Content about Healthcare in the United States

April 15, 2011

CVS Caremark announced on Friday that it has agreed to pay $17.5 million, to be allocated among the federal government and 10 participating states, to resolve a civil complaint concerning how its CVS/pharmacy retail pharmacies submitted reimbursement claims in certain states for prescriptions filled for "dual eligible" patients who have coverage under both Medicaid and a third-party insurance plan.

WOONSOCKET, R.I. — CVS Caremark announced on Friday that it has agreed to pay $17.5 million, to be allocated among the federal government and 10 participating states, to resolve a civil complaint concerning how its CVS/pharmacy retail pharmacies submitted reimbursement claims in certain states for prescriptions filled for "dual eligible" patients who have coverage under both Medicaid and a third-party insurance plan.

April 13, 2011

The National Association of Chain Drug Stores said that it has signed on as a partner for a new public-private partnership, announced by the Department of Health and Human Services and Centers for Medicare & Medicaid Services, that seeks to improve patient health and lower healthcare costs through the use of community-based care transition programs.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores said that it has signed on as a partner for a new public-private partnership, announced by the Department of Health and Human Services and Centers for Medicare & Medicaid Services, that seeks to improve patient health and lower healthcare costs through the use of community-based care transition programs.

NACDS lauded the initiative's recognition of pharmacy's role in helping patients take their medications as prescribed.

April 8, 2011

A Georgetown University Health Policy Institute study of Florida’s Medicaid Managed Care pilot program should raise doubts for states considering the use of for-profit managed care companies to reduce Medicaid costs, the National Community Pharmacists Association cautioned on Friday.

ALEXANDRIA, Va. — A Georgetown University Health Policy Institute study of Florida’s Medicaid Managed Care pilot program should raise doubts for states considering the use of for-profit managed care companies to reduce Medicaid costs, the National Community Pharmacists Association cautioned on Friday.

April 6, 2011

The Centers for Medicare and Medicaid Services announced this week it would delay implementation of its proposed Medicare Part D long-term care “short-cycle” rule for one year.

ALEXANDRIA, Va. — The Centers for Medicare and Medicaid Services announced this week it would delay implementation of its proposed Medicare Part D long-term care “short-cycle” rule for one year.

March 29, 2011

Raising Medicare’s eligibility age from 65 to 67 years in 2014 would generate an estimated $7.6 billion in net savings to the federal government, but also would result in an estimated net increase of $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, as well as $4.5 billion in employer retiree healthcare costs, according to a new Kaiser Family Foundation projection of the potential change suggested by several deficit-reduction plans.

MENLO PARK, Calif. — Raising Medicare’s eligibility age from 65 to 67 years in 2014 would generate an estimated $7.6 billion in net savings to the federal government, but also would result in an estimated net increase of $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, as well as $4.5 billion in employer retiree healthcare costs, according to a new Kaiser Family Foundation projection of the potential change suggested by several deficit-reduction plans.

March 24, 2011

In a letter to the Centers for Medicare and Medicaid Services, the National Community Pharmacists Association and 20 healthcare groups expressed their concerns over the proposed Medicare Part D long-term care “short cycle” rule.

ALEXANDRIA, Va. — In a letter to the Centers for Medicare and Medicaid Services, the National Community Pharmacists Association and 20 healthcare groups expressed their concerns over the proposed Medicare Part D long-term care “short cycle” rule.

The groups recommended that CMS postpone its implementation of a rule that would require dispensing certain prescription medications in seven-day supplies or less, rather than the traditional 30-day supply.

March 9, 2011

A report by the Department of Health and Human Services' Office of Inspector General found that beneficiary premiums in the Medicare Part D prescription drug program are higher than than they should be, due to overpayments to plan sponsors, including pharmacy benefit managers.

ALEXANDRIA, Va. — A report by the Department of Health and Human Services' Office of Inspector General found that beneficiary premiums in the Medicare Part D prescription drug program are higher than than they should be, due to overpayments to plan sponsors, including pharmacy benefit managers.

February 28, 2011

Two lobbying groups representing the nation's pharmacies are emphasizing how community pharmacies can help lower prescription drug costs, as well as the importance of maintaining the right of military families and veterans to choose where they fill their prescriptions through the Tricare program.

