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PBMs

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

House Passes the American Health Care Act, Senate Up Next

May 19, 2017 Elizabeth Wright

On May 4, 2017, the House of Representatives passed H.R. 1628, the American Health Care Act (AHCA) by a vote of 217 to 213.  Only Republicans voted for the legislation; 20 Republicans and 193 Democrats voted no.  The final bill was a modified version of the legislation that the Republican leadership pulled from consideration in late March.  The Congressional Budget Office is expected to provide a score by the end of May.  From there, the bill is scheduled to move to the Senate for consideration, although that body appears to be prepared to write its own legislation.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Louisiana House Should Reject Pharmaceutical Price Controls

May 17, 2017 Elizabeth Wright

The Council for Citizens Against Government Waste (CCAGW) has been tracking numerous bills in states throughout the country that are masquerading as a way to lower drug costs by implementing pharmaceutical cost transparency.  Supporters claim the legislation will help everyone understand how prescription drugs are priced by collecting information about manufacturing costs and pricing data that would be studied and analyzed by the government. 

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Pennsylvania Attempts Faulty Price Control Scheme for Prescription Drugs

May 15, 2017 Elizabeth Wright

In their July 2, 2015 Federal Trade Commission (FTC) commentary, “Price Transparency or TMI,” Office of Policy Planning authors Tara Isa Koslov and Elizabeth Jex noted, “Is more information about prices always a good thing for consumers and competition?  Too much transparency can harm competition in any market, including in health care markets.”

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The House Passes H.R. 1628, a Bill to Repeal and Replace Obamacare

May 6, 2017 Elizabeth Wright

On Thursday, the House of Representatives passed H.R. 1628, the American Health Care Act (AHCA) of 2017.  Only Republicans voted for the measure and every Democrat voted against it, along with 20 Republicans.  The vote was 217 to 213.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

A Dopey Policy

April 18, 2017 Elizabeth Wright

Currently, 26 states and the District of Columbia allow either medical and/or recreational marijuana.  The January 23, 2017 edition of Westword reported that 11 additional states are considering legalizing recreational marijuana this year.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Pharmaceutical Transparency Legislation – Sounds Good but Foolhardy

April 14, 2017 Elizabeth Wright

Legislation to create “transparency” in drug costs has been introduced in dozens of state legislatures across the country, purportedly to understand how prescription drugs are priced.  While details vary from state to state, all the bills would require pharmaceutical manufacturers to provide reams of pricing and cost data, much of it proprietary, to state officials.  […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Big Pharma DOES Negotiate Drug Prices

April 1, 2017 Elizabeth Wright

On March 7, 2017, President Trump tweeted he was “working on a new system where there will be competition in the Drug Industry.  Pricing for the American people will come way down.”  The next day, in a meeting with Representatives Elijah Cummings (D-Md.) and Peter Welch (D-Vt.) , the president reiterated that he wanted to […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare Still Vulnerable to Fraud

March 28, 2017 Curtis Kalin

Even before Congress failed to pass a repeal and replacement for the Affordable Care Act (Obamacare), a November 2016 Government Accountability Office (GAO) report again exposed rampant and systematic fraud in the application process.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare Lives — For Now Anyway

March 25, 2017 Elizabeth Wright

Today certainly was a disappointing day for congressional Republicans. Since March 23, 2010, seven years ago yesterday, Republicans have wanted to repeal and replace the Patient Protection and Affordable Care Act, better known as Obamacare. But, House Republican leadership was unable to satisfy enough members in their caucus to vote for their repeal and replacement bill, H.R. 1628, […]

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

American Health Care Act — A Bill to Repeal and Replace Obamacare

March 15, 2017 Elizabeth Wright

The House Republicans have introduced a bill that will begin the process to repeal and replace Obamacare, entitled the American Health Care Act of 2017 (AHCA). Obamacare is collapsing and Congress must act to stabilize and prevent further turmoil in the individual and small group health insurance market. For example, there are more than 1,000 […]

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