Content about Healthcare reform in the United States

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 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 7, 2011

Shortly after Health and Human Services secretary Kathleen Sebelius reached out to state governors about extending their Medicaid programs, the National Association of Chain Drug Stores sent a letter to Sebelius emphasizing the importance of expanding patient access to prescription drugs and pharmacy services to cut healthcare costs and improve patient outcomes.

ALEXANDRIA, Va. — Shortly after Health and Human Services secretary Kathleen Sebelius reached out to state governors about extending their Medicaid programs, the National Association of Chain Drug Stores sent a letter to Sebelius emphasizing the importance of expanding patient access to prescription drugs and pharmacy services to cut healthcare costs and improve patient outcomes.

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.

February 1, 2011

A federal judge in Florida has overturned a key portion of the healthcare-reform law and ruled that the entire law must be scrapped.

PENSACOLA, Fla. — A federal judge in Florida has overturned a key portion of the healthcare-reform law and ruled that the entire law must be scrapped.

February 1, 2011

Just when you thought the low end of the generic drug price spectrum couldn’t get any more commoditized, the $2 price point debuted with a big splash in September 2010.


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 19, 2011

The drive by Republicans to overturn the landmark health-reform legislation enacted last year threatens the health of as many as 129 million Americans with pre-existing conditions, the Obama administration’s top health official warned Tuesday.

WASHINGTON — The drive by Republicans to overturn the landmark health-reform legislation enacted last year threatens the health of as many as 129 million Americans with pre-existing conditions, the Obama administration’s top health official warned Tuesday.

January 14, 2011

Convenience and cost savings offered by retail-based health clinics are attractive to urban patients. Given sufficient cost savings, those urban patients are likely to seek care at such facilities, causing possible further growth and employment opportunities for nurse practitioners in these clinics, according to research published in the Journal of the American Academy of Nurse Practitioners.

NEW YORK — Convenience and cost savings offered by retail-based health clinics are attractive to urban patients. Given sufficient cost savings, those urban patients are likely to seek care at such facilities, causing possible further growth and employment opportunities for nurse practitioners in these clinics, according to research published in the Journal of the American Academy of Nurse Practitioners.

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 7, 2011

The news that CVS Caremark has entered an agreement to acquire the Medicare Part D business of Universal American is important on several fronts: Not only will the deal more than double the size of CVS Caremark's Medicare Part D program, but the move also comes just as the first baby boomers turn 65.

WHAT IT MEANS AND WHY IT'S IMPORTANT — The news that CVS Caremark has entered an agreement to acquire the Medicare Part D business of Universal American is important on several fronts: Not only will the deal more than double the size of CVS Caremark's Medicare Part D program, but the move also comes just as the first baby boomers turn 65.

(THE NEWS: CVS Caremark acquires Universal American. For the full story, click here)

January 7, 2011

Almost $8,000 a year in healthcare savings, per patient. That’s how much patients with congestive heart failure could save the U.S. healthcare system simply by taking their medications as prescribed, an exhaustive, three-year study by CVS Caremark concluded.

WHAT IT MEANS AND WHY IT’S IMPORTANT — Almost $8,000 a year in healthcare savings, per patient. That’s how much patients with congestive heart failure could save the U.S. healthcare system simply by taking their medications as prescribed, an exhaustive, three-year study by CVS Caremark concluded.

(THE NEWS: Adherence among chronic disease patients can lead to big savings. For the full story, click here)

January 6, 2011

The economic recession attributed to a mere 4% rise in healthcare spending, the slowest rate of growth in the 50-year history of the National Health Expenditure Accounts, according to the Centers for Medicare and Medicaid Services.

WASHINGTON — The economic recession attributed to a mere 4% rise in healthcare spending, the slowest rate of growth in the 50-year history of the National Health Expenditure Accounts, according to the Centers for Medicare and Medicaid Services.

That number translates to $2.5 trillion, or about $8,086 per person.

CMS added that, despite the slowdown, healthcare spending growth continued to outpace overall economic growth, which declined 1.7% in 2009, as measured by nominal Gross Domestic Product.

January 5, 2011

ALEXANDRIA, Va. — It’s a battle that raged for more than three years. But in mid-December, the retail pharmacy industry was able to declare a clear, unequivocal victory.


We’re talking, of course, about the struggle to head off what would have been a devastating change in the way Medicaid pays community pharmacies to dispense generic drugs to low-income patients. On Dec. 14, the chain and independent pharmacy lobbies announced they had reached a landmark agreement with the 
Centers for Medicare and Medicaid Services that effectively ends the threat.

