July 23, 2012

The Centers for Medicare and Medicaid Services on Monday hosted a public meeting to entertain a controversial payment adjustment — called "inherent reasonableness" — in reimbursing for non-mail-order diabetes supplies.

July 16, 2012

There is so much noise out there about the Patient Protection and Affordable Care Act and what it means for America that at times I wish I could just stick a banana in my ear — actually, make that two bananas, one for each ear.


July 6, 2012

The sweeping healthcare reforms encompassed in the landmark Patient Protection and Affordable Care Act will transform parts of the American healthcare landscape. But the nation’s fiscal challenges and the unsustainable cost increases generated by the U.S. health system also will drive fundamental changes in the way providers, payers and patients search for a more cost-effective and accountable set of solutions to a health system in crisis, said McKesson’s top public policy expert at ideaShare 2012.

July 5, 2012

As states grapple with tight budgets, rising Medicaid costs and the anticipated expansion of Medicaid following the Supreme Court's decision to uphold the Patient Protection and Affordable Care Act, policymakers should consider how community pharmacists can help reduce expenses. In addition, new evidence offers a fresh reminder of the perils of managed care in Medicaid and the need for proper oversight of managed care entities.

June 28, 2012

The Supreme Court on Thursday identified the Patient Protection and Affordable Care Act as a tax, which means the constitutionality of the healthcare-reform package cannot be addressed until after that tax is assessed.

June 28, 2012

While the Supreme Court on Thursday morning left the Patient Protection and Affordable Care Act mostly intact, the court did rule that Congress cannot withhold federal Medicaid spending from a state that does not expand its eligibility requirements under the act.

June 25, 2012

You want Rite Aid to win. A Rite Aid win represents a proof of concept — that concept being the creation of an effective market-driven loyalty program that incorporates savings on the healthcare services that actually works and in fact cross-pollinates pharmacy patients and front-end shoppers; that concept being that generic waves need not wash out all pharmacy sales volume if a pharmacy retailer can successfully grow ancillary healthcare services, such as immunizations or Rite Aid's new Rite Care Prescription Advisor; that concept being that there is in fact a return on investment from placing a knowledgeable team member armed with a tablet of health information physically in the aisles to proactively engage patients.

June 18, 2012

If you're an independent pharmacist trying to make ends meet in the state of Texas, good luck.

June 11, 2012

If it's good for the goose, then it's good for the gander. That's what was in a recent letter from the Ohio Department of Job and Family Services to the National Association of Community Pharmacists.

June 6, 2012

Ohio's Medicaid program has decided not to establish a competitive bidding and mandatory mail-order program for diabetes testing supplies.

June 1, 2012

So research indicates that the majority of consumers who would be eligible for new healthcare coverage under the Patient Protection and Affordable Care Act have never heard of the state-based healthcare exchanges, and many believe they will need help in understanding healthcare insurance terms and descriptions. Really? Of course! That's because it's confusing!

May 23, 2012

The National Community Pharmacists Association on Monday drafted a letter to the Center for Medicaid and CHIP Services regarding the latest federal upper limit guidelines that the association characterizes as "getting worse with regard to the negative economic impact [to community pharmacies], not better."

May 16, 2012

The Centers for Medicare and Medicaid Services earlier this month released a memo to all Part D sponsors, warning them that the agency has "observed an increase in beneficiary complaints related to the transfer of prescriptions from retail pharmacies to either mail-order or specialty pharmacy without their explicit consent."

May 16, 2012

I am the 99%. And thank God for that. But it’s not what you think. This isn’t about radical politics and class warfare. I’m not looking to tax the 1%. I just want them to take better care of themselves. And I’m definitely not the only one. More and more, payers, insurers and big government are all looking at ways to get this group to live a little healthier. 


May 15, 2012

With state-led Medicaid redesign and federal healthcare delivery reform under way in New York state, the demand for nurse practitioners, physicians assistants and other healthcare professionals is anticipated to continue to increase, according to a recent report by the Healthcare Association of New York State, which is a statewide hospital and continuing care association.

May 14, 2012

The Center for Medicare and Medicaid Services needs to beef up its oversight on Medicare Part D submissions from retail pharmacy, according to an Office of Inspector General report published last week.

May 2, 2012

CVS Caremark announced on Wednesday that it is supporting Million Hearts during National High Blood Pressure Education Month in May through a number of patient-focused initiatives.

April 12, 2012

Take Care Health Systems, which is owned by Walgreens, now is providing wellness services for Medicare enrollees at all Take Care Clinic locations throughout the country, the retail health clinic operator announced on Thursday.

April 9, 2012

How do you squeeze water from a stone? That seems to be the goal of the U.S. Centers for Medicare and Medicaid Services in its long quest to cut prescription reimbursements for Medicaid patients by setting new, tighter payment caps for the community pharmacies that dispense those medicines.

April 4, 2012

The National Association of Chain Drug Stores has submitted official comments to the Centers for Medicare and Medicaid Services regarding its proposed rule on Medicaid pharmacy reimbursement using the average manufacturer price model.

April 4, 2012

A group that claims a membership of more than 20,000 pharmacies nationwide has appointed a new member to its leadership team.

March 28, 2012

The National Community Pharmacists Association on Monday released the program for its 2012 Legislative Conference meeting, which will bring community pharmacists and some of Washington, D.C.’s most senior decision-makers together to discuss pressing healthcare and pharmacy issues.

March 27, 2012

The Supreme Court on Tuesday morning heard arguments on whether the individual mandate portion of the Patient Protection and Affordable Care Act is constitutional.

March 26, 2012

The fourth annual National Association of Chain Drug Stores RxImpact Day on Capitol Hill wrapped up March 22 on a high note. With pharmacists and pharmacy students from around the country able to secure more than 350 meetings with members of the U.S. House and Senate and their staffs last week, most lawmakers who serve on congressional committees with jurisdiction on healthcare issues got to hear pharmacy’s position on prescription reimbursements, fair payment for pharmacy services and the proposed merger of pharmacy benefit management giants Express Scripts and Medco.