March 11, 2014

The Centers for Medicare and Medicaid Services has decided not to move forward on several of the proposed provisions of the Medicare Advantage and Part D prescription drug program, according to reports.

February 18, 2014

Now that most generics have declined in cost, plans will look for new ways to control health spend and ensure that generics are being used whenever possible.

February 12, 2014

A Medicare proposed rule change limiting the number of prescription drug plans that insurers may offer in the Part D market could require 39% of all enhanced plans to be eliminated in 2016, according to an analysis from Avalere Health that was released Wednesday.

February 12, 2014

Members of Congress are contacting the U.S. Centers for Medicare and Medicaid Services in support of pro-patient improvements the agency proposed for Medicare Part D prescription drug plans in 2015, a development applauded today by the National Community Pharmacists Association.

February 7, 2014

In a report released by the U.S. Government Accountability Office, the GAO found that the total draft federal upper limits amount based on the new formula under the Patient Protection and Affordable Care Act was about 1.4% lower than the total National Average Drug Acquisition Cost amount in aggregate for 1,035 outpatient drugs subject to the FUL in first quarter 2013.

January 31, 2014

Interim financial results for 114 ACOs that began work in 2012 show that they generated $128 million in savings for the Medicare trust fund in the first year, the Centers for Medicare and Medicaid Services reported in a blog posted Thursday.

January 23, 2014

When selecting an exchange health plan under the Affordable Care Act, consumers should be able to evaluate plans’ success in medication management, among other quality measures, the National Association of Chain Drug Stores stated in comments to the Centers for Medicare and Medicaid Services.

January 15, 2014

Reform of eligibility criteria for MTM services would improve access to care for seniors and boost medication adherence, according to an article co-authored by Laura Miller, senior economist with the National Association of Chain Drug Stores.

January 7, 2014

Growth in health spending has slowed in recent years, including spending by private and public payers, according to data released by the Centers for Medicare and Medicaid Services that also found a small contribution to the lower growth from the healthcare reform law.

January 7, 2014

The National Community Pharmacists Association on Tuesday expressed support of several policy changes proposed by the Centers for Medicare and Medicaid Services.

January 3, 2014

Adults who are covered by Medicaid use emergency rooms 40% more than those in similar circumstances who do not have health insurance, according to a new study, co-authored by an MIT economist, that sheds empirical light on the inner workings of health care in the United States.

December 23, 2013

The Centers for Medicare and Medicaid Services is encouraging health plans to cover patients' existing non-formulary drugs as though they were formulary drugs for the first 30 days after the Jan. 1 rollout of the insurance coverage provided under the Patient Protection and Affordable Care Act.

December 20, 2013

CVS Caremark announced on Friday that the Centers for Medicare and Medicaid Services has lifted the sanctions imposed against the company's SilverScript Medicare Part D Prescription Drug Plan, effective Jan. 1.

December 17, 2013

Nearly 1,200 seniors have complained to Medicare this year about a litany of problems with mail-order pharmacies, including shipping unneeded medication and going without medication due to delayed shipments, the National Community Pharmacists Association noted Tuesday citing documentation recently released by the U.S. Centers for Medicare & Medicaid Services.

December 11, 2013

Reimbursement cuts to California's state Medicaid program are the subject of a lawsuit filed last week in San Francisco.

December 4, 2013

Mail-order pharmacies frequently charge Medicare prescription drug plans more than community pharmacies do for filling prescriptions, a new analysis by the U.S. Centers for Medicare and Medicaid Services has concluded.

December 3, 2013

Elderly and disabled people nationwide have saved almost $9 billion on prescription drugs thanks to the Patient Protection and Affordable Care Act, according to a new study by the Centers for Medicare and Medicaid Services.

November 15, 2013

CVS Caremark has announced the appointment of William Shrank as chief scientific officer and chief medical officer, provider innovation and analytics. In this role, Shrank will oversee the company’s overall research and clinical program development.

Why is this so important? Well, he’s a physician having previously practiced with Brigham Internal Medicine Associates. He also served as assistant professor at Harvard Medical School and served as director, research and rapid-cycle evaluation for the Center for Medicare & Medicaid Innovation at the Centers for Medicare & Medicaid Services. And what’s especially interesting to note — as highlighted by CVS Caremark — is that Shrank is “experienced in pharmaceutical outcomes research.”

November 12, 2013

CVS Caremark has announced the appointment of William Shrank as chief scientific officer and chief medical officer, provider innovation and analytics.

October 30, 2013

Community pharmacy is an important healthcare partner in providing cost-saving solutions within the healthcare system.

October 24, 2013

With the expansion of Medicaid services in the Patient Protection and Affordable Care Act on the horizon, the National Association of Chain Drug Stores and National Community Pharmacists Association sent a letter to CMS urging the agency to take into consideration the true cost of dispensing prescription medications to Medicaid patients.

October 8, 2013

More than half of the country gets a "fair" or "poor" score when it comes to standards affecting dental care access for elderly people, according to a new report.

October 1, 2013

The Department of Health and Human Services will furlough more than half of its employees due to the government shutdown, the agency said.

September 20, 2013

Only half of the uninsured Americans expected to gain health coverage next year will do so due to a Supreme Court decision that allows states to decide individually whether to expand Medicaid coverage to the poor under the Patient Protection and Affordable Care Act, according to published reports.