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Pharmacy Benefits Manager

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

A Government That is Too Big

10/08/2013 staff

More and more news reports are surfacing about the overreach by the Obama Administration with regard to the partial government shutdown.  Remember, some 82% of government spending is exempt from the shutdown.  It is the White House that ultimately determines what is essential and stays open and what doesn’t in the federal government. First a […]

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

A Clean CR is a Dirty Rotten Shame

10/05/2013 wchristian

On the October 2nd edition of Fox News Channel’s Special Report, columnist Charles Krauthammer decried the Democrats’ disingenuous insistence on a “clean CR,” implying that such an approach is actually a ratification of failure.  On the one hand, it would underscore the fact that both chambers of Congress had failed in one of their most […]

Budget, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Legislation Puts Recovery Auditing, and Taxpayers, at Risk

10/03/2013 Leslie Paige

Government waste, fraud, and abuse are a scourge on American taxpayers and a multi-billion dollar insult to the federal budget, but preventing improper payments, particularly in Medicare, is now running into roadblocks despite being a rare example of success.  Medicare providers, particularly hospitals, which have for years received billions in improper overpayments, now fully appreciate that new auditing and recovery techniques dramatically inhibit the flow of those overpayments.  More importantly, officials managing an actuarially and fiscally compromised Medicare program now have the ability, motivation, and authority to demand that providers repay those funds.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare Opening Day – Can You Say Fiasco?

10/03/2013 staff

I tried to get information on Obamacare yesterday by logging onto www.healthcare.gov.  The only thing I accomplished was being transferred to my state exchange.  The state website is still experiencing difficulties today so I haven’t been able to find out if the current plan I have (which I pay for out-of-pocket) is more expensive than what […]

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

Debate and Compromise Is Not a One-Way Street

10/01/2013 staff

A few months back my 20-something niece was complaining about how Congress, in particular the Republican House, was just not cooperating with President Obama over spending, taxes, and government-investments like bridges and green energy.  She said the current system was broken and that we needed something new so things could be done quickly.  I said, […]

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

Fuzzy Math and Little Details on Obamacare Premium Costs

09/26/2013 staff

Today, the Department of HHS finally revealed the premium prices for Obamacare.  Several press outlets got an advanced copy and some reporters were not all that impressed. Here is Politico’s take: The Obama administration on Wednesday released a long-awaited report on premiums in Obamacare’s federal insurance exchanges — the first look at the rates that will apply […]

Budget, Congress, Entitlements, General Waste, Healthcare, Oversight, PBM, PBMs, Pharmacy Benefits Manager, Regulations

Legislation Puts Medicare Recovery Auditing, and Taxpayers, At Risk

09/20/2013 Leslie Paige

Government waste, fraud, and abuse are a scourge on American taxpayers and a multi-billion dollar insult to the federal budget, but preventing improper payments, particularly in Medicare, is now running into roadblocks despite being a rare example of success.  Medicare providers, particularly hospitals, which have for years received billions in improper overpayments, now fully appreciate […]

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

Navigating Healthcare Privacy

09/19/2013 Deborah Collier

The Department of Health and Human Services (HHS) has awarded $67 million in grants to more than 100 organizations to assist individuals needing help navigating the confusing process of signing up for Obamacare. On August 14, 2013, the attorney generals of 13 states sent a letter to HHS Secretary Sebelius, raising apprehension about what they […]

Budget, General Waste, Healthcare, Jobs, Labor, Oversight, PBM, PBMs, Pharmacy Benefits Manager

Tax and Spend Won’t Fix the Results of the Financial Crisis

09/17/2013 staff

Today, the President gave a speech on the five-year anniversary of the financial meltdown and claimed his policies of government “investments” and intrusion into the private sector, higher taxes, and more regulations have helped the economy turn the corner.  He called for more government spending as he claimed, yet again, turning the economy around is his top […]

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

Will the Senate Close the Door to Obamacare Fraud?

09/14/2013 staff

Yesterday, the House of Representatives passed H.R. 2775, legislation that requires the Department of Health and Human Services (HHS) to have a program in place that verifies the household income and coverage requirements of individuals and families applying for taxpayer-funded subsidies and credits to help them purchase health insurance under Obamacare.  By law, the credits […]

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