Content about Government

February 19, 2013

By now we are all well aware of the healthcare IT transformation taking place across the nation. This transformation is expected to continue for the foreseeable future with further implementation of Meaningful Use and the expansion of state Medicaid programs in 2014 as a result of the Patient Protection and Affordable Care Act requirements. Providing clinical services through the coordination of care among a variety of providers in the healthcare space will continue to be a focal point in the future of healthcare as well. For example, we will likely see more elaborate collaborative care models through the expansion of accountable care organizations, patient centered medical home efforts, and the development of health insurance exchanges in one form or another.

By now we are all well aware of the healthcare IT transformation taking place across the nation. This transformation is expected to continue for the foreseeable future with further implementation of Meaningful Use and the expansion of state Medicaid programs in 2014 as a result of the Patient Protection and Affordable Care Act requirements. Providing clinical services through the coordination of care among a variety of providers in the healthcare space will continue to be a focal point in the future of healthcare as well.

February 5, 2013

Money is a powerful motivator. Look no further than the sports world for validation. The PGA’s FedEx Cup encourages golfers to earn “points” towards participation in playoffs that offer a big season-ending payoff. Tennis has a similar format with the U.S. Open Series where performance in a series of events equates to a huge prize purse. Both instances use hefty prize money to help ensure the top performers participate and at high levels. The Centers for Medicare and Medicaid Services (CMS) have applied this sports theory to its rankings system of Medicare Advantage (MA) and Prescription Drug Plans (PDP) plans. And there’s billions of dollars up-for-grabs for healthcare plans.

Money is a powerful motivator. Look no further than the sports world for validation. The PGA’s FedEx Cup encourages golfers to earn “points” towards participation in playoffs that offer a big season-ending payoff. Tennis has a similar format with the U.S. Open Series where performance in a series of events equates to a huge prize purse. Both instances use hefty prize money to help ensure the top performers participate and at high levels.

January 31, 2013

Hospitals need retail pharmacy if they're going to reduce re-admissions, eliminate unnecessary healthcare costs and avoid penalties from Medicare for patient re-admission rates that are too high, under a new law that took effect Oct. 1. With that in mind, Walgreens created WellTransitions.

Audio Q&A: Drug Store News sat down with Joel Wright, Walgreens VP health systems operations, to talk about the company's WellTransitions program. Hospitals need retail pharmacy if they're going to reduce re-admissions, eliminate unnecessary healthcare costs and avoid penalties from Medicare for patient re-admission rates that are too high, under a new law that took effect Oct. 1. With that in mind, Walgreens created WellTransitions.

August 28, 2012

CVS Caremark and the Centers for Medicare and Medicaid Services have teamed up to increase awareness of the new services available under the Patient Protection and Affordable Care Act. To announce the partnership and highlight new benefits and options for Medicare beneficiaries, U.S. Health and Human Services Secretary Kathleen Sebelius recently visited a CVS/pharmacy and MinuteClinic in Jacksonville, Fla.

WOONSOCKET, R.I. — CVS Caremark and the Centers for Medicare and Medicaid Services have teamed up to increase awareness of the new services available under the Patient Protection and Affordable Care Act. To announce the partnership and highlight new benefits and options for Medicare beneficiaries, U.S. Health and Human Services Secretary Kathleen Sebelius recently visited a CVS/pharmacy and MinuteClinic in Jacksonville, Fla.

February 27, 2012

Community pharmacy brings innovation to patient care

One of America’s most intractable challenges is the staggering cost of health care. Policy-makers agree that Medicare and Medicaid — not to mention the nation’s frayed health system overall — can’t continue to sustain the costs of care. One vital but underutilized resource that could help break the cost cycle is the nation’s 56,000 community pharmacies — and the pharmacists who staff them.

May 16, 2013

The Senate voted overwhelmingly to confirm a former Virginia Health and Human Services secretary as administrator of the Centers for Medicare and Medicaid Services.

ARLINGTON, Va. — The Senate voted overwhelmingly to confirm a former Virginia Health and Human Services secretary as administrator of the Centers for Medicare and Medicaid Services.

Members of the Senate voted 91-7 in favor of confirming Marilyn Tavenner to lead CMS, drawing praise from a retail pharmacy trade group.

