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Pharmacy Benefits Manager

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

Drug Prices – The Council of Economic Advisers and Trump Administration Weigh In

02/15/2018 Elizabeth Wright

Report spotlights how imposing price controls and government regulations hamper drug approvals and slow competition.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

FDA Tobacco Products Scientific Advisory Committee Weighs in on IQOS

02/01/2018 Elizabeth Wright

On January 24 and 25, 2018, the Food and Drug Administration’s (FDA) nine-member Tobacco Products Scientific Advisory Committee (TPSAC) reviewed the Modified Risk Tobacco Product Applications (MRTPA) on an innovative tobacco product, named the IQOS, which is designed to reduce the harm associated with tobacco use.  CAGW discussed the MRTPA and the advisory committee meeting […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

FDA Advisory Committee to Discuss New Tobacco Harm Reduction Product

01/22/2018 Elizabeth Wright

The Family Smoking and Prevention and Tobacco Control Act (TCA) became law in June 2009 and gave the Food and Drug Administration (FDA) authority to regulate the manufacture, distribution, and marketing of all tobacco products.  Included in the law is Section 918, which called for a report to Congress on how best to regulate, promote, […]

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

Taxpayers and Patients Win First Round on 340B Drug Discount Rule

01/05/2018 Elizabeth Wright

On January 1, 2018, hospitals will begin to receive lower government reimbursements for drugs purchased under the 340B program.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare Enrollments Predicted to be Lower in 2018

12/15/2017 Elizabeth Wright

Open season for individuals to sign up for a Patient Protection and Affordable Care Act (Obamacare) healthcare plan started on November 1, 2017 and will close Friday, December 15, 2017.  With the average premium for the second-lowest cost silver plan, often called the “benchmark” plan, increasing by 37 percent for a 27-year-old, it seems likely […]

Appropriations, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Clock is Delayed but Still Ticking for E-Cigarettes

12/05/2017 Elizabeth Wright

The Family Smoking and Prevention Tobacco Control Act Tobacco became law in June 2009 and gave the Food and Drug Administration (FDA) authority to regulate the manufacture, distribution, and marketing of all tobacco products.  On May 5, 2016, the FDA finalized a rule that brought all tobacco products under its authority, including Electronic Nicotine Delivery […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Will the Individual Mandate Finally Be Repealed?

11/28/2017 Elizabeth Wright

The House of Representatives and the Senate are vigorously working to pass a tax reform package before the end of the year.  Both the House and Senate passed their budget resolutions with reconciliation instructions by Thanksgiving, a necessary step in order to craft their respective tax reform packages. The entire House passed their tax reform […]

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; […]

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