Content about Medicaid

February 28, 2013

Medicare and Medicaid are working with the private sector to create a roadmap for the future of healthcare delivery, and a congressional hearing was convened Thursday to ensure it does that.

ARLINGTON, Va. — Medicare and Medicaid are working with the private sector to create a roadmap for the future of healthcare delivery, and a congressional hearing was convened Thursday to ensure it does that.

The Senate Finance Committee hearing, titled "Delivery System Reform: Progress Report from CMS," included Sens. Max Baucus, D-Mont., and Orrin Hatch, R-Utah.

February 27, 2013

The National Community Pharmacists Association on Wednesday commended a bipartisan push for the Government Accountability Office to review the impact on patients of sharp reductions in reimbursement for diabetes test supplies provided by community pharmacies to Medicare beneficiaries.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Wednesday commended a bipartisan push for the Government Accountability Office to review the impact on patients of sharp reductions in reimbursement for diabetes test supplies provided by community pharmacies to Medicare beneficiaries. 

February 22, 2013

The YMCA is offering a demonstration project to show that its YMCA Diabetes Prevention Program — part of the Centers for Disease Control and Prevention's broader National Diabetes Prevention Program — can lower the incidence of Type 2 diabetes and reduce medical costs incurred by Medicare. The Centers for Medicare and Medicaid Innovation is funding the project, whereby YMCAs in 17 communities that deliver the program will offer it at no cost to 10,000 Medicare enrollees over the next three years, and the YMCA expects it to save Medicare $4.2 million over three years and $53 million over six years.

It's been said that, "It takes a village to raise a child," and because chronic disease is an issue that affects communities as a whole - not just individuals - it would make sense for community-based organizations to target a growing national health crisis like the diabetes epidemic.

The YMCA is offering a demonstration project to show that its YMCA Diabetes Prevention Program — part of the Centers for Disease Control and Prevention's broader National Diabetes Prevention Program — can lower the incidence of Type 2 diabetes and reduce medical costs incurred by Medicare.

February 19, 2013

The YMCA is sponsoring a diabetes-control program that some say could slow the disease's spread, according to published reports.

NEW YORK — The YMCA is sponsoring a diabetes-control program that some say could slow the disease's spread, according to published reports.

February 8, 2013

President Obama has re-nominated Marilyn Tavenner as administrator of the Centers for Medicare and Medicaid Services, according to published reports.

NEW YORK — President Obama has re-nominated Marilyn Tavenner as administrator of the Centers for Medicare and Medicaid Services, according to published reports.

The Hill, a Washington-based newspaper that covers Capitol Hill, noted that Tavenner had received an endorsement from House majority leader Eric Cantor, R-Va., who had worked with her when she was in charge of the Medicaid program in his state. Still, she could face a tougher time in the Senate.

February 7, 2013

National Association of Chain Drug Stores president and CEO Steve Anderson, calls a new study by the Centers for Medicare and Medicaid Services “further proof of community pharmacy’s ability to improve patients’ lives while making healthcare more affordable in this country.”

ARLINGTON, Va. — National Association of Chain Drug Stores (NACDS) president and CEO Steve Anderson, calls a new study by the Centers for Medicare and Medicaid Services (CMS) “further proof of community pharmacy’s ability to improve patients’ lives while making healthcare more affordable in this country.”

February 4, 2013

Pharmacy groups are advocating that Congress expand the role of pharmacists in new healthcare delivery models.

ALEXANDRIA, Va. — Pharmacy groups are advocating that Congress expand the role of pharmacists in new healthcare delivery models.

January 31, 2013

A new health initiative will address cardiovascular disease among African-Americans living in three counties in Alabama where the problem is considered significant.

WASHINGTON — A new health initiative will address cardiovascular disease among African-Americans living in three counties in Alabama where the problem is considered significant.

January 29, 2013

Plaintiffs in CMA et al. v. Douglas et al. have filed a request for a rehearing of the case on the heels of a reversal of the Federal District Court’s decision by a three-judge panel of the Ninth Circuit Court of Appeals.

SACRAMENTO, Calif. — Plaintiffs in CMA et al. v. Douglas et al. have filed a request for a rehearing of the case on the heels of a reversal of the Federal District Court’s decision by a three-judge panel of the Ninth Circuit Court of Appeals.

January 14, 2013

The Department of Health and Human Services is proposing a new rule that it said would promote consistent policies and processes for eligibility notices in Medicaid, the Children's Health Insurance Program and the health insurance exchanges mandated under the Patient Protection and Affordable Care Act.

WASHINGTON — The Department of Health and Human Services is proposing a new rule that it said would promote consistent policies and processes for eligibility notices in Medicaid, the Children's Health Insurance Program and the health insurance exchanges mandated under the Patient Protection and Affordable Care Act.

January 9, 2013

Ten issues will take center stage as the healthcare industry moves to meet the requirements of the Patient Protection and Affordable Care Act, according to a new report by PricewaterhouseCoopers.

NEW YORK — Ten issues will take center stage as the healthcare industry moves to meet the requirements of the Patient Protection and Affordable Care Act, according to a new report by PricewaterhouseCoopers.

January 8, 2013

A new study indicates that the public bears "unnecessary expense" when generic drugs aren't used.

WASHINGTON — A new study indicates that the public bears "unnecessary expense" when generic drugs aren't used.

December 19, 2012

The changing healthcare environment and the challenges and opportunities of specialty pharmacy were the biggest themes at Acro Pharmaceutical Services' sixth annual Payer and Managed Care Symposium in Philadelphia last Thursday.

