Content about Healthcare in the United States

July 27, 2012

A new study from Harvard School of Public Health found that expanding Medicaid to low-income adults led to improved health and reduced mortality. It is the first published study to look specifically at the effect of recent state Medicaid expansions on mortality among low-income adults.

BOSTON — A new study from Harvard School of Public Health found that expanding Medicaid to low-income adults led to improved health and reduced mortality. It is the first published study to look specifically at the effect of recent state Medicaid expansions on mortality among low-income adults.

July 23, 2012

The Centers for Medicare and Medicaid Services on Monday hosted a public meeting to entertain a controversial payment adjustment — called "inherent reasonableness" — in reimbursing for non-mail-order diabetes supplies.

ALEXANDRIA, Va. — The Centers for Medicare and Medicaid Services on Monday hosted a public meeting to entertain a controversial payment adjustment — called "inherent reasonableness" — in reimbursing for non-mail-order diabetes supplies.

July 16, 2012

Pharmacy retailers have a relationship with the healthcare-reform law more complicated than most individuals and businesses.

WHAT IT MEANS AND WHY IT'S IMPORTANT — Pharmacy retailers have a relationship with the healthcare-reform law more complicated than most individuals and businesses.

(THE NEWS: "NRF praises House's decision to repeal ACA." For the full story click here)

July 5, 2012

As states grapple with tight budgets, rising Medicaid costs and the anticipated expansion of Medicaid following the Supreme Court's decision to uphold the Patient Protection and Affordable Care Act, policymakers should consider how community pharmacists can help reduce expenses. In addition, new evidence offers a fresh reminder of the perils of managed care in Medicaid and the need for proper oversight of managed care entities.

As states grapple with tight budgets, rising Medicaid costs and the anticipated expansion of Medicaid following the Supreme Court's decision to uphold the Patient Protection and Affordable Care Act, policymakers should consider how community pharmacists can help reduce expenses. In addition, new evidence offers a fresh reminder of the perils of managed care in Medicaid and the need for proper oversight of managed care entities.

June 28, 2012

While the Supreme Court on Thursday morning left the Patient Protection and Affordable Care Act mostly intact, the court did rule that Congress cannot withhold federal Medicaid spending from a state that does not expand its eligibility requirements under the act.

WASHINGTON — While the Supreme Court on Thursday morning left the Patient Protection and Affordable Care Act mostly intact, the court did rule that Congress cannot withhold federal Medicaid spending from a state that does not expand its eligibility requirements under the act.

Under the Affordable Care Act, Medicaid was to be transformed into a program to meet the healthcare needs of the entire nonelderly population with income below 133% of the poverty level.

June 25, 2012

You want Rite Aid to win. A Rite Aid win represents a proof of concept — that concept being the creation of an effective market-driven loyalty program that incorporates savings on the healthcare services that actually works and in fact cross-pollinates pharmacy patients and front-end shoppers; that concept being that generic waves need not wash out all pharmacy sales volume if a pharmacy retailer can successfully grow ancillary healthcare services, such as immunizations or Rite Aid's new Rite Care Prescription Advisor; that concept being that there is in fact a return on investment from placing a knowledgeable team member armed with a tablet of health information physically in the aisles to proactively engage patients.

WHAT IT MEANS AND WHY IT'S IMPORTANT — You want Rite Aid to win.

June 18, 2012

Americans still are forgoing or delaying health care on account of the economy, according to the Kaiser Family Foundation, which recently released its May Health Tracking Poll.

MENLO PARK, Calif. — Americans still are forgoing or delaying health care on account of the economy, according to the Kaiser Family Foundation, which recently released its May Health Tracking Poll.

One in four Americans reported they have had problems paying medical bills in the past year, and as many as 60% said they have cut corners to avoid healthcare costs.

June 13, 2012

The National Rural Health Association on Wednesday sent a letter to U.S. Rep. Cathy McMorris Rodgers, R-Wash., strongly supporting the bill she introduced in March — H.R. 4215, the Medicare Pharmacy Transparency and Fair Auditing Act.

ALEXANDRIA, Va. — The National Rural Health Association on Wednesday sent a letter to U.S. Rep. Cathy McMorris Rodgers, R-Wash., strongly supporting the bill she introduced in March — H.R. 4215, the Medicare Pharmacy Transparency and Fair Auditing Act. The bill helps safeguard patient access to independent community pharmacists and addresses abusive pharmacy auditing practices, while allowing legitimate Medicare Part D anti-fraud oversight to continue.

June 6, 2012

Specialty pharmacy provider MedPro Rx has received accreditation from an accrediting body for the fourth time, the company said.

