Content about Medicare

May 7, 2013

A Walgreens survey found that 37% of Medicare Part D beneficiaries have daily concerns about their prescription drug costs, and 1-in-5 say they’ve had to make sacrifices, such as delaying filling a prescription or skipping doses, to help manage medication costs.

DEERFIELD, Ill. — A Walgreens survey released Tuesday found that 37% of Medicare Part D beneficiaries have daily concerns about their prescription drug costs, and 1-in-5 say they’ve had to make sacrifices, such as delaying filling a prescription or skipping doses, to help manage medication costs.

That's almost 11.7 million seniors. 

May 2, 2013

CareFirst BlueCross BlueShield has entered into a three-year agreement with CVS Caremark to provide pharmacy benefit and other related services to its commercial and Medicare Part D members, CareFirst announced earlier this week.

BALTIMORE, Md. — CareFirst BlueCross BlueShield has entered into a three-year agreement with CVS Caremark to provide pharmacy benefit and other related services to its commercial and Medicare Part D members, CareFirst announced earlier this week.

April 21, 2013

“We are writing history, and you are historic figures.” That was a key message that Steve Anderson, National Association of Chain Drug Stores president and CEO, had for community pharmacy during Sunday morning’s business session at NACDS Annual Meeting as the association celebrates its 80th anniversary.

PALM BEACH, Fla. — “We are writing history, and you are historic figures.” That was a key message that Steve Anderson, National Association of Chain Drug Stores president and CEO, had for community pharmacy during Sunday morning’s business session at NACDS Annual Meeting as the association celebrates its 80th anniversary. Prior to Anderson taking the stage, Greg Wasson, out-going chairman of the NACDS board and president and CEO of Walgreens, made his state of the industry remarks.

April 19, 2013

A report released yesterday by the Bipartisan Policy Center, entitled “A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment,” contains a smart, forward-looking and no-cost recommendation that could save the government billions, the Generic Pharmaceutical Association said.

WASHINGTON — A report released yesterday by the Bipartisan Policy Center, entitled “A Bipartisan Rx for Patient-Centered Care and System-Wide Cost Containment,” contains a smart, forward-looking and no-cost recommendation that could save the government billions, the Generic Pharmaceutical Association said today.

April 16, 2013

Does the Obama administration “get it” when it comes to pharmacy’s vital interests and lowering health care costs?

One sometimes wonders. As much as I like the president and many of his ideas and instincts, I’m sometimes stumped by some of the lesser-understood facets of the administration’s health policy, and by the seemingly contradictory sets of priorities promoted by that policy.

Does the Obama administration “get it” when it comes to pharmacy’s vital interests and lowering healthcare costs?

One sometimes wonders. As much as I like the president and many of his ideas and instincts, I’m sometimes stumped by some of the lesser-understood facets of the administration’s health policy, and by the seemingly contradictory sets of priorities promoted by that policy.

April 16, 2013

DSN spoke at length with two Catamaran executives — Albert Thigpen, SVP pharmacy operations and industry relations, and Sumit Dutta, SVP and chief medical officer — about the PBM’s new approach to managed pharmacy care and the changes driving that strategy.

The health and pharmacy marketplace is undergoing rapid and fundamental transformation. To navigate profitably in tomorrow’s complex and shifting healthcare system, the pharmacy benefit management industry — along with the pharmacies and health plan payers allied with PBMs — are going to have to change and adapt as well.

April 12, 2013

A proposal to further reduce Medicaid drug reimbursement that was included in President Obama’s fiscal year 2014 budget plan is “premature” and federal Medicaid officials should focus on modifying and completing already proposed regulations to set future federal upper limits for reimbursement of most generic drugs, the National Association of Chain Drug Stores and the National Community Pharmacists Association said.

ALEXANDRIA, Va. — A proposal to further reduce Medicaid drug reimbursement that was included in President Obama’s fiscal year 2014 budget plan is “premature” and federal Medicaid officials should focus on modifying and completing already proposed regulations to set future federal upper limits for reimbursement of most generic drugs, the National Association of Chain Drug Stores and the National Community Pharmacists Association argued on Friday.

April 12, 2013

Healthcare accrediting organization URAC is calling for public comment on a new set of standards it has issued for accountable care, the group said.

WASHINGTON — Healthcare accrediting organization URAC is calling for public comment on a new set of standards it has issued for accountable care, the group said.

