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Pharmacy Benefits Manager

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

ObamaCare Challenges Move Ahead in Court

October 1, 2010 staff

Over the past two years, taxpayers have watched the national debt climb to a frightening $13.7 trillion as Congress and President Obama massively enlarged the size and scope of the federal government against the will of the people.  Americans have simply had enough of the bailouts, tax hikes, earmarks, onerous regulations, and seemingly endless number of “jobs” bills.  The passage of President Obama’s landmark healthcare legislation, however,was perhaps most symbolic of Washington’s reckless and profligate behavior. 

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Great Unraveling Continues…

August 1, 2010 Leslie Paige

The new summer blockbuster “Inception” features spectacular special effect sequences of towering edifices exploding, crumbling, and otherwise disintegrating in a film that addresses the fine line between reality and a dream state.  Right before the film’s protagonists emerge from medically-induced dream states, they experience instability, turbulence, and ultimately the total collapse of their immediate physical environments.  These sequences, which are awesome to behold on the big screen, are reminiscent of what is happening now in the real world with regard to the fiscal projections made about President Obama’s healthcare bill, only a lot less entertaining. 

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

Playing Politics with The Anthrax Vaccine

June 1, 2010 Leslie Paige

The anthrax attacks of October, 2001 may seem like a distant memory to many Americans, but the incidents created widespread alarm, prompting a debate within the U.S. government over how to better protect the nation from the critical threat of chemical and biological weapons attacks.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Taxes

Making Fiscal Sense in New Jersey

June 1, 2010 staff

Politicians frequently stand on soapboxes and tell voters what they want to hear, but often fail to back their words up with action after they are elected.  President Obama did this during the 2008 presidential race when he promised that people would be able to keep their doctor if healthcare reform passed and assuredeveryone making less than $250,000 thatthey would not be hit with any new tax increases.  Now that the healthcare bill has passed,citizens are discovering that that their doctors are dropping private insurers and most taxpayers will have to pay moreto provide health benefits for everybody.

Healthcare, Housing, PBM, PBMs, Pharmacy Benefits Manager

“There Ain’t No Rules Here”: Vote Buying, Fix-its, and Budget Gimmicks Used to Ram Through Healthcare Bