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Healthcare

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Got Some Splainin To Do

May 12, 2016 Elizabeth Wright

Yesterday, May 10, 2016, the House and Energy Commerce Committee released a report, which demonstrates the Centers for Medicare and Medicaid Services (CMS) Acting Administrator Andrew Slavitt provided false testimony in a House Energy and Commerce Subcommittee on Oversight and Investigations hearing, “An Overdue Checkup Part II: Examining the ACA’s [Affordable Care Act] State Insurance Marketplaces.”  The hearing was held December 8, 2015.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

UnitedHealthcare Cries Uncle

April 21, 2016 Elizabeth Wright

On Tuesday, April 19, UnitedHealthcare CEO Stephen Hemsley announced that the company would be pulling out of most of the Affordable Care Act’s (ACA), or Obamacare, marketplace exchanges.  This announcement did not come as a surprise.  On November 19, 2015, The Hill reported, “At a shareholder meeting Thursday, UnitedHealthcare cast doubt on its ability to carry plans on the healthcare law’s exchanges beyond 2016, offering a more grim financial outlook than it had previously expected.  ‘In recent weeks, growth expectations for individual exchange participation have tempered industrywide,’ said Stephen Hemsley, the company’s CEO.  ‘Co-operatives have failed, and market data has signaled higher risks and more difficulties while our own claims experience has deteriorated, so we are taking this proactive step.’”

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Lawyering Up Over Labels

April 20, 2016 Elizabeth Wright

On November 13, 2013, the Food and Drug Administration (FDA) released a proposed rule that would allow generic pharmaceutical firms to provide new safety information and update a drug’s label without first getting FDA approval, even though doing so would make it different from the reference drug’s (the original brand-name) label.  If the proposed rule should go in effect, it is conceivable that several versions of labels for the same medication could exist, creating uncertainty for physicians, pharmacists, and patients.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Congress’s “Gift” to Obamacare

March 24, 2016 Elizabeth Wright

Yesterday was the Affordable Care Act’s (ACA) sixth anniversary. Better known as Obamacare, the law’s popularity since inception has never been above 50 percent according to RealClear Politics’ (RCP) polling data.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare’s Festering Fraud Wound

March 18, 2016 Curtis Kalin

On June 25, 2015, President Obama made a bold proclamation regarding his signature healthcare law: “As the dust has settled, there can be no doubt that this law is working.”  He doubled down by adding that it “is working exactly as it’s supposed to.”  President Obama’s comments that day illustrate his continued unwillingness to accept the consequences of his healthcare takeover.  Ever since the Affordable Care Act (Obamacare) became law, he has ignored the panoply of problems that plague the law and the wasteful government agencies it empowered.

Healthcare, CMS, General Waste, Medicare, Medicare/aid, Obamacare

Obamacare Further Immerses Itself Between Doctor and Patient

March 11, 2016 Elizabeth Wright

Citizens Against Government Waste’s February Waste Watcher, “Obamacare’s Cerberus,” discussed concerns with three organizations created under the Affordable Care Act (ACA), or Obamacare. They are the Patient Centered Outcome Research Institute (PCORI), the Independent Payment Advisory Board (IPAB), and the Center for Medicare and Medicaid Innovation (CMMI.) All have the capability to develop into government rationing boards.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

America’s Vets Still Underserved By Sclerotic VA…and Now the VA’s Watchdog!

March 4, 2016 Leslie Paige

It has been almost two years since the scandal over wait times for vets trying to get into see medical personnel at VA facilities first erupted and America’s Iraq and Afghan vets are still on the losing end of a sclerotic, mismanaged, and secretive VA bureaucracy.  We can now add obstructionist to that list of adjectives.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Trump Releases His Healthcare Plan

March 4, 2016 Elizabeth Wright

Presidential candidate Donald Trump has been vague and contradictory about the kind of healthcare reform plan he would offer to replace Obamacare. He has previously talked about having a government-run system, a mandate to purchase health insurance, “getting rid of the lines around the states,” allowing the government to “negotiate” drug prices, or preventing people from “dying on the streets.”

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Breaking the Law – Again

February 20, 2016 Elizabeth Wright

Since the Affordable Care Act (ACA), or Obamacare, was signed into law on March 2010, the Obama administration has changed the law 43 times without Congressional approval. The Galen Institute has been keeping track of these administrative changes, which you can find here. Apparently another illegal administrative action, which will cost the U.S.

Healthcare, CMS, General Waste, Medicare, Medicare/aid, Obamacare

Obamacare’s Cerberus

February 18, 2016 Elizabeth Wright

In March 2010, the Affordable Care Act (ACA), or Obamacare, was signed into law.  The debate over controversial Obamacare initiatives is ongoing, particularly whether the law will lead to rationing and price-controls that are seen in single-payer or government-run healthcare systems.

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