April 11, 2013

QS/1 has released Medicare Part B compliance documentation, which it said would be the first of its type on the market to help pharmacies that want to serve Part B customers while remaining compliant, the company said.

SPARTANBURG, S.C. — QS/1 has released Medicare Part B compliance documentation, which it said would be the first of its type on the market to help pharmacies that want to serve Part B customers while remaining compliant, the company said.

QS/1 said its Medicare Part B Compliance Documentation software system was the first of its kind, allowing pharmacies using NRx or PrimeCare Pharmacy Management Systems to serve Medicare Part B customer needs while keeping necessary documents in the event of an audit.

April 9, 2013

A desire to save money is driving younger and older adults to request cheaper drugs from their doctors, but it's also driving younger adults not to take their drugs as prescribed, according to a new study.

NEW YORK — A desire to save money is driving younger and older adults to request cheaper drugs from their doctors, but it's also driving younger adults not to take their drugs as prescribed, according to a new study.

April 4, 2013

The annual cost of treating dementia in the United States ranges from $157 billion to $215 billion, according to a new study by the RAND Corp.

NEW YORK — The annual cost of treating dementia in the United States ranges from $157 billion to $215 billion, according to a new study by the RAND Corp.

The research organization said that number meant dementia costs more to treat than cancer or heart disease, with the greatest cost coming from institutional and home-based long-term care, as opposed to medical services.

April 3, 2013

The recent call letter released by the Centers for Medicare and Medicaid Services addresses issues that can have an adverse effect on the program's cost and quality of care, a trade group representing independent retail pharmacies said Wednesday.

ALEXANDRIA, Va. — The recent call letter released by the Centers for Medicare and Medicaid Services addresses issues that can have an adverse effect on the program's cost and quality of care, a trade group representing independent retail pharmacies said Wednesday.

Commenting on the CMS' announcement, the National Community Pharmacists Association said it had prepared a detailed list for its members.

April 2, 2013

Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

WASHINGTON — Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

March 29, 2013

A new Medicare Chronic Conditions Dashboard announced today by Marilyn Tavenner, acting administrator of the Centers for Medicare and Medicaid Services, furthers the Patient Protection and Affordable Care Act’s goals for health promotion and the prevention and management of multiple chronic conditions.

WASHINGTON — A new Medicare Chronic Conditions Dashboard announced today by Marilyn Tavenner, acting administrator of the Centers for Medicare and Medicaid Services (CMS), furthers the Patient Protection and Affordable Care Act’s goals for health promotion and the prevention and management of multiple chronic conditions.

March 22, 2013

TreatMyUTI.com is an online service founded by a group of physicians that offers online access to physician diagnosis and treatment of uncomplicated urinary tract infections with no office visit, exam or lab test required.

This is important because it speaks to a much larger trend within health care, and that’s the continued rise of telehealth-type services as patients and providers increasingly battle a crisis of access and affordability of health care.

TreatMyUTI.com is an online service founded by a group of physicians that offers online access to physician diagnosis and treatment of uncomplicated urinary tract infections with no office visit, exam or lab test required.
 

March 22, 2013

Legislation to expand the use of telehealth technology under Medicare to reduce hospital re-admissions in rural and underserved communities has been re-introduced by Sen. John Thune, R-S.D., and Sen. Amy Klobuchar, D-Minn.

WASHINGTON — Legislation to expand the use of telehealth technology under Medicare to reduce hospital re-admissions in rural and underserved communities has been re-introduced by Sen. John Thune, R-S.D., and Sen. Amy Klobuchar, D-Minn.

The bipartisan Fostering Independence Through Technology Act, S. 596, would create a pilot program to provide budget neutral incentives for home health agencies across the country to use remote patient monitoring to better monitor Medicare beneficiaries, improve health outcomes and reduce Medicare expenditures.

March 19, 2013

Last week, I wrote about Medication Therapy Management and a new bill in the House of Representatives to expand the pool of patients who qualify for MTM programs through Medicare. This week, I’m writing about – wait for it – medication therapy management.

Why? Because MTM is important, vitally important, to the future of community pharmacy, and one of the key health and prevention services that will define the profession in the era of health reform and evidence-based health care.

Last week, I wrote about medication therapy management and a new bill in the House of Representatives to expand the pool of patients who qualify for MTM programs through Medicare. This week, I’m writing about — wait for it — medication therapy management.

