Content about Medicaid

October 28, 2011

Standard monthly premiums under Medicare Part B will be $99.90 in 2012, $6.70 under the projected figure made by the Department of Health and Human Services, HHS announced Thursday.

WASHINGTON — Standard monthly premiums under Medicare Part B will be $99.90 in 2012, $6.70 under the projected figure made by the Department of Health and Human Services, HHS announced Thursday.

This year's Medicare Part B premium is a $15.50 decrease over the standard 2011 premium of $115.40 paid by new enrollees and higher income Medicare beneficiaries and by Medicaid on behalf of low-income enrollees, HHS said. Additionally, the Medicare Part B deductible will be $140, a decrease of $22 from 2011.

October 21, 2011

The National Association of Chain Drug Stores submitted on Friday comments to the Centers for Medicare and Medicaid Services regarding the draft federal upper limit list published by CMS.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores submitted on Friday comments to the Centers for Medicare and Medicaid Services regarding the draft federal upper limit list published by CMS.

October 19, 2011

It is critical for the Food and Drug Administration and Office of Generic Drugs to be fully funded, so that patients can receive access to affordable medicines, the Generic Pharmaceutical Association said Wednesday.

WASHINGTON — It is critical for the Food and Drug Administration and Office of Generic Drugs to be fully funded so that patients can receive access to affordable medicines, the Generic Pharmaceutical Association said Wednesday.

The group called on the Senate to uphold the funds allocated to the FDA by the Senate Committee on Appropriations. GPhA president and CEO Ralph Neas said that cutting funds would affect the sustainability of the U.S. healthcare system, including such programs as Medicare and Medicaid.

October 19, 2011

The National Community Pharmacists Association on Wednesday offered federal Medicaid officials a number of suggestions to address methodology that, if left in place, would result in what the NCPA couched as "potentially devastating cuts" in Medicaid pharmacy reimbursement for a wide range of common, generic prescription drugs.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Wednesday offered federal Medicaid officials a number of suggestions to address methodology that, if left in place, would result in what the NCPA couched as "potentially devastating cuts" in Medicaid pharmacy reimbursement for a wide range of common, generic prescription drugs.

October 18, 2011

In a letter to the congressional Joint Select Committee on Deficit Reduction, also known as the super committee, the National Association of Chain Drug Stores provided recommendations related to diabetes testing supplies for Medicare patients.

ALEXANDRIA, Va. — In a letter to the congressional Joint Select Committee on Deficit Reduction, also known as the super committee, the National Association of Chain Drug Stores provided recommendations related to diabetes testing supplies for Medicare patients. NACDS said its recommendations would prevent the unintended consequences of hasty policy mistakes, and foster better and more cost-effective patient care.

October 14, 2011

Rite Aid said its pharmacists will be ready to help patients and caregivers choose the prescription drug plan that works best for them as 2012 Medicare Part D open enrollment begins Saturday.

CAMP HILL, Pa. — Rite Aid said its pharmacists will be ready to help patients and caregivers choose the prescription drug plan that works best for them as 2012 Medicare Part D open enrollment begins Saturday.

Open enrollment is beginning a month earlier than in previous years so that Medicare administrators can process plan choices before the new year, according to the Centers for Medicare and Medicaid Services.

October 7, 2011

A growing number of people with Medicare are using free preventive services provided by the Affordable Care Act, the Centers for Medicare and Medicaid Services said.

WASHINGTON — A growing number of people with Medicare are using free preventive services provided by the Affordable Care Act, the Centers for Medicare and Medicaid Services said.

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.

September 22, 2011

A congressman from Texas is urging the Department of Health and Human Services to reject an attempt by the Texas state government to move millions of Medicaid prescription drug beneficiaries into managed care plans.

WASHINGTON — A congressman from Texas is urging the Department of Health and Human Services to reject an attempt by the Texas state government to move millions of Medicaid prescription drug beneficiaries into managed care plans.

Democratic Rep. Lloyd Doggett, head of the Texas Democratic Congressional Delegation, said the move would harm small pharmacies that cater to Medicaid beneficiaries and leave many patients without access to pharmacy services by reducing pharmacy dispensing fees to far below the average pharmacy's cost of dispensing each prescription.