May 14, 2013

Medicare Part D plans that create tiered networks of pharmacies for beneficiaries need more oversight amid reports that small and medium-sized pharmacies are being excluded from them, several senators wrote in a letter last week to the Centers for Medicare and Medicaid Services.

WASHINGTON — Medicare Part D plans that create tiered networks of pharmacies for beneficiaries need more oversight amid reports that small and medium-sized pharmacies are being excluded from them, several senators wrote in a letter last week to the Centers for Medicare and Medicaid Services.

May 9, 2013

Cuts to Medicare payments due to the budget sequester have hit reimbursements for cancer drugs, according to a nonprofit group.

WASHINGTON — Cuts to Medicare payments due to the budget sequester have hit reimbursements for cancer drugs, according to a nonprofit group.

April 26, 2013

The Marketplace Fairness Act is one step closer to passing. The Senate voted 63-30 to end debate on the bill, which would compel online retailers to collect state taxes, and will make a final decision on the bill on May 6.

WASHINGTON — The Marketplace Fairness Act is one step closer to passing. The Senate voted 63-30 Thursday to end debate on the bill, which would compel online retailers to collect state taxes, and will make a final decision on the bill on May 6. 

April 21, 2013

“We are writing history, and you are historic figures.” That was a key message that Steve Anderson, National Association of Chain Drug Stores president and CEO, had for community pharmacy during Sunday morning’s business session at NACDS Annual Meeting as the association celebrates its 80th anniversary.

PALM BEACH, Fla. — “We are writing history, and you are historic figures.” That was a key message that Steve Anderson, National Association of Chain Drug Stores president and CEO, had for community pharmacy during Sunday morning’s business session at NACDS Annual Meeting as the association celebrates its 80th anniversary. Prior to Anderson taking the stage, Greg Wasson, out-going chairman of the NACDS board and president and CEO of Walgreens, made his state of the industry remarks.

April 19, 2013

A report released yesterday by the Bipartisan Policy Center, entitled “A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment,” contains a smart, forward-looking and no-cost recommendation that could save the government billions, the Generic Pharmaceutical Association said.

WASHINGTON — A report released yesterday by the Bipartisan Policy Center, entitled “A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment,” contains a smart, forward-looking and no-cost recommendation that could save the government billions, the Generic Pharmaceutical Association said today.

April 12, 2013

A proposal to further reduce Medicaid drug reimbursement that was included in President Obama’s fiscal year 2014 budget plan is “premature” and federal Medicaid officials should focus on modifying and completing already proposed regulations to set future federal upper limits for reimbursement of most generic drugs, the National Association of Chain Drug Stores and the National Community Pharmacists Association said.

ALEXANDRIA, Va. — A proposal to further reduce Medicaid drug reimbursement that was included in President Obama’s fiscal year 2014 budget plan is “premature” and federal Medicaid officials should focus on modifying and completing already proposed regulations to set future federal upper limits for reimbursement of most generic drugs, the National Association of Chain Drug Stores and the National Community Pharmacists Association argued on Friday.

April 11, 2013

QS/1 has released Medicare Part B compliance documentation, which it said would be the first of its type on the market to help pharmacies that want to serve Part B customers while remaining compliant, the company said.

SPARTANBURG, S.C. — QS/1 has released Medicare Part B compliance documentation, which it said would be the first of its type on the market to help pharmacies that want to serve Part B customers while remaining compliant, the company said.

QS/1 said its Medicare Part B Compliance Documentation software system was the first of its kind, allowing pharmacies using NRx or PrimeCare Pharmacy Management Systems to serve Medicare Part B customer needs while keeping necessary documents in the event of an audit.

April 10, 2013

Legislation designed to limit the use of biosimilars has met defeat in Maryland.

WASHINGTON — Legislation designed to limit the use of biosimilars has met defeat in Maryland.

April 9, 2013

A desire to save money is driving younger and older adults to request cheaper drugs from their doctors, but it's also driving younger adults not to take their drugs as prescribed, according to a new study.

NEW YORK — A desire to save money is driving younger and older adults to request cheaper drugs from their doctors, but it's also driving younger adults not to take their drugs as prescribed, according to a new study.

April 8, 2013

A growing number of patients on Medicaid are filling their prescriptions through Managed Medicaid plans instead of the fee-for-service model as states switch them over in an effort to improve patient care and cut healthcare costs, but the effects remain unclear, according to a new study.