March 15, 2013

The National Association of Chain Drug Stores applauded the introduction of S. 557, the Medication Therapy Management Empowerment Act of 2013, introduced yesterday by U.S. Sens. Kay Hagan, D-N.C., and Pat Roberts, R-Kan., along with the support of original cosponsors U.S. Sens. Sherrod Brown, D-Ohio, Al Franken, D-Minn., Tim Johnson, D-S.D., and Amy Klobuchar, D-Minn.

WASHINGTON — The National Association of Chain Drug Stores (NACDS) today applauded the introduction of S. 557, the Medication Therapy Management Empowerment Act of 2013, introduced yesterday by U.S. Sens. Kay Hagan, D-N.C., and Pat Roberts, R-Kan., along with the support of original cosponsors U.S. Sens. Sherrod Brown, D-Ohio, Al Franken, D-Minn., Tim Johnson, D-S.D., and Amy Klobuchar, D-Minn. The legislation seeks to expand access to MTM services for senior citizens enrolled in the Medicare program.

March 15, 2013

U.S. Senators Pat Roberts, R-Kan., and Kay Hagan, D-N.C., introduced legislation written to lower healthcare costs by helping more seniors better manage their prescriptions.

WASHINGTON — U.S. Senators Pat Roberts, R-Kan. and Kay Hagan, D-N.C. on Thursday introduced legislation written to lower healthcare costs by helping more seniors better manage their prescriptions. The Medication Therapy Management Empowerment Act will allow seniors with any high-cost chronic illness to review all their medication and develop a plan of action with a pharmacist.

March 14, 2013

Amid a tide of automatic spending cuts resulting from the failure of Congress and the White House to agree on a budget, the generic drug lobby has offered some suggestions to generate savings.

WASHINGTON — Amid a tide of automatic spending cuts resulting from the failure of Congress and the White House to agree on a budget, the generic drug lobby has offered some suggestions to generate savings.

March 12, 2013

The Consumer Healthcare Products Association's Annual Executive Conference was sold out for the first time since 2001, CHPA president and CEO Scott Melville told a packed morning session, and that is a strong prognosticator as to the health and vitality of the self-care industry.

NAPLES, Fla. — The Consumer Healthcare Products Association's Annual Executive Conference was sold out for the first time since 2001, CHPA president and CEO Scott Melville told a packed morning session, and that is a strong prognosticator as to the health and vitality of the self-care industry. 

March 12, 2013

The National Association of Chain Drug Stores has announced that Nancy-Ann DeParle, former deputy chief of staff for policy for President Barack Obama, will be the keynote speaker at the NACDS Chain Members and Political Action Committee (NACDS-PAC) breakfast, which will be held on April 22 during the NACDS Annual Meeting in Palm Beach, Fla.

 ARLINGTON, Va. — The National Association of Chain Drug Stores has announced that Nancy-Ann DeParle, former deputy chief of staff for policy for President Barack Obama, will be the keynote speaker at the NACDS Chain Members and Political Action Committee (NACDS-PAC) breakfast, which will be held on April 22 during the NACDS Annual Meeting in Palm Beach, Fla.

March 8, 2013

While the country's spending on specialty drugs increased by 18.4% in 2012, spending on traditional drugs fell for the first time in 20 years, according to a report by Express Scripts.

ST. LOUIS — While the country's spending on specialty drugs increased by 18.4% in 2012, spending on traditional drugs fell for the first time in 20 years, according to a report by Express Scripts.

March 8, 2013

A bill that would expand the pool of patients who qualify for medication therapy management under Medicare was introduced to the House of Representatives Thursday with broad industry support.

WASHINGTON — A bill that would expand the pool of patients who qualify for medication therapy management under Medicare was introduced to the House of Representatives Thursday with broad industry support. 

Health policy research group NEHI cites that only 50% of patients take their medications properly as prescribed by their doctor, which costs the nation more than $290 billion annually in avoidable health spending annually. 

March 8, 2013

OutcomesMTM, a medication therapy management delivery system, last week recognized its top chain and independent pharmacies for 2012. Walgreens and Kerr Drug were named top large pharmacy chain and top regional pharmacy chain, respectively.

MTM matters, and people are keeping score. And it's something you can expect to see more of in the age of accountable care and star-based quality ratings.

OutcomesMTM, a medication therapy management delivery system, last week recognized its top chain and independent pharmacies for 2012. Walgreens and Kerr Drug were named top large pharmacy chain and top regional pharmacy chain, respectively. 

MTM matters, and people are keeping score. And it's something you can expect to see more of in the age of accountable care and star-based quality ratings.