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Pharmacy Benefits Manager

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

Reality is Starting to Set In

October 18, 2013 staff

Now that Washington has a temporary reprieve on budget and debt ceiling issues, perhaps the media will focus more on the continuing Obamacare slow-motion train wreck.  It has been largely ignored by the main stream media but the news about the disastrous roll-out is trickling out. We all know the on-line system to shop and […]

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

Conn Artist?

October 13, 2013 staff

This week, the Senate Committee on Homeland Security and Governmental Affairs lead by Senator Tom Coburn (R-OK) released an investigative report on Social Security Disability Insurance (SSDI) entitled, “How Some Legal, Medical, and Judicial Professionals Abused Social Security Disability Programs for the Country’s Most Vulnerable: A Case Study of the Conn Law Firm.”  In the […]

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

This Is Another Nice Mess You’ve Gotten Us Into

October 10, 2013 staff

The New York Times had an interesting story yesterday, which also raised some questions that need to be answered. According to the Times, the delays for signing up for insurance on the healthcare exchange are directly tied to a software crash when Obamacare officially opened on October 1.  The problem occurred at the very beginning stage of […]

Entitlements, Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Technology

Computer Glitches or Poor Program Management

October 10, 2013 Deborah Collier

According to a July 17, 2013 Government Accountability Office (GAO) report, the Department of Health and Human Services (HHS) had obligated $303.4 million (77 percent of its total obligations for Obamacare) to establish the healthcare data hub, provide information technology support for federal employees working on the healthcare exchange, the Healthcare.gov website, and a healthcare […]

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

A Government That is Too Big

October 8, 2013 staff

More and more news reports are surfacing about the overreach by the Obama Administration with regard to the partial government shutdown.  Remember, some 82% of government spending is exempt from the shutdown.  It is the White House that ultimately determines what is essential and stays open and what doesn’t in the federal government. First a […]

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

A Clean CR is a Dirty Rotten Shame

October 5, 2013 wchristian

On the October 2nd edition of Fox News Channel’s Special Report, columnist Charles Krauthammer decried the Democrats’ disingenuous insistence on a “clean CR,” implying that such an approach is actually a ratification of failure.  On the one hand, it would underscore the fact that both chambers of Congress had failed in one of their most […]

Budget, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Legislation Puts Recovery Auditing, and Taxpayers, at Risk

October 3, 2013 Leslie Paige

Government waste, fraud, and abuse are a scourge on American taxpayers and a multi-billion dollar insult to the federal budget, but preventing improper payments, particularly in Medicare, is now running into roadblocks despite being a rare example of success.  Medicare providers, particularly hospitals, which have for years received billions in improper overpayments, now fully appreciate that new auditing and recovery techniques dramatically inhibit the flow of those overpayments.  More importantly, officials managing an actuarially and fiscally compromised Medicare program now have the ability, motivation, and authority to demand that providers repay those funds.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Obamacare Opening Day – Can You Say Fiasco?

October 3, 2013 staff

I tried to get information on Obamacare yesterday by logging onto www.healthcare.gov.  The only thing I accomplished was being transferred to my state exchange.  The state website is still experiencing difficulties today so I haven’t been able to find out if the current plan I have (which I pay for out-of-pocket) is more expensive than what […]

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

Debate and Compromise Is Not a One-Way Street

October 1, 2013 staff

A few months back my 20-something niece was complaining about how Congress, in particular the Republican House, was just not cooperating with President Obama over spending, taxes, and government-investments like bridges and green energy.  She said the current system was broken and that we needed something new so things could be done quickly.  I said, […]

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

Fuzzy Math and Little Details on Obamacare Premium Costs

September 26, 2013 staff

Today, the Department of HHS finally revealed the premium prices for Obamacare.  Several press outlets got an advanced copy and some reporters were not all that impressed. Here is Politico’s take: The Obama administration on Wednesday released a long-awaited report on premiums in Obamacare’s federal insurance exchanges — the first look at the rates that will apply […]

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