January 4, 2011

Generic drug maker Mylan has settled a lawsuit concerning Medicaid reimbursements with the federal government and the state of Texas, Mylan said Dec. 24.

PITTSBURGH — Generic drug maker Mylan has settled a lawsuit concerning Medicaid reimbursements with the federal government and the state of Texas, Mylan said Dec. 24.

Under the settlement, Mylan will pay $65 million.

Several state attorneys general filed lawsuits against Mylan and other drug companies in September 2003 over Medicaid reimbursements, alleging that the companies defrauded the programs by reporting average wholesale prices greater than the prices of their prescription drugs, thus causing the programs to make excessive payments to healthcare providers.

January 3, 2011

CVS Caremark is more than doubling the size of its Medicare Part D program by acquiring the Medicare Part D business of Universal American for roughly $1.25 billion.

WOONSOCKET, R.I. — CVS Caremark is more than doubling the size of its Medicare Part D program by acquiring the Medicare Part D business of Universal American for roughly $1.25 billion.

Universal American’s Part D business currently serves about 1.9 million Medicare PDP members, while CVS Caremark serves roughly 1.2 million Medicare PDP members. This reflects current levels of membership and does not include 2011 auto assignment or the results of the annual enrollment period, which ended Dec. 31, 2010.

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 20, 2010

A study by the Government Accountability Office confirmed that the health-reform law enacted earlier this year established a more reasonable reimbursement level for pharmacies dispensing generic drugs to patients covered by Medicaid. But pharmacy retailers still face the continued threat of further Medicaid cuts at the state level, the independent pharmacy lobby warned Friday.

ALEXANDRIA, Va. — A study by the Government Accountability Office confirmed that the health-reform law enacted earlier this year established a more reasonable reimbursement level for pharmacies dispensing generic drugs to patients covered by Medicaid. But pharmacy retailers still face the continued threat of further Medicaid cuts at the state level, the independent pharmacy lobby warned Friday.

December 17, 2010

It’s a battle that raged for more than three years. But in mid-December, the retail pharmacy industry was able to declare a clear, unequivocal victory.

WHAT IT MEANS AND WHY IT’S IMPORTANT — It’s a battle that raged for more than three years. But in mid-December, the retail pharmacy industry was able to declare a clear, unequivocal victory.

(THE NEWS: In landmark victory for retail pharmacy, feds agree to drop last AMP provisions. For the full story, click here)

December 15, 2010

New York’s state Medicaid program could save $2.2 billion over 10 years by managing Medicaid pharmacy benefits more like private-sector employer plans, state employee plans and Medicare, according to a new study by healthcare policy research firm The Lewin Group.

WASHINGTON — New York’s state Medicaid program could save $2.2 billion over 10 years by managing Medicaid pharmacy benefits more like private-sector employer plans, state employee plans and Medicare, according to a new study by healthcare policy research firm The Lewin Group.

December 13, 2010

More retailers have joined UnitedHealthcare's prescription savings program that caters to Medicare Part D members.

MINNETONKA, Minn. — More retailers have signed on for UnitedHealthcare's prescription savings program that caters to Medicare Part D members.

Target, H-E-B, Hy-Vee, Publix Super Markets, Food Lion, Bloom, Harveys and Sweetbay Supermarket have joined the insurance company's Pharmacy Saver program, which allows members to purchase some scripts for $2 for 30-day and some 90-day supplies, and applies to hundreds of prescription drugs, including 8-of-the-10 most commonly used by UnitedHealthcare Medicare plan members.

December 10, 2010

A decision by Congress to reauthorize the Special Diabetes Program has drawn praise from the American Diabetes Association.

ALEXANDRIA, Va. — A decision by Congress to reauthorize the Special Diabetes Program has drawn praise from the American Diabetes Association.

The program was part of the Medicare and Medicaid Extenders Act of 2010 and will ensure continuance through 2013 of the Special Diabetes Program for American Indians while providing $150 million per year in funding.

December 7, 2010


BENTONVILLE, Ark. — It’s the kind of low-price power play that gives smaller-scale independent pharmacy owners — and chain drug store operators too, for that matter — the willies. In what promises to be another potent and potentially market-altering exercise in massive scale and competitive clout, Walmart has linked up with insurance heavyweight Humana to launch what it says will be the lowest-cost prescription drug plan for seniors who rely on Medicare Part D prescription drug coverage.


December 7, 2010

MINNETONKA, Minn. — Could the economy and the bare-knuckles competition that now defines pharmacy retailing lower the price bar even further for widely used generic drugs? It’s already happening.