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PBM

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Maine’s Fiscal Future Tied to Medicaid Expansion

November 6, 2017 Spencer Chretien

On November 7, 2017, Mainers will head to the polls to vote on four ballot measures, including Question 2, which would expand Medicaid in the state to cover able-bodied adults without children whose income is equal to or less than 138 percent of the federal poverty line.  In an off-year election, not many will vote; […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Another Dumb Idea from Democrats on Drug Costs

October 26, 2017 Elizabeth Wright

Today, House Oversight and Government Reform Committee Ranking Member Elijah Cummings (D-Md.), Sen. Patrick Leahy (D-Vt.), Sen. Bernie Sanders (I-Vt.), Rep. Lloyd Doggett (D-Texas) and Rep. Peter Welch (D-Vt.), held a press conference to engage in their usual screed  against pharmaceutical companies and provide a “solution” to lower drug costs in Medicare Part D.  Rep. […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Will the Alexander-Murray Bill Prop Up or Make Big Changes to Obamacare?

October 21, 2017 Elizabeth Wright

Late Thursday night last week, President Trump announced his administration would stop providing Cost-Sharing Reduction (CSRs) payments to insurers.  What are CSRs?  They are subsidies, or reimbursements, given to insurers by federal taxpayers for issuing reduced deductibles and copayments to low-income individuals that participate in the Obamacare exchanges.  CSRs are not payments given directly to […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Cook County Soda Tax Repealed After Only Two Months in Effect

October 19, 2017 Spencer Chretien

When politicians decide to tax something new, taxpayers rarely see the end of it.  This adage is especially true of so-called “sin taxes,” levies on products like alcohol, tobacco, and, increasingly, soda.  Those in government always appreciate more money, and politicians like beating up on unpopular industries.  It’s a two-pronged argument:  you shouldn’t be buying […]

President Trump's Executive Order on Healthcare
Healthcare, PBM, PBMs, Pharmacy Benefits Manager

President Trump’s Executive Order on Healthcare

October 13, 2017 Elizabeth Wright

Today, President Donald Trump signed an Executive Order (EO), “Promote Healthcare Choice and Competition Across the United States,” with the goals of bringing financial relief and more healthcare choices to millions of Americans. Since the Patient Protection and Affordable Care Act (ACA), or Obamacare, was signed into law, Americans have seen their health insurance options limited while […]

General Waste, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Welcome to Medicare … or not

October 12, 2017 Thomas Schatz

Individuals who are not on Social Security at age 65 are supposed to sign up for Medicare anytime between three months before their 65th birthday and three months thereafter. I turn 65 on January 9, 2018, and thought I should get an early start by checking everything out exactly three months before that date.  After […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Epic Fail or Phoenix Rising?: Obamacare Repeal and Replace

September 27, 2017 Elizabeth Wright

For seven years, Republicans in Congress have promised that repealing Obamacare would be a top priority.  They have failed, at least for now. The Republican Senate made the decision yesterday not to have a vote on the Graham-Cassidy-Heller-Johnson legislation that would have repealed and replaced the Patient Protection and Affordable Care Act (ACA), or Obamacare.  At least […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Graham-Cassidy is Far Superior to Obamacare

September 23, 2017 Elizabeth Wright

Sens. Lindsey Graham (R-S.C.), Bill Cassidy (R-La.), Dean Heller (R-Nev.), and Ron Johnson (R-Wisc.) introduced a replacement plan for the Patient Protection and Affordable Care Act (ACA), better known as Obamacare, on September 13, 2017.  The Graham-Cassidy bill is expected to be considered on the floor of the Senate next week.  As it gains support […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Liberal States Are Trying to Prop Up Obamacare

September 20, 2017 Spencer Chretien

As Washington struggles with what may be its final chance to repeal Obamacare, the law’s problems in the states continue.  One major problem that has plagued Obamacare for years is that not enough young and healthy people are signing up for health insurance coverage.  The Obama administration, to coax more Americans into signing up, attempted […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Eligibility Check Reveals Massive Medicaid Problems in Oregon

September 20, 2017 Spencer Chretien

Oregon attracted national ridicule in 2013 and 2014 as its state-run online Obamacare exchange, Cover Oregon, epically failed to sign up even one person for coverage, despite a federal grant of $303 million.  The fiasco was so colossal that the state gave up completely and had the federal government take over its enrollment for the […]

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