September 15, 2011

The use of over-the-counter medicines as a cost savings tool is catching on, of all places, at the Centers for Medicare and Medicaid.

REDWOOD CITY, Calif. — The use of over-the-counter medicines as a cost savings tool is catching on, of all places, at the Centers for Medicare and Medicaid. Certain plans under Medicare are utilizing a new prepaid card of sorts to allow members to pay for their OTC medicines. Medicaid administrators, meanwhile, are employing that same card to incentivize healthier behavior among its members.

September 13, 2011

Walgreens, the Department of Health and Human Services, the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services on Tuesday announced the kick-off of the Million Hearts Initiative, a public and private sector initiative to help prevent 1 million heart attacks and strokes over five years.

DEERFIELD, Ill. — Walgreens, the Department of Health and Human Services, the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services on Tuesday announced the kick-off of the Million Hearts Initiative, a public and private sector initiative to help prevent 1 million heart attacks and strokes over five years.

September 12, 2011

While it has been a boon to elderly Americans, Medicare Part D includes a complicating factor that has proven to be a headache.


While it has been a boon to elderly Americans, Medicare Part D includes a complicating factor that has proven to be a headache.


Despite its seemingly charming name, the doughnut hole has proven to be a headache for many seniors. Also known as the Medicare Part D coverage gap, the doughnut hole is when drug costs reach a point when the patient becomes responsible for the entire cost, and Medicare doesn’t pay for them again until they reach the catastrophic-coverage threshold. The hole and threshold change from year to year.


August 30, 2011

The National Community Pharmacists Association on Monday urged the federal government to reject Florida’s request to extend and expand its Medicaid managed care pilot program statewide from five to 67 counties.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Monday urged the federal government to reject Florida’s request to extend and expand its Medicaid managed care pilot program statewide from five to 67 counties.

August 22, 2011

The National Community Pharmacists Association last week delivered a letter to the Illinois Joint Committee on Administrative Rules opposing an Illinois Department of Healthcare and Family Services proposal to sharply decrease Medicaid reimbursements and “slow-walk” reimbursement payments.

ALEXANDRIA, Va. — The National Community Pharmacists Association last week delivered a letter to the Illinois Joint Committee on Administrative Rules opposing an Illinois Department of Healthcare and Family Services proposal to sharply decrease Medicaid reimbursements and “slow-walk” reimbursement payments.

The action could force more than 700 independent community pharmacies to shutter their doors, the NCPA stated.

August 5, 2011

Medicare Part D prescription drug plan premiums will cost beneficiaries roughly $30 in 2012, according to data from the Centers for Medicare and Medicaid Services.

WASHINGTON — Medicare Part D prescription drug plan premiums will cost beneficiaries roughly $30 in 2012, according to data from the Centers for Medicare and Medicaid Services.

The Pharmaceutical Care Management Association, a trade group representing pharmacy benefit managers, heralded the figure, saying it confirmed the success of Medicare Part D plans in delivering savings.

August 5, 2011

Looking to challenge reimbursement rate reductions for Medicaid beneficiaries, pharmacy groups have filed a joint legal brief with the U.S. Supreme Court.

ALEXANDRIA, Va. — Looking to challenge reimbursement rate reductions for Medicaid beneficiaries, pharmacy groups have filed a joint legal brief with the U.S. Supreme Court.

The brief was filed by the American Pharmacists Association, National Association of Chain Drug Stores, National Community Pharmacists Association and the National Alliance of State Pharmacy Associations in the case of Douglas v. Independent Living Center of California.

August 4, 2011

The Alliance for Patient Care, a coalition of healthcare providers, health plans, patient advocates and others working together to protect access to care in California’s Medi-Cal (Medicaid) program, headed to Washington, D.C., to urge the Centers for Medicare and Medicaid Services and members of Congress to reject California’s proposed cut to the state’s Medi-Cal program, according to a statement issued Wednesday by the National Association of Chain Drug Stores.

WASHINGTON — The Alliance for Patient Care, a coalition of healthcare providers, health plans, patient advocates and others working together to protect access to care in California’s Medi-Cal (Medicaid) program, headed to Washington, D.C., to urge the Centers for Medicare and Medicaid Services and members of Congress to reject California’s proposed cut to the state’s Medi-Cal program, according to a statement issued Wednesday by the National Association of Chain Drug Stores.