ALEXANDRIA, Va. — Two lobbying groups representing the nation's pharmacies are emphasizing how community pharmacies can help lower prescription drug costs, as well as the importance of maintaining the right of military families and veterans to choose where they fill their prescriptions through the Tricare program.

February 25, 2011

Give a man a doctor’s co-pay, and he is healthy for a day. Give him a health savings account, and that man becomes so much more vested in ensuring positive health outcomes that he may be healthy for a lifetime. Because in the long run, it’s cheaper.

WHAT IT MEANS AND WHY IT’S IMPORTANT — Give a man a doctor’s co-pay, and he is healthy for a day. Give him a health savings account, and that man becomes so much more vested in ensuring positive health outcomes that he may be healthy for a lifetime. Because in the long run, it’s cheaper.

(THE NEWS: HSAs saw dramatic growth in 2010, study finds. For the full story, click here)

February 25, 2011

In his 2011-2012 budget, New York governor Andrew Cuomo included a proposal to update New York’s Medicaid program. The announcement comes at the heels of New Jersey governor Chris Christie's motion to modernize the state's Medicaid plan.

WASHINGTON — In his 2011-2012 budget, New York governor Andrew Cuomo included a proposal to update New York’s Medicaid program. The announcement comes at the heels of New Jersey governor Chris Christie's motion to modernize the state's Medicaid plan.

Similarly to New Jersey's plan, Cuomo said New York's “Proposal to Redesign Medicaid” could save state taxpayers $350 million though 2015 by managing prescription drug benefits similarly to those in Medicare and private-sector programs.

February 24, 2011

Health savings accounts surpassed $10 billion at year-end 2010, according to a survey and the resulting research report conducted by Devenir, an investment firm that specializes in providing investment options for HSAs.

MINNEAPOLIS — Health savings accounts surpassed $10 billion at year-end 2010, according to a survey and the resulting research report conducted by Devenir, an investment firm that specializes in providing investment options for HSAs.

February 18, 2011

The Medicare Fraud Strike Force on Thursday charged 111 defendants in nine cities — including doctors, nurses and healthcare company owners and executives — for their alleged participation in Medicare fraud schemes involving more than $225 million in false billing. The operation marks the largest federal healthcare-fraud takedown.

WASHINGTON — The Medicare Fraud Strike Force on Thursday charged 111 defendants in nine cities — including doctors, nurses and healthcare company owners and executives — for their alleged participation in Medicare fraud schemes involving more than $225 million in false billing. The operation marks the largest federal healthcare-fraud takedown.

February 15, 2011

Mark Merritt, the president and CEO of the Pharmaceutical Care Management Association, responded to a provision on the Pentagon's new budget proposal, which encourages Tricare members to use generic medications and mail-service pharmacies to save money.

WASHINGTON — Mark Merritt, the president and CEO of the Pharmaceutical Care Management Association, responded to a provision on the Pentagon's new budget proposal, which encourages Tricare members to use generic medications and mail-service pharmacies to save money.

February 10, 2011

Companion legislation, which seeks to change a provision in the healthcare-reform law and permit Americans to use their flexible spending accounts and health savings accounts to buy over-the-counter medications without a prescription, has the support of the National Association of Chain Drug Stores.

ALEXANDRIA, Va. — Companion legislation, which seeks to change a provision in the healthcare-reform law and permit Americans to use their flexible spending accounts and health savings accounts to buy over-the-counter medications without a prescription, has the support of the National Association of Chain Drug Stores.

February 8, 2011

A group representing the nation’s pharmacy benefit managers said Health and Human Services secretary Kathleen Sebelius should continue encouraging state Medicaid programs to explore affordable pharmacy solutions despite opposition from the independent drug store lobby.

WASHINGTON — A group representing the nation’s pharmacy benefit managers said Health and Human Services secretary Kathleen Sebelius should continue encouraging state Medicaid programs to explore affordable pharmacy solutions despite opposition from the independent drug store lobby.

February 3, 2011

The Department of Health and Human Services is encouraging state governments to save money with generic drugs.

WASHINGTON — The Department of Health and Human Services is encouraging state governments to save money with generic drugs.

In a document released Thursday, HHS secretary Kathleen Sebelius urged all 50 state governors to increase the use of generic drugs in their state Medicaid programs.