RALEIGH, N.C. — Specialty pharmacy provider MedPro Rx has received accreditation from an accrediting body for the fourth time, the company said.

MedPro Rx said the accreditation, from the American Commission for Health Care, also marked the first time the company had received it for specialty pharmacy services and infusion nursing services, calling ACHC accreditation a key benchmark for measuring an organization's quality.

June 1, 2012

This is one of the tweaks health reform needs to make it meaningful and to appropriately align all of the incentives in the right direction — and that's toward overall healthcare cost reduction.

WHAT IT MEANS AND WHY IT'S IMPORTANT — This is one of the tweaks health reform needs to make it meaningful and to appropriately align all of the incentives in the right direction — and that's toward overall healthcare cost reduction. Because mandating a prescription in order that nonprescription medicines would be eligible expenses under either flexible spending accounts or health savings accounts just never made sense, intuitive or otherwise.

June 1, 2012

The National Community Pharmacists Association on Friday identified three problematic regulations that inhibit job creation.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Friday identified three problematic regulations that inhibit job creation.

The Medicare Part B diabetes testing supplies competitive bidding program threatens patient access to these medical necessities, the association noted, and the 340B Drug Discount program also represents a challenge to community pharmacy due to its loose eligibility criteria. Lastly, job creation can be inhibited by the fee-for-service Medicare enrollment/revalidation fees that many pharmacies have to pay twice.

May 31, 2012

The House Ways and Means Committee on Thursday approved the Restoring Access to Medication Act (H.R. 5842), which would repeal the provision of the Patient Protection and Affordable Care Act that disqualified expenses for over-the-counter drugs as eligible for reimbursement under health savings accounts and flexible spending arrangements without a prescription.

WASHINGTON — The House Ways and Means Committee on Thursday approved the Restoring Access to Medication Act (H.R. 5842), which would repeal the provision of the Patient Protection and Affordable Care Act that disqualified expenses for over-the-counter drugs as eligible for reimbursement under health savings accounts and flexible spending arrangements without a prescription.

May 23, 2012

As part of the Patient Protection and Affordable Care Act passed last year under health reform, Medicare now offers preventive wellness visits to seniors enrolled in Medicare Part B and select Medicare Advantage plans. For eligible seniors, these wellness visits can prove to be an important step in preventive care; however, the rates of utilization are surprisingly low. That’s the bad news. The good news is that this represents an ideal opportunity for convenient care clinics.

As part of the Patient Protection and Affordable Care Act passed last year under health reform, Medicare now offers preventive wellness visits to seniors enrolled in Medicare Part B and select Medicare Advantage plans. For eligible seniors, these wellness visits can prove to be an important step in preventive care; however, the rates of utilization are surprisingly low. That’s the bad news. The good news is that this represents an ideal opportunity for convenient care clinics.

May 16, 2012

The National Association of Chain Drug Stores has emphasized the commitment of NACDS and the chain pharmacy industry to partner with policy-makers and others to improve quality and lower costs in the healthcare delivery system in a statement sent to the U.S. Senate Health, Education, Labor and Pensions Committee.

ALEXANDRIA, Va.  — The National Association of Chain Drug Stores has emphasized the commitment of NACDS and the chain pharmacy industry to partner with policy-makers and others to improve quality and lower costs in the healthcare delivery system in a statement sent to the U.S. Senate Health, Education, Labor and Pensions Committee, NACDS announced on Tuesday.

May 14, 2012

The Center for Medicare and Medicaid Services needs to beef up its oversight on Medicare Part D submissions from retail pharmacy, according to an Office of Inspector General report published last week.

WASHINGTON — The Center for Medicare and Medicaid Services needs to beef up its oversight on Medicare Part D submissions from retail pharmacy, according to an Office of Inspector General report published last week.

The OIG suggested CMS strengthen a MEDIC's ability to track pharmacy billing (MEDICs — Medicare Drug Integrity Contractors — are private organizations who are contracted by CMS to assist in anti-fraud and abuse efforts) and improve compliance plan audits, specifically targeting independent pharmacies and pharmacies in urban locales.

May 9, 2012

The National Association of Chain Drug Stores announced on Wednesday that it has submitted comments to the U.S. House Ways and Means Subcommittee on Health urging that retail pharmacies remain exempt from the Medicare durable medical equipment competitive bidding program.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores announced on Wednesday that it has submitted comments to the U.S. House Ways and Means Subcommittee on Health urging that retail pharmacies remain exempt from the Medicare durable medical equipment competitive bidding program. The subcommittee held a hearing regarding the program on Wednesday.

