Content about Medicaid

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

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

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 14, 2010

In a clear victory for retail pharmacy, the National Association of Chain Drug Stores and the National Community Pharmacists Association have agreed with the Centers for Medicare and Medicaid Services on a motion to dismiss the Medicaid average manufacturer price lawsuit.

ALEXANDRIA, Va. — In a clear victory for retail pharmacy, the National Association of Chain Drug Stores and the National Community Pharmacists Association have agreed with the Centers for Medicare and Medicaid Services on a motion to dismiss the Medicaid average manufacturer price lawsuit. The landmark agreement came after CMS withdrew the last remaining provisions of the AMP rule that had been blocked by a preliminary injunction following litigation by NACDS and NCPA.

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.


November 30, 2010

Leaders in specialty pharmacy gathered in New York on Tuesday at the New York Athletic Club to attend the second annual Specialty Pharmacy Roundtable discussion presented by Drug Store News and Armada Health Care.

NEW YORK — Leaders in specialty pharmacy gathered in New York on Tuesday at the New York Athletic Club to attend the second annual Specialty Pharmacy Roundtable discussion presented by Drug Store News and Armada Health Care.

David Galardi, co-founder of Apogenics Inc., moderated the robust panel, which was comprised of Nick Calla of Walgreens Specialty Pharmacy, John Musil of The Apothecary Shops, Tim Kaplan of Amber Pharmacy, Jeanne Ann Stasny of Walmart Specialty Pharmacy and Albert Thigpen of CVS Caremark, among others.

November 15, 2010

The Centers for Medicare and Medicaid Services on Tuesday formally established the new Center for...

BALTIMORE — The Centers for Medicare and Medicaid Services on Tuesday formally established the new Center for Medicare and Medicaid Innovation.

 

Established by the Affordable Care Act, the Innovation Center is charged with finding new ways of delivering health care and paying healthcare providers in an effort to save money for Medicare and Medicaid while improving the quality of care. CMS also announced the launch of new demonstration projects that will support efforts to better coordinate care and improve health outcomes for patients.

November 15, 2010

The Centers for Medicare and Medicaid Services has proposed a rule shortening the traditional 30-day...

ALEXANDRIA, Va. — The Centers for Medicare and Medicaid Services has proposed a rule shortening the traditional 30-day drug cycle for long-term care centers to seven days when brand-name drugs are dispensed, prompting a supportive response from an organization representing independent pharmacies.

 

November 14, 2010

Humana and Wal-Mart Stores on Monday announced that Mary Lee Reinscheld became the first Medicare...

LOUISVILLE, Ky. — Humana and Wal-Mart Stores on Monday announced that Mary Lee Reinscheld became the first Medicare beneficiary to sign up for the new Humana Walmart-Preferred Rx Plan at one of the Humana informational kiosks available in approximately 3,000 Walmart stores nationwide.

 

Reinscheld signed her Humana application at Walmart store No. 1170 here as the annual enrollment period for Medicare beneficiaries, including seniors and people with disabilities, got under way.

 

November 11, 2010

Retail pharmacies scored a big victory in the Centers for Medicare and Medicaid Services rule,...

WHAT IT MEANS AND WHY IT'S IMPORTANT — Retail pharmacies scored a big victory in the Centers for Medicare and Medicaid Services rule, which puts the kibosh on pricing policies that would have severely affected retail pharmacies' ability to make money from generic drugs, and thus forced them to turn away Medicaid patients.

November 9, 2010

Budget cuts in Washington state to its Medicaid programs have created a “perilous situation” for...

ALEXANDRIA, Va. Budget cuts in Washington state to its Medicaid programs have created a “perilous situation” for retail pharmacies and their patients, the National Association of Chain Drug Stores warned on Wednesday, and could “pose danger as a precedent for other states across the nation as well,” according to the group.

 

November 4, 2010

That Medicare doesn’t universally cover the use of retail clinics — and even create a...

WHAT IT MEANS AND WHY IT’S IMPORTANT — That Medicare doesn’t universally cover the use of retail clinics — and even create a structure that encourages their use for certain services — is a key symptom of what is wrong with the U.S. healthcare system.

THE NEWS: Duane Reade Walk-In Medical Care clinics to accept Medicare. For the full story, click here)

October 24, 2010

With strong support from pharmacy leaders, Congress is moving to shut down prescription medication abuse...

With strong support from pharmacy leaders, Congress is moving to shut down prescription medication abuse and diversion with a multipronged legislative cudgel.

Prior to its October recess, the U.S. House of Representatives passed three industry-backed bills in September to help seal up the nation’s leaky prescription drug pipeline. The bills are expected to pass under “suspension of the rules,” which allows for expedited consideration of legislation.

October 10, 2010

A new push to crack down on the massive and costly fraud and abuse that...

October 5, 2010

The National Community Pharmacists Association is urging the Centers for Medicare and Medicaid Services to...

ALEXANDRIA, Va. The National Community Pharmacists Association is urging the Centers for Medicare and Medicaid Services to follow guidance that Congress included in the healthcare-reform law in its implementation of a new Medicaid generic drug reimbursement formula based on average manufacturer price, the organization said Tuesday.

CMS recently withdrew provisions that would have dramatically cut Medicaid pharmacy reimbursement to community pharmacies from a previously proposed AMP rule due to an injunction that the NCPA obtained in 2007.

 

October 4, 2010

The National Association of Chain Drug Stores commended the Centers for Medicare and Medicaid Services...

ALEXANDRIA, Va. The National Association of Chain Drug Stores commended the Centers for Medicare and Medicaid Services on Tuesday after the agency proposed a rule that would withdraw two provisions related to pharmacy Medicaid reimbursement.

September 30, 2010

Due to the nation’s deep recession, states experienced rapid growth in their Medicaid enrollment and...

WASHINGTON Due to the nation’s deep recession, states experienced rapid growth in their Medicaid enrollment and spending last year and expect additional growth, though at a slower pace, in fiscal year 2011, according to a survey of state Medicaid officials in all 50 states released Thursday by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured.