Content about United States National Health Care Act

March 19, 2012

More than 5.1 million seniors and people with disabilities on Medicare saved billions on prescription drugs, thanks to the Patient Protection and Affordable Care Act, according to Department of Health and Human Services secretary Kathleen Sebelius.

WASHINGTON — More than 5.1 million seniors and people with disabilities on Medicare saved billions on prescription drugs, thanks to the Patient Protection and Affordable Care Act, according to Department of Health and Human Services secretary Kathleen Sebelius.

New data found that these individuals saved more than $3.2 billion on prescription drugs, while savings for seniors included a one-time $250 rebate check to those who hit the "donut hole" coverage gap in 2010 and a 50% discount on covered brand-name drugs in the donut hole in 2011.

February 7, 2012

Two members of Congress are looking for co-sponsors for a bill that would strengthen the medication therapy management benefit in the Medicare prescription drug program.

NEW YORK — Two members of Congress are looking for co-sponsors for a bill that would strengthen the medication therapy management benefit in the Medicare prescription drug program.

Last year, Rep. Mike Ross, D-Ala.; and Cathy McMorris Rodgers, R-Wash., introduced H.R. 891, the Medication Therapy Management Benefits Act, which would allow elderly people with at least one chronic condition access to Medicare Part D coverage for MTM. Currently, only those with multiple conditions are eligible.

January 9, 2012

CVS Caremark has entered into a definitive agreement to purchase the stand-alone Medicare Part D prescription drug plan business from Health Net for approximately $160 million in cash.

LOS ANGELES and WOONSOCKET, R.I. — CVS Caremark has entered into a definitive agreement to purchase the stand-alone Medicare Part D prescription drug plan business from Health Net for approximately $160 million in cash.

The transaction is anticipated to close in the second quarter of 2012, subject to customary closing conditions and applicable regulatory approvals, including approval from the Centers for Medicare and Medicaid Services.

December 19, 2011

One-in-eight Americans didn't fill prescriptions last year because they couldn't afford to, but despite difficulties with the economy, that proportion remained level, according to a new study conducted by the Center for Studying Health System Change and funded by the Robert Wood Johnson Foundation.

WASHINGTON — One-in-eight Americans didn't fill prescriptions last year because they couldn't afford to, but despite difficulties with the economy, that proportion remained level, according to a new study conducted by the Center for Studying Health System Change and funded by the Robert Wood Johnson Foundation.

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 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 4, 2011

The National Community Pharmacists Association is recommending several ways for reducing Medicare Part D fraud, waste and abuse to the Senate Homeland Security and Government Affairs subcommittee, the group said Tuesday.

ALEXANDRIA, Va. — The National Community Pharmacists Association is recommending several ways for reducing Medicare Part D fraud, waste and abuse to the Senate Homeland Security and Government Affairs subcommittee, the group said Tuesday.

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 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 17, 2011

Medicare Part D beneficiaries who enter the "doughnut hole," where they have to pay 100% of previously subsidized prescription costs, are twice as likely to discontinue their medications as they are to switch to more affordable or generic medications, according to a new study conducted by researchers from Harvard University, Brigham and Women's Hospital and CVS Caremark.

WOONSOCKET, R.I. — Medicare Part D beneficiaries who enter the "doughnut hole," where they have to pay 100% of previously subsidized prescription costs, are twice as likely to discontinue their medications as they are to switch to more affordable or generic medications, according to a new study conducted by researchers from Harvard University, Brigham and Women's Hospital and CVS Caremark.

August 15, 2011

It's a strategic next step in retail pharmacy, a setting that has fast evolved as the intrinsic destination for all health-related matters: health advice, self-care solutions, medication therapy management, compliance programs, acute-care services and now, if the reports turn out to be accurate, branded healthcare insurance.

WHAT IT MEANS AND WHY IT'S IMPORTANT — It's a strategic next step in retail pharmacy, a setting that has fast evolved as the intrinsic destination for all health-related matters: health advice, self-care solutions, medication therapy management, compliance programs, acute-care services and now, if the reports turn out to be accurate, branded healthcare insurance. And by the time this offering would be available in 2014, the need for affordable healthcare insurance may go well beyond the 48.6 million uninsured that exist today.

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 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.

August 1, 2011

New guidelines that will ensure women receive preventive health services at no additional cost were announced Monday by the Department of Health and Human Services.

WASHINGTON — New guidelines that will ensure women receive preventive health services at no additional cost were announced Monday by the Department of Health and Human Services.

Developed by the independent Institute of Medicine, the new guidelines require new health insurance plans to cover women’s preventive services, such as well-woman visits, breast-feeding support, domestic violence screening and contraception without charging a co-payment, co-insurance or a deductible.

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 11, 2011

H. D. Smith on Monday announced its support for H.R. 1041, otherwise known as the Fairness in Medicare Bidding Act.

SPRINGFIELD, Ill. — H. D. Smith on Monday announced its support for H.R. 1041, otherwise known as the Fairness in Medicare Bidding Act.

Introduced in March by Reps. Jason Altmire, D-Pa., and Glenn Thompson, R-Pa., the bill seeks to repeal the Medicare Durable Medical Equipment Prosthetics, Orthotics and Supplies competitive bidding program included in the Medicare Modernization Act of 2003 (MMA). 

