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Pharmacy Benefits Manager

Budget, Congress, Entitlements, General Waste, Healthcare, Oversight, PBM, PBMs, Pharmacy Benefits Manager, Regulations

Legislation Puts Medicare Recovery Auditing, and Taxpayers, At Risk

September 20, 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 […]

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

Navigating Healthcare Privacy

September 19, 2013 Deborah Collier

The Department of Health and Human Services (HHS) has awarded $67 million in grants to more than 100 organizations to assist individuals needing help navigating the confusing process of signing up for Obamacare. On August 14, 2013, the attorney generals of 13 states sent a letter to HHS Secretary Sebelius, raising apprehension about what they […]

Budget, General Waste, Healthcare, Jobs, Labor, Oversight, PBM, PBMs, Pharmacy Benefits Manager

Tax and Spend Won’t Fix the Results of the Financial Crisis

September 17, 2013 staff

Today, the President gave a speech on the five-year anniversary of the financial meltdown and claimed his policies of government “investments” and intrusion into the private sector, higher taxes, and more regulations have helped the economy turn the corner.  He called for more government spending as he claimed, yet again, turning the economy around is his top […]

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

Will the Senate Close the Door to Obamacare Fraud?

September 14, 2013 staff

Yesterday, the House of Representatives passed H.R. 2775, legislation that requires the Department of Health and Human Services (HHS) to have a program in place that verifies the household income and coverage requirements of individuals and families applying for taxpayer-funded subsidies and credits to help them purchase health insurance under Obamacare.  By law, the credits […]

Budget, Commerce, Congress, General Waste, Healthcare, Oversight, PBM, PBMs, Pharmacy Benefits Manager

Just Words?

August 30, 2013 staff

Yesterday, The Daily Caller highlighted a continuing issue I have with the Obama Administration and that is using words that attempt to hide or do not describe what the government is talking about.  For example, the President constantly uses the word “revenue” instead of taxes and “investment” instead of more government spending.  But that is not the […]

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

Another Delay?

August 29, 2013 staff

The Obama Administration is changing the requirements again for the Affordable Care Act, better known as Obamacare.  Reuters reports the administration has decided to delay signing the final agreements with insurance plans that are going to be sold in the healthcare insurance exchanges.  The exchanges are supposed to be up and running on Oct. 1. According […]

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

The New Normal?

August 23, 2013 staff

What is becoming increasingly clear is the Affordable Care Act (ACA), often referred to as Obamacare, is changing and will change how Americans work.  Here are some examples. According to Obamacare, any employer with 50 or more employees must provide health insurance to any employee that works 30 or more hours a week.  Dealing with […]

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

Obamacare: Defund or Delay?

August 22, 2013 wchristian

Before the 113th Congress left town in early August for their five-week “summer recess,” they kicked yet another can down the road.  On the one hand, it wasn’t time-sensitive enough that action couldn’t wait until their return on September 9.  On the other, because of the hoopla surrounding it before their departure, they left themselves […]

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

Lame Brain Drain

August 20, 2013 wchristian

I am not suggesting that the Congressional staffers who may be seeking greener career pastures (due to changes in health care benefits) are “lame brains;” however, if they are responsible for most of the madness that emanates from Capitol Hill, I may have to reassess.  Rather, the much-ballyhooed, “sky-is-falling” brouhaha over the potential for intellectual […]

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

The Fix is In…

August 10, 2013 Leslie Paige

The deal has been made; Congress and President Obama figured out a way to provide continued subsidies for healthcare premiums for congressional staff.  The Office of Personnel Management (OPM) just released the proposed regulation, which can be found here. Despite what many have noted is a lack of statutory authority to issue this regulation, it nonetheless […]

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