PARSIPPANY, N.J. — A growing number of patients on Medicaid are filling their prescriptions through Managed Medicaid plans instead of the fee-for-service model as states switch them over in an effort to improve patient care and cut healthcare costs, but the effects remain unclear, according to a new study.

April 3, 2013

The recent call letter released by the Centers for Medicare and Medicaid Services addresses issues that can have an adverse effect on the program's cost and quality of care, a trade group representing independent retail pharmacies said Wednesday.

ALEXANDRIA, Va. — The recent call letter released by the Centers for Medicare and Medicaid Services addresses issues that can have an adverse effect on the program's cost and quality of care, a trade group representing independent retail pharmacies said Wednesday.

Commenting on the CMS' announcement, the National Community Pharmacists Association said it had prepared a detailed list for its members.

April 2, 2013

Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

WASHINGTON — Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

March 29, 2013

A new Medicare Chronic Conditions Dashboard announced today by Marilyn Tavenner, acting administrator of the Centers for Medicare and Medicaid Services, furthers the Patient Protection and Affordable Care Act’s goals for health promotion and the prevention and management of multiple chronic conditions.

WASHINGTON — A new Medicare Chronic Conditions Dashboard announced today by Marilyn Tavenner, acting administrator of the Centers for Medicare and Medicaid Services (CMS), furthers the Patient Protection and Affordable Care Act’s goals for health promotion and the prevention and management of multiple chronic conditions.

March 28, 2013

The Department of Health and Human Services issued a new rule that it said was necessary to protect the security of health information stored online.

NEW YORK — The Department of Health and Human Services issued a new rule that it said was necessary to protect the security of health information stored online.

As required by the Health Information Technology for Economic and Clinical Health Act, which was part of the 2009 economic stimulus bill, HHS said it would change patient privacy rules in the Health Insurance Portability and Accountability Act in order to provide for privacy and security protection for information stored in electronic health records.

March 25, 2013

The Supreme Court heard arguments Monday in a case that could determine the future of generic drugs in America.

NEW YORK — The Supreme Court heard arguments Monday in a case that could determine the future of generic drugs in America.

The case, Federal Trade Commission v. Actavis, marks the latest attempt by federal authorities to put an end to what they say are deals between branded and generic drug companies that delay release of generic drugs to consumers.

March 12, 2013

The National Association of Chain Drug Stores has announced that Nancy-Ann DeParle, former deputy chief of staff for policy for President Barack Obama, will be the keynote speaker at the NACDS Chain Members and Political Action Committee (NACDS-PAC) breakfast, which will be held on April 22 during the NACDS Annual Meeting in Palm Beach, Fla.

 ARLINGTON, Va. — The National Association of Chain Drug Stores has announced that Nancy-Ann DeParle, former deputy chief of staff for policy for President Barack Obama, will be the keynote speaker at the NACDS Chain Members and Political Action Committee (NACDS-PAC) breakfast, which will be held on April 22 during the NACDS Annual Meeting in Palm Beach, Fla.

March 8, 2013

A bill that would expand the pool of patients who qualify for medication therapy management under Medicare was introduced to the House of Representatives Thursday with broad industry support.

WASHINGTON — A bill that would expand the pool of patients who qualify for medication therapy management under Medicare was introduced to the House of Representatives Thursday with broad industry support. 

Health policy research group NEHI cites that only 50% of patients take their medications properly as prescribed by their doctor, which costs the nation more than $290 billion annually in avoidable health spending annually. 

March 1, 2013

Every year, the Centers for Medicare and Medicaid Services issues a "call letter" to lay out various policies and requirements for the coming program year within the Medicare program.

ARLINGTON, Va. — Every year, the Centers for Medicare and Medicaid Services issues a "call letter" to lay out various policies and requirements for the coming program year within the Medicare program.

March 1, 2013

The Supreme Court will hear arguments later this month in a case that could determine the future of many patent settlements between brand and generic drug makers.

WASHINGTON — The Supreme Court will hear arguments later this month in a case that could determine the future of many patent settlements between brand and generic drug makers.

The high court will hear arguments in the case, Federal Trade Commission v. Actavis, on March 25. The case was originally titled FTC v. Watson, but has changed since Watson Pharmaceuticals changed its name following its acquisition of Swiss generic drug maker Actavis.