January 28, 2011

Concerns that contracting rules affecting healthcare providers that service Tricare beneficiaries could extend to retail pharmacies has prompted the country’s largest chain pharmacy lobby to file a friend-of-the-court brief in a lawsuit over the regulations.

ALEXANDRIA, Va. — Concerns that contracting rules affecting healthcare providers that service Tricare beneficiaries could extend to retail pharmacies has prompted the country’s largest chain pharmacy lobby to file a friend-of-the-court brief in a lawsuit over the regulations.

The National Association of Chain Drug Stores filed an amicus curiae brief in support of the defendant in the case, Office of Federal Contract Compliance Programs, U.S. Department of Labor v. Florida Hospital of Orlando.

January 27, 2011

Seniors of Hispanic descent are far less likely to become immunized against the flu or pneumonia, compared with white seniors, according to a new RAND study released earlier this week.

SANTA MONICA, Calif. — Seniors of Hispanic descent are far less likely to become immunized against the flu or pneumonia, compared with white seniors, according to a new RAND study released earlier this week.

Researchers found that Hispanic seniors who prefer speaking Spanish and live in such linguistically isolated communities as the Southeast are least likely to be immunized.

January 18, 2011

A group representing the drug retailing industry submitted a letter to the House Committee on Oversight and Government Reform chairman, Rep. Darrell Issa, R-Calif., regarding "issues [that] are of the utmost importance" to its members.

ALEXANDRIA, Va. — A group representing the drug retailing industry submitted a letter to the House Committee on Oversight and Government Reform chairman, Rep. Darrell Issa, R-Calif., regarding "issues [that] are of the utmost importance" to its members.

The National Association of Chain Drug Stores' president and CEO, Steve Anderson, wrote to Issa, highlighting certain pieces of legislation that affect traditional drug stores, supermarkets and mass merchants with pharmacies, all of which NACDS represents.

January 14, 2011

Nearly 2-of-every-3 Americans said they would oppose any further cuts to federally funded care for seniors needing long-term care.

WASHINGTON — Nearly 2-of-every-3 Americans said they would oppose any further cuts to federally funded care for seniors needing long-term care.

A newly released nationwide survey from the Zogby polling firm found that 65% of Americans expressed opposition to policies that resulted in cuts to Medicaid funding for nursing home care for the nation’s poor and elderly. The American Health Care Association, which sponsored the poll, also reported these findings Friday:

January 5, 2011

BALTIMORE — If the government paid for drug cost incentives for Medicare patients with congestive heart failure, the program could recoup those costs and more by spending less on expensive hospitalizations for patients. 


That finding was one of several to emerge from research conducted by pharmacy students at the University of Maryland School of Pharmacy. The four students presented their findings on elderly drug adherence at the annual meeting of the Gerontology Society of America in New Orleans.

January 3, 2011

The Internal Revenue Service has released its guidance on the healthcare-reform law’s tax on drug makers, according to documents posted on the agency’s website.

WASHINGTON — The Internal Revenue Service has released its guidance on the healthcare-reform law’s tax on drug makers, according to documents posted on the agency’s website.

The tax applies to branded drug companies with total sales of at least $5 million to government health programs, including Medicare, Medicaid, Tricare and programs administered by the defense and veterans affairs departments.

December 22, 2010

Carol Kelly, SVP government affairs and public policy for NACDS, spoke with Drug Store News on Dec. 20 about what the state Medicaid budget crisis means for pharmacies in Washington, what NACDS is doing to resolve the issue and how the state could address its healthcare costs more effectively.

A budgetary crisis in Washington state has spawned new threats to pharmacy retailers as lawmakers and Gov. Chris Greqoire grapple with an expected shortfall of $1.4 billion in 2011.

December 15, 2010

Tens of millions of Americans have bought medications online without a prescription, according to a new study.

WASHINGTON — Tens of millions of Americans have bought medications online without a prescription, according to a new study.

According to research funded by the Alliance for Save Online Pharmacies and released by The Partnership at DrugFree.org, illegal online pharmacies have sold drugs to 36 million Americans.

December 14, 2010

The Accreditation Commission for Health Care has accredited specialty pharmacy provider Axium Healthcare Pharmacy, Axium said Tuesday.

LAKE MARY, Fla. — The Accreditation Commission for Health Care has accredited specialty pharmacy provider Axium Healthcare Pharmacy, Axium said Tuesday.