June 13, 2011

The Patient Protection and Affordable Care Act has been a bête noire among much of the Republican party since President Obama signed it into law. But as GOP presidential candidates prepared for the first official debate in Manchester, N.H., one group launched a series of ads defending it and other programs to address the nation’s health coverage gap.

MANCHESTER, N.H. — The Patient Protection and Affordable Care Act has been a bête noire among much of the Republican party since President Obama signed it into law. But as GOP presidential candidates prepared for the first official debate in Manchester, N.H., one group launched a series of ads defending it and other programs to address the nation’s health coverage gap.

May 13, 2011

The Generic Pharmaceutical Association and other trade and patient advocacy groups can push generic drug usage as a way to save on medical costs, but throwing the weight of Congress behind generics gives them a bigger boost than ever.

WHAT IT MEANS AND WHY IT’S IMPORTANT — The Generic Pharmaceutical Association and other trade and patient advocacy groups can push generic drug usage as a way to save on medical costs, but throwing the weight of Congress behind generics gives them a bigger boost than ever.

(THE NEWS: GPhA expresses support of Congressional Affordable Medicines Caucus. For the full story, click here)

May 12, 2011

A new congressional caucus will look for ways to educate the public and members of Congress on how to reduce the country’s healthcare costs with affordable medicines.

WASHINGTON — A new congressional caucus will look for ways to educate the public and members of Congress on how to reduce the country’s healthcare costs with affordable medicines.

Reps. Jo Ann Emerson, R-Mo., and Peter Welch, D-Vt., will serve as chairwoman and chairman for the Congressional Affordable Medicines Caucus, whose formation was announced Thursday.

April 28, 2011

CVS Caremark is expected to complete its acquisition of the Medicare Part D business of Universal American on April 29, the company has announced.

WOONSOCKET, R.I. — CVS Caremark is expected to complete its acquisition of the Medicare Part D business of Universal American on April 29, the company has announced.

As previously reported, CVS Caremark will pay Universal American shareholders cash consideration of $1.25 billion plus the excess capital in the entities that operate Universal American's Medicare Part D business, less Universal American's outstanding trust preferred securities, which are being assumed by CVS Caremark.

April 13, 2011

The National Association of Chain Drug Stores said that it has signed on as a partner for a new public-private partnership, announced by the Department of Health and Human Services and Centers for Medicare & Medicaid Services, that seeks to improve patient health and lower healthcare costs through the use of community-based care transition programs.

ALEXANDRIA, Va. — The National Association of Chain Drug Stores said that it has signed on as a partner for a new public-private partnership, announced by the Department of Health and Human Services and Centers for Medicare & Medicaid Services, that seeks to improve patient health and lower healthcare costs through the use of community-based care transition programs.

NACDS lauded the initiative's recognition of pharmacy's role in helping patients take their medications as prescribed.

April 13, 2011

The National Community Pharmacists Association on Wednesday announced support for the Quality Health Care Coalition Act of 2011 (H.R. 1409), which was introduced last week by House Judiciary Committee ranking member Rep. John Conyers Jr., D-Mich., and Rep. Ron Paul, R-Texas, in an effort to improve the quality of patient care by leveling the playing field between healthcare professionals and insurance companies in the healthcare industry.

ALEXANDRIA, Va. — The National Community Pharmacists Association on Wednesday announced support for the Quality Health Care Coalition Act of 2011 (H.R. 1409), which was introduced last week by House Judiciary Committee ranking member Rep. John Conyers Jr., D-Mich., and Rep. Ron Paul, R-Texas, in an effort to improve the quality of patient care by leveling the playing field between healthcare professionals and insurance companies in the healthcare industry.

April 6, 2011

The Centers for Medicare and Medicaid Services announced this week it would delay implementation of its proposed Medicare Part D long-term care “short-cycle” rule for one year.

ALEXANDRIA, Va. — The Centers for Medicare and Medicaid Services announced this week it would delay implementation of its proposed Medicare Part D long-term care “short-cycle” rule for one year.

March 29, 2011

Raising Medicare’s eligibility age from 65 to 67 years in 2014 would generate an estimated $7.6 billion in net savings to the federal government, but also would result in an estimated net increase of $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, as well as $4.5 billion in employer retiree healthcare costs, according to a new Kaiser Family Foundation projection of the potential change suggested by several deficit-reduction plans.

MENLO PARK, Calif. — Raising Medicare’s eligibility age from 65 to 67 years in 2014 would generate an estimated $7.6 billion in net savings to the federal government, but also would result in an estimated net increase of $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, as well as $4.5 billion in employer retiree healthcare costs, according to a new Kaiser Family Foundation projection of the potential change suggested by several deficit-reduction plans.

March 14, 2011

Ten members of Congress expressed concerns over a provision in the Patient Protection and Affordable Care Act that is said to reduce Medicare program costs, according to the Centers for Medicare and Medicaid Services.

ALEXANDRIA, Va. — Ten members of Congress expressed concerns over a provision in the Patient Protection and Affordable Care Act that is said to reduce Medicare program costs, according to the Centers for Medicare and Medicaid Services.