July 29, 2011

Pharmacy benefit management tools helped slow prescription drug spending growth from 5.3% in 2009 to 3.5% in 2010, according to a new study by the Centers for Medicare and Medicaid Services.

WASHINGTON — Pharmacy benefit management tools helped slow prescription drug spending growth from 5.3% in 2009 to 3.5% in 2010, according to a new study by the Centers for Medicare and Medicaid Services.

One PBM tool that helped was tiered co-pays that shifted medication use toward lower-cost generic drugs.

July 27, 2011

The Patient Protection and Affordable Care Act is producing savings for state Medicaid programs that take advantage of a provision equalizing drug rebates between managed care and fee-for-service programs, according to a fact sheet released Tuesday by the Association for Community Affiliated Plans.

WASHINGTON — The Patient Protection and Affordable Care Act is producing savings for state Medicaid programs that take advantage of a provision equalizing drug rebates between managed care and fee-for-service programs, according to a fact sheet released Tuesday by the Association for Community Affiliated Plans.

July 22, 2011

Bipartisan legislation recently introduced to the Senate has received endorsement from a group representing the retail pharmacy industry.

ALEXANDRIA, Va. — Bipartisan legislation recently introduced to the Senate has received endorsement from a group representing the retail pharmacy industry.

July 22, 2011

The National Community Pharmacists Association on Friday announced “grave concerns” regarding a purported Oregon Medicaid plan amendment that would, according to the association, renege on a pact the state previously reached with the Centers for Medicare and Medicaid Services and cut Medicaid pharmacy reimbursement for the second time this year.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Friday announced “grave concerns” regarding a purported Oregon Medicaid plan amendment that would, according to the association, renege on a pact the state previously reached with the Centers for Medicare and Medicaid Services and cut Medicaid pharmacy reimbursement for the second time this year.

July 19, 2011

New bipartisan legislation introduced to the Senate last week seeks to offer states incentives to use generic drugs by allowing states to temporarily keep a portion of the savings.

WASHINGTON — New bipartisan legislation introduced to the Senate last week seeks to offer states incentives to use generic drugs by allowing states to temporarily keep a portion of the savings.

Senators Scott Brown, R-Mass.; Ron Wyden, D-Ore.; and John McCain, R-Ariz., introduced the Affordable Medicines Utilization Act of 2011, saying that the bill would encourage states to take advantage of cost-saving generic drugs.

July 14, 2011

Amid debt ceiling talks, the National Association of Chain Drug Stores has sent a letter to President Barack Obama and to the U.S. House of Representatives and Senate leadership outlining key areas to help ensure continued patient access to pharmacy services through such federally funded programs as Medicare, Medicaid and TRICARE, the association announced on Wednesday.

ALEXANDRIA, Va. — Amid debt ceiling talks, the National Association of Chain Drug Stores has sent a letter to President Barack Obama and to the U.S. House of Representatives and Senate leadership outlining key areas to help ensure continued patient access to pharmacy services through such federally funded programs as Medicare, Medicaid and TRICARE, the association announced on Wednesday. 

July 7, 2011

The National Association of Chain Drug Stores has submitted comments to the Centers for Medicare and Medicaid Services regarding a proposed rule that would help to determine Medicaid beneficiary access to pharmacies and other healthcare providers.

ALEXANDRIA, Va. ­— The National Association of Chain Drug Stores has submitted comments to the Centers for Medicare and Medicaid Services regarding a proposed rule that would help to determine Medicaid beneficiary access to pharmacies and other healthcare providers.

NACDS urged CMS to ensure access to healthcare services for Medicaid beneficiaries that are comparable with the access that the general population has in a given geographic area, a requirement of the federal standard.

June 23, 2011

Bipartisan legislation that is aimed to eliminate waste, fraud and abuse in Medicare and Medicaid programs has been introduced to Congress.

ALEXANDRIA, Va. — Bipartisan legislation that is aimed to eliminate waste, fraud and abuse in Medicare and Medicaid programs has been introduced to Congress.

Sens. Tom Carper, D-Del., and Tom Coburn, R-Okla., said that the Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers’ Dollars Act, which was unveiled Wednesday, would address the aforementioned problems, which often lead to tens of billions of dollars lost to waste and fraud in Medicare and Medicaid every year, the senators said.