Content about Insurance

November 26, 2012

Many health insurance plans are failing to provide coverage mandated by the healthcare reform law for treatments to help smokers and other tobacco users quit, the Campaign for Tobacco-Free Kids reported Monday, citing a study of insurance contracts by Georgetown University researchers that the group commissioned.

WASHINGTON — Many health insurance plans are failing to provide coverage mandated by the healthcare reform law for treatments to help smokers and other tobacco users quit, the Campaign for Tobacco-Free Kids reported Monday, citing a study of insurance contracts by Georgetown University researchers that the group commissioned. 

November 2, 2012

More health insurers are credentialing nurse practitioners as primary care providers, but there is room for improvement, according to a recent national survey of health insurers.

PHILADELPHIA — More health insurers are credentialing nurse practitioners as primary care providers, but there is room for improvement, according to a recent national survey of health insurers.

The survey of health insurers, specifically Health Maintenance Organizations — conducted by the National Nursing Centers Consortium, a support organization for nurse-led care — found that 75% of HMOs credential with nurse practitioners as primary care providers, an increase over previous years.

October 18, 2012

Walgreens on Thursday announced the appointment of Brad Fluegel as SVP and chief strategy officer.

DEERFIELD, Ill. — Walgreens recently announced the appointment of Brad Fluegel as SVP and chief strategy officer. Fluegel will be responsible for corporate strategy, business development, project management and the corporate consulting team while also working on venture capital efforts. 

October 11, 2012

Thirteen million more Americans had health insurance in June 2012 than 18 months earlier, according to a new report by BusinessOne Technologies, a healthcare technology and data company.

BENSALEM, Pa. — Thirteen million more Americans had health insurance in June 2012 than 18 months earlier, according to a new report by BusinessOne Technologies, a healthcare technology and data company.

July 31, 2012

CoramRx Specialty Pharmacy Services has received specialty pharmacy accreditation from URAC, the company announced.

DENVER — CoramRx Specialty Pharmacy Services has received specialty pharmacy accreditation from URAC, the company announced.

July 30, 2012

A provider of specialty pharmacy services to clients with chronic illnesses who need clotting factor, IVIg and other specialty pharmacy medications has been awarded specialty pharmacy accreditation from URAC.

RALEIGH, N.C. — A provider of specialty pharmacy services to clients with chronic illnesses who need clotting factor, IVIg and other specialty pharmacy medications has been awarded specialty pharmacy accreditation from URAC.

MedPro Rx said "receiving this accreditation demonstrates [the] company's commitment to quality and accountability in the healthcare industry."

June 19, 2012

SXC Health Solutions has been awarded specialty pharmacy accreditation from URAC.

LISLE, Ill. — SXC Health Solutions has been awarded specialty pharmacy accreditation from URAC.

URAC said that SXC "demonstrated a commitment to quality health care" by applying for and receiving specialty pharmacy accreditation.

June 15, 2012

This month, DSN C2B Mobile Insights presents the Drug Store Shopping Report Card. We asked our C2Bers to rate their most recent trip to the drug store — or wherever it is they go primarily to shop for pharmacy and health and beauty items. We received more than 1,500 responses from all over the country.

This month, DSN C2B Mobile Insights presents the Drug Store Shopping Report Card. We asked our C2Bers to rate their most recent trip to the drug store — or wherever it is they go primarily to shop for pharmacy and health and beauty items. We received more than 1,500 responses from all over the country.

May 30, 2012

Some health insurers are requiring patients to pay larger sums for specialty drugs, according to published reports.

NEW YORK — Some health insurers are requiring patients to pay larger sums for specialty drugs, according to published reports.

March 27, 2012

The Supreme Court on Tuesday morning heard arguments on whether the individual mandate portion of the Patient Protection and Affordable Care Act is constitutional.

