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Pharmacy Benefits Manager

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Why is FOX Business News Pushing Price Controls?

05/05/2015 Elizabeth Wright

It was the headline on the FOX Business News April 27 article that captured my attention.  It said, “More Government Waste Found at Medicare.”  I thought, well, what else is new, it’s pretty much a government-run program where waste and fraud is rampant.  The Department of Health and Human Services (HHS) estimated it was about $50 […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

A Disappointing Vote but Not Unexpected

04/28/2015 Elizabeth Wright

Senator David Vitter (R-La.) is on a mission.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

CO-OPs: Another ObamaCare Catastrophe

04/16/2015 Elizabeth Wright

On March 23, 2010, the Affordable Care Act (ACA), better known as ObamaCare, was signed into law.  By the end of 2013, millions of Americans had lost the healthcare plan they liked and were forced to accept health insurance plans with mandated benefits they did not need or want.  Their premiums increased by an average of 49 percent from 2013 to 2014.  In November 2014, the Obama administration released data that showed premium rates would go up again in 2015, by as much as 20 percent, for those purchasing insurance under ObamaCare unless they switched plans.

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.

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