May 7, 2012

The National Association of Chain Drug Stores and the National Community Pharmacists Association today expressed concerns in a letter sent to Senate Armed Services Committee and House Armed Services Committee leaders over the potential impact of the administration’s fiscal year 2013 budget on Tricare beneficiaries and community pharmacy.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores and the National Community Pharmacists Association today expressed concerns in a letter sent to Senate Armed Services Committee and House Armed Services Committee leaders over the potential impact of the administration’s fiscal year 2013 budget on Tricare beneficiaries and community pharmacy.

May 4, 2012

The Little Clinic has announced that it has earned reaccreditation from the Joint Commission by continuing to demonstrate compliance with the highest national standards for healthcare safety and quality of care.

NASHVILLE, Tenn. — The Little Clinic has announced that it has earned reaccreditation from the Joint Commission by continuing to demonstrate compliance with the highest national standards for healthcare safety and quality of care.

A wholly owned subsidiary of Kroger, The Little Clinic initially earned accreditation and the Joint Commission Gold Seal of Approval in 2009 and is only the second retail healthcare provider to receive reaccreditation from the Joint Commission.

April 13, 2012

The news that Take Care Clinics now are offering wellness services for Medicare enrollees clearly demonstrates that there’s an opportunity for retail clinics to fill gaps in care, and promote wellness and better patient outcomes.

WHAT IT MEANS AND WHY IT'S IMPORTANT — The news that Take Care Clinics now are offering wellness services for Medicare enrollees clearly demonstrates that there’s an opportunity for retail clinics to fill gaps in care, and promote wellness and better patient outcomes.

(THE NEWS: Take Care Clinics offering Medicare wellness visits. For the full story, click here.)

April 12, 2012

Take Care Health Systems, which is owned by Walgreens, now is providing wellness services for Medicare enrollees at all Take Care Clinic locations throughout the country, the retail health clinic operator announced on Thursday.

CONSHOHOCKEN, Pa. — Take Care Health Systems, which is owned by Walgreens, now is providing wellness services for Medicare enrollees at all Take Care Clinic locations throughout the country, the retail health clinic operator announced on Thursday.

The Welcome to Medicare Preventive Visits and Medicare Yearly Wellness Visits are wellness services for Medicare enrollees, which include screenings for a number of common conditions, as well as education and counseling to encourage wellness and prevent disease.

April 4, 2012

The National Association of Chain Drug Stores has submitted official comments to the Centers for Medicare and Medicaid Services regarding its proposed rule on Medicaid pharmacy reimbursement using the average manufacturer price model.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores has submitted official comments to the Centers for Medicare and Medicaid Services regarding its proposed rule on Medicaid pharmacy reimbursement using the average manufacturer price model. The AMP model was reformed by the Patient Protection and Affordable Care Act.

April 4, 2012

A group that claims a membership of more than 20,000 pharmacies nationwide has appointed a new member to its leadership team.

LEESBURG, Va. — A group that claims a membership of more than 20,000 pharmacies nationwide has appointed a new member to its leadership team.

RxAlly announced that it had hired John Miall as national practice leader for integrated care initiatives. Miall will work with payers, government agencies and others on commercial, self-funded, Medicaid and Medicare programs through medication therapy management and other pharmacist-based care models.

March 28, 2012

The Senate Armed Services Subcommittee on Personnel on Wednesday held a hearing to discuss the fiscal year 2013 defense authorization.

ALEXANDRIA, Va. — The Senate Armed Services Subcommittee on Personnel on Wednesday held a hearing to discuss the fiscal year 2013 defense authorization.

March 28, 2012

The National Community Pharmacists Association on Monday released the program for its 2012 Legislative Conference meeting, which will bring community pharmacists and some of Washington, D.C.’s most senior decision-makers together to discuss pressing healthcare and pharmacy issues.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Monday released the program for its 2012 Legislative Conference meeting, which will bring community pharmacists and some of Washington, D.C.’s most senior decision-makers together to discuss pressing healthcare and pharmacy issues.
 

March 27, 2012

A few weeks ago, we joined some 37,000 of our closest friends for the Healthcare Information and Management Systems Society (HIMSS) annual conference. HIMSS is a cause-based, not-for-profit organization focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of health care.

A few weeks ago, we joined some 37,000 of our closest friends for the Healthcare Information and Management Systems Society (HIMSS) annual conference. HIMSS is a cause-based, not-for-profit organization focused on providing global leadership for the optimal use of information technology and management systems for the betterment of health care.