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PBM

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

Here We Go…AGAIN!

July 2, 2014 Elizabeth Wright

President Obama has told the Congress and the country that he will be using his pen and phone to get his priorities implemented.  That has meant bypassing Congress and changing, or ignoring, current law.  It is well known that this has occurred several times during the horrendous rollout of the Affordable Care Act (ACA / […]

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

Is Another Special Exemption from Obamacare on the Way?

June 26, 2014 Elizabeth Wright

Last week on June 18, Inside Health Policy reported that lobbying efforts were underway by organizations that represent Medicaid-dependent providers, such as home care services, establishments that care for the disabled, hospice care facilities, etc., to get a special carve-out from the employer health insurance mandate found in the Affordable Care Act (Obamacare.)  Under the […]

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

Don’t Know Much About Algebra

June 12, 2014 Elizabeth Wright

Paul Krawzak wrote in the June 4 Roll Call about some disturbing news that came from an April Congressional Budget Office (CBO) report on the Affordable Care Act (Obamacare.)  Said Krawzak, “In a little-noticed footnote to a report issued in April, ‘Updated Estimates of the Effects of the Insurance Coverage Provisions of the Affordable Care […]

Defense, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Veterans Administration is a Socialized Healthcare System

June 11, 2014 Elizabeth Wright

Who said the “VA is a socialized healthcare system?”  Or waxed poetically, “I know about a health care system that has been highly successful in containing costs, yet provides excellent care.  And the story of this system’s success provides a helpful corrective to anti-government ideology.  For the government doesn’t just pay the bills in this system — it runs the hospitals and clinics …The system in question is our very own Veterans Health Administration, whose success story is one of the best-kept secrets in the American policy debate?”  Or who declared the VA is a godsend?  And who promised that he’ll “make the VA a leader of national health care reform so that veterans get the best care possible?”

Defense, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Fatally Long Waits and Red Tape

June 11, 2014 staff

At the corner of Vermont Avenue and H Street in northwest Washington, D.C., a single structure’s exterior bears a bronze plate engraved with the words “To care for him who shall have borne the battle and for his widow, and his orphan.”  The building is the Department of Veterans Affairs, and the phrase, uttered by President Abraham Lincoln, is the agency’s motto.  Sadly, this goal is not being met, and, disappointingly, it hasn’t been for nearly a decade.

340B, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Federal 340B Discount Drug Program Needs Reform

May 22, 2014 Elizabeth Wright

The federal 340B drug discount program is in need of congressional oversight and reform.  

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

CAGW’s Obamacare Horror Stories

April 28, 2014 Elizabeth Wright

You may remember Sen. Harry Reid’s (D-Nev.) infamous floor speech on February 26 regarding Obamacare Horror stories.  He said: Despite all that good news, there are plenty of horror stories being told.  All of them are untrue, but they are being told all over America… Those tales turned out to be just that – tales, stories […]

Commerce, Healthcare, Intellectual Property, International, PBM, PBMs, Pharmacy Benefits Manager, Technology, Telecommunications

World Intellectual Property Day Is April 26

April 24, 2014 Deborah Collier

World Intellectual Property Day is April 26, 2014.  Set aside by the international community in 2000, as a day to increase and promote a general understanding of intellectual property (IP), this event is recognized worldwide at numerous events.  Among those events this year was the 2014 IP Champions Conference, held on April 23, 2014 by the […]

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

Not So Fast — How Many Have Paid? How Many Were Previously Insured?

April 5, 2014 Elizabeth Wright

“ACA Total Blows Past 7 Million!” “Obamacare Comeback?” “More Than Seven Million Have Enrolled Under the Affordable Care Act, Whitehouse says!” blare numerous April 1, 2014 newspaper headlines.  The president gave a speech in the White House Rose Garden stating, “Last night, the first open-enrollment period under this law came to an end.  And despite […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Medicare Fraud: All Talk, No Action

April 3, 2014 Leslie Paige

The Medicare Trust Fund, which is in the red and on track to reach insolvency by 2026, needs every penny it can get.  Thanks to the Recovery Audit Contractor (RAC) program, $8.2 billion in improper Medicare payments has been recovered since its nationwide implementation in 2010.  RACs operate on a contingency fee basis, so their work does not cost taxpayers a dime.  Rather than celebrate this successful program, members of Congress, the Centers for Medicare and Medicaid Services (CMS), and special interests, particularly the hospital trade associations, are conspiring to kill it.

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