PHILADELPHIA — The changing healthcare environment and the challenges and opportunities of specialty pharmacy were the biggest themes at Acro Pharmaceutical Services' sixth annual Payer and Managed Care Symposium in Philadelphia last Thursday.

Representatives from drug makers and across the specialty pharmacy space met at the Hyatt at the Bellevue to discuss a wide variety of topics related to specialty pharmacy.

November 7, 2012

The National Community Pharmacists Association on Wednesday commended seven U.S. Representatives for recently writing the U.S. Centers for Medicare & Medicaid Services to urge the agency to allow independent community pharmacists to continue same-day home delivery of diabetes test supplies to certain Medicare beneficiaries.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Wednesday commended seven U.S. Representatives for recently writing the U.S. Centers for Medicare & Medicaid Services to urge the agency to allow independent community pharmacists to continue same-day home delivery of diabetes test supplies to certain Medicare beneficiaries. 

November 7, 2012

A new Walgreens study examining the impact of 90-day medication refills at community pharmacies compared to 30-day refills for Medicaid patients found that across four therapeutic categories, patients with 90-day refills had greater medication adherence and greater persistency, nominal wastage and more cost savings.

DEERFIELD, Ill. — A new Walgreens study examining the impact of 90-day medication refills at community pharmacies compared to 30-day refills for Medicaid patients found that across four therapeutic categories, patients with 90-day refills had greater medication adherence and greater persistency, nominal wastage and more cost savings. The study, titled "Medication Days’ Supply, Adherence, Wastage and Cost Among Chronic Patients in Medicaid," was published in Medicare & Medicaid Research Review and released Wednesday.

October 24, 2012

Pharmacy benefit manager Catamaran has won contracts with Indiana's state Medicaid program, the company said.

LISLE, Ill. — Pharmacy benefit manager Catamaran has won contracts with Indiana's state Medicaid program, the company said.

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.

October 8, 2012

A pharmacy school in Alabama is getting a grant for a program designed to reduce hospitalizations among nursing home residents.

BIRMINGHAM, Ala. — A pharmacy school in Alabama is getting a grant for a program designed to reduce hospitalizations among nursing home residents.

September 21, 2012

The pharmaceuticals business will begin picking up in 2014, AmerisourceBergen president and CEO Steve Collis said at the wholesaler's ThinkLive Manufacturer's Summit.

PHILADELPHIA — The pharmaceuticals business will begin picking up in 2014, AmerisourceBergen president and CEO Steve Collis said last week at the wholesaler's ThinkLive Manufacturer's Summit held here. "Next year is a slower brand-to-generic [trend] and in 2014 we’re going to see a resumption in that top-line growth rate [across the pharmaceutical industry in the U.S.] to a modest 4% growth," Collis said. "That’s not too bad," he added, especially when you compare that growth up against what's happening worldwide.

September 14, 2012

With the growth of consumer-driven care and more of the burden of managing costs falling on patients’ shoulders, there’s no doubt that patients are responding to the convenient, cost-effective health care provided by retail health clinics. Further evidence of this is the recent results of the Harris Interactive poll.

WHAT IT MEANS AND WHY IT'S IMPORTANT — With the growth of consumer-driven care and more of the burden of managing costs falling on patients’ shoulders, there’s no doubt that patients are responding to the convenient, cost-effective health care provided by retail health clinics. Further evidence of this is the recent results of the Harris Interactive poll.

August 27, 2012

Pharmacy is in a state of deep transformation, but it could take some time for the trend to gain traction.

DENVER – Pharmacy is in a state of deep transformation, but it could take some time for the trend to gain traction.

August 17, 2012

They say hindsight is 20/20. With the Supreme Court’s ruling on healthcare reform, the luxury of looking back shows that the National Association of Chain Drug Stores and allies took the right course to battle the pharmacy Medicaid cuts of the Deficit Reduction Act. What we learned should inspire pharmacy to remain tenacious in its continued advocacy on this issue and in confronting all other challenges.

They say hindsight is 20/20. With the Supreme Court’s ruling on healthcare reform, the luxury of looking back shows that the National Association of Chain Drug Stores and allies took the right course to battle the pharmacy Medicaid cuts of the Deficit Reduction Act. What we learned should inspire pharmacy to remain tenacious in its continued advocacy on this issue and in confronting all other challenges.

August 17, 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, policy-makers should consider how community pharmacists can help reduce expenses.

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, policy-makers 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.

August 17, 2012

The idea of pharmacists as the most accessible healthcare professionals isn't just some hokey marketing gimmick: It's a readily observable fact, and one that will become increasingly important as retail pharmacies and retail clinics play a greater role on the front lines of care.

WHAT IT MEANS AND WHY IT'S IMPORTANT — The idea of pharmacists as the most accessible healthcare professionals isn't just some hokey marketing gimmick: It's a readily observable fact, and one that will become increasingly important as retail pharmacies and retail clinics play a greater role on the front lines of care.

August 15, 2012

The Department of Health and Human Services on Wednesday announced partnerships with several pharmacies to help customers learn about new Medicare benefits available to them under the Patient Protection and Affordable Care Act.

WASHINGTON — The Department of Health and Human Services on Wednesday announced partnerships with several pharmacies to help customers learn about new Medicare benefits available to them under the Patient Protection and Affordable Care Act.

These partnerships — with CVS Caremark, Sam's Club, Thrifty White, Walgreens and Walmart — will provide Medicare beneficiaries with a range of educational materials on newly available preventive services, as well as savings on prescription drug spending in the "doughnut hole" coverage gap.