Content about Medicare

February 5, 2013

Money is a powerful motivator. Look no further than the sports world for validation. The PGA’s FedEx Cup encourages golfers to earn “points” towards participation in playoffs that offer a big season-ending payoff. Tennis has a similar format with the U.S. Open Series where performance in a series of events equates to a huge prize purse. Both instances use hefty prize money to help ensure the top performers participate and at high levels. The Centers for Medicare and Medicaid Services (CMS) have applied this sports theory to its rankings system of Medicare Advantage (MA) and Prescription Drug Plans (PDP) plans. And there’s billions of dollars up-for-grabs for healthcare plans.

January 31, 2013

Hospitals need retail pharmacy if they're going to reduce re-admissions, eliminate unnecessary healthcare costs and avoid penalties from Medicare for patient re-admission rates that are too high, under a new law that took effect Oct. 1. With that in mind, Walgreens created WellTransitions.

August 28, 2012

CVS Caremark and the Centers for Medicare and Medicaid Services have teamed up to increase awareness of the new services available under the Patient Protection and Affordable Care Act. To announce the partnership and highlight new benefits and options for Medicare beneficiaries, U.S. Health and Human Services Secretary Kathleen Sebelius recently visited a CVS/pharmacy and MinuteClinic in Jacksonville, Fla.

February 27, 2012

Community pharmacy brings innovation to patient care

May 16, 2013

The Senate voted overwhelmingly to confirm a former Virginia Health and Human Services secretary as administrator of the Centers for Medicare and Medicaid Services.

May 14, 2013

Medicare Part D plans that create tiered networks of pharmacies for beneficiaries need more oversight amid reports that small and medium-sized pharmacies are being excluded from them, several senators wrote in a letter last week to the Centers for Medicare and Medicaid Services.

May 9, 2013

Cuts to Medicare payments due to the budget sequester have hit reimbursements for cancer drugs, according to a nonprofit group.

May 9, 2013

Bipartisan legislation that would let pharmacists devote more time to Medicare beneficiaries and less to adjudicating claims with pharmacy benefit management firms was introduced in the U.S. Senate and won the backing of the National Community Pharmacists Association earlier this week.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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