a vote of 240 to 181, after which it was sent to President Obama.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Unraveling of Obamacare

01/13/2016 Elizabeth Wright

Modern Healthcare reported this week that Humana expects to lose 300,000 customers by the end of the year and that it may exit the Affordable Care Act (ACA) exchanges if the market does not turn around for them.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

House Sends Obamacare Repeal to the President

01/08/2016 Rachel Cole

Yesterday evening, the U.S. House of Representatives passed H.R. 3762, the Restoring Americans’ Healthcare Freedom Reconciliation Act, by a vote of 240-181.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Tonight: The Reconciliation Rule!

01/06/2016 Rachel Cole

This evening, the House Rules Committee will meet to set the debate parameters for H.R. 3762, the Restoring Americans’ Healthcare Freedom Reconciliation Act of 2015, a reconciliation bill that would essentially cripple Obamacare.

Defense, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Single-Payer VA Healthcare Fails America’s Veterans

12/19/2015 Curtis Kalin

By any measure, those that serve in America’s military are the best of the nation.  They sacrifice life and limb to defend the United States.  They deserve the best medical care when they return home.  However, numerous investigations over the past several years have exposed a systemic cancer of mismanagement and neglect in the federal department tasked with that care.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Other Three Rs

12/19/2015 Elizabeth Wright

Most of the time “the three Rs” mean reading, writing, and arithmetic.  But for healthcare, what comes to mind are risk adjustment, reinsurance and risk corridors.  These are risk-sharing mechanisms for insurance companies in the Affordable Care Act (ACA), better known as Obamacare.  Taxpayers need to pay very close attention to the risk corridors because they are not functioning as planned due to the badly designed ACA.  Some politicians want to supplement the risk corridors with taxpayer dollars in order to bail out insurance companies.

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