WASHINGTON — The Supreme Court on Tuesday morning heard arguments on whether the individual mandate portion of the Patient Protection and Affordable Care Act is constitutional. The final decision, expected in June, could mean a swing between 15 million and 27 million Americans, along with their prescription and other healthcare needs, entering the insurance market in 2014, according to a recent study published by the Rand Corp.

March 8, 2012

In January, specialty pharmacy group contracting organization Armada Health Care introduced ApproveRx, a Web-based system that it says will greatly streamline the prior authorization process and already has been adopted by Amber Pharmacy. Meanwhile, the company also is gearing up for the Armada Summit at the Wynn Las Vegas Hotel in May.

In January, specialty pharmacy group contracting organization Armada Health Care introduced ApproveRx, a Web-based system that it says will greatly streamline the prior authorization process and already has been adopted by Amber Pharmacy. Meanwhile, the company also is gearing up for the Armada Summit at the Wynn Las Vegas Hotel in May. Recently, Drug Store News spoke with Armada CEO Larry Irene about these recent developments.


DSN: How did Armada develop the ApproveRx 
system? 


February 15, 2012

A pharmacy benefit management organization has received accreditation for its specialty pharmacy program.

IRVINE, Calif. — A pharmacy benefit management organization has received accreditation for its specialty pharmacy program.

OptumRx said it earned accreditation from URAC, an independent, nonprofit organization that promotes healthcare quality through its accreditation, education and measurement programs.

The specialty pharmacy program offers members comprehensive and coordinated delivery and support services for high-cost oral or injectable medications, which are used to treat complex chronic conditions, OptumRx said.

January 31, 2012

California state officials tentatively are blocked from moving forward with a 10% Medi-Cal reimbursement rate cut.

SACRAMENTO, Calif. — California state officials tentatively are blocked from moving forward with a 10% Medi-Cal reimbursement rate cut.

The court decision, handed down by Judge Christina Snyder, was applauded by several organizations, including the California Medical Association, the California Dental Association, the National Association of Chain Drug Stores, the California Association of Medical Product Suppliers, the AIDS Healthcare Foundation and the American Medical Response.

January 23, 2012

Pet medications now are available at all Kroger pharmacies in the Houston area, the company said.

HOUSTON — Pet medications now are available at all Kroger pharmacies in the Houston area, the company said.

Customers with four-legged family members now can pick up their pets' prescriptions at the pharmacy counter. Popular medications, such as Frontline Plus and Rimadyl Chewables, are available, as well as $4 and $10 generic medications.

December 19, 2011

US Bioservices, the specialty pharmacy of AmerisourceBergen, on Monday announced that it had received the Specialty Pharmacy Accreditation from URAC, a Washington-based healthcare accrediting organization that establishes quality standards for the healthcare industry.

VALLEY FORGE, Pa. — US Bioservices, the specialty pharmacy of AmerisourceBergen, on Monday announced that it had received the Specialty Pharmacy Accreditation from URAC, a Washington-based healthcare accrediting organization that establishes quality standards for the healthcare industry.

December 13, 2011

The unemployed and underemployed have limited access to health care and, in many cases, are putting off seeking medical care, according to the "Long-Term Unemployed Survey" released on Monday by NPR News and the Kaiser Family Foundation.

MENLO PARK, Calif. — The unemployed and underemployed have limited access to health care and, in many cases, are putting off seeking medical care, according to the "Long-Term Unemployed Survey" released on Monday by NPR News and the Kaiser Family Foundation.

When they are sick or need medical advice, the long‐term unemployed and underemployed are much more likely than those with full‐time jobs to say they rely on a hospital emergency room or that they have no usual place to go for care (39% compared with 15% of full‐time employees).

November 3, 2011

CVS Caremark on Thursday reported solid third-quarter results — 2 cents above the high end of its guidance range — driven in large part by better-than-expected performance in its pharmacy benefit management, which is in the midst of a profit-improvement plan.

WOONSOCKET, R.I. — CVS Caremark on Thursday reported solid third-quarter results — 2 cents above the high end of its guidance range — driven in large part by better-than-expected performance in its pharmacy benefit management, which is in the midst of a profit-improvement plan.

November 1, 2011

The National Community Pharmacists Association on Monday touted the benefits community pharmacies can provide for health insurance exchanges once those exchange open in 2014 in a letter addressed to the Department of Health and Human Services.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Monday touted the benefits community pharmacies can provide for health insurance exchanges once those exchange open in 2014 in a letter addressed to the Department of Health and Human Services.

October 11, 2011

At press time, the industry was weighing the potential merger of pharmacy benefit manager rivals Express Scripts and Medco Health Solutions, but executives at CVS Caremark remain more confident than ever that its PBM business is ideally positioned to “effectively compete."


At press time, the industry was weighing the potential merger of pharmacy benefit manager rivals Express Scripts and Medco Health Solutions, but executives at CVS Caremark remain more confident than ever that its PBM business is ideally positioned to “effectively compete,” regardless of what federal trade regulators decide for ESI-Medco. And there’s good reason why.


October 3, 2011

Humana will offer Medicare Part D beneficiaries a prescription drug plan co-branded with Wal-Mart Stores, the two companies said Monday.

LOUISVILLE, Ky. — Humana will offer Medicare Part D beneficiaries a prescription drug plan co-branded with Wal-Mart Stores, the two companies said Monday.

The plan, originally launched in 2010, will be launched again for 2012 and will include savings on monthly plan premiums, prescription drug copayments and cost-shares for beneficiaries.

August 9, 2011

Walgreens is planning to sell health insurance as soon as this fall, CNNMoney reported Tuesday morning.

NEW YORK — Walgreens is planning to sell health insurance as soon as this fall, CNNMoney reported Tuesday morning.

Walgreens declined to comment on the matter, according to the report.

The Chicago-based pharmacy-and-more operator would sell health insurance products with different price ranges and coverage levels across its network nationwide through a private health insurance exchange, CNNMoney reported, citing people familiar with the plan.

August 4, 2011

Healthcare accrediting organization URAC has given accreditation to Magellan Health Services' specialty pharmacy division.

AVON, Conn. — Healthcare accrediting organization URAC has given accreditation to Magellan Health Services' specialty pharmacy division.

Magellan announced Wednesday that ICORE Healthcare had received the accreditation after meeting the Washington-based organization's standards, developed by its pharmacy advisory committee.

July 21, 2011

Take Care Health Systems, which is owned by Walgreens, has revamped its website to now provide patients with online access to estimated clinic wait times, clinical quality scores and cost of services at Take Care Clinics across the country.

CONSHOHOCKEN, Pa. — Take Care Health Systems, which is owned by Walgreens, has revamped its website to now provide patients with online access to estimated clinic wait times, clinical quality scores and cost of services at Take Care Clinics across the country.

July 12, 2011

The U.S. Department of Health and Human Services on Monday proposed a framework to assist states in building Affordable Insurance Exchanges, state-based competitive marketplaces where individuals and small businesses will be able to purchase affordable private health insurance.

WASHINGTON — The U.S. Department of Health and Human Services on Monday proposed a framework to assist states in building Affordable Insurance Exchanges, state-based competitive marketplaces where individuals and small businesses will be able to purchase affordable private health insurance.

June 14, 2011

Many American consumers are in favor of oral contraceptive coverage by both private and government-subsidized health insurance plans, according to a Thomson Reuters-National Press Radio Health Poll released Friday.

ANN ARBOR, Mich. — Many American consumers are in favor of oral contraceptive coverage by both private and government-subsidized health insurance plans, according to a Thomson Reuters-National Press Radio Health Poll released Friday.

"Our survey findings provide a benchmark for public sentiment on issues that are continually dividing lawmakers, businesspeople and healthcare professionals," said Raymond Fabius, chief medical officer at the healthcare business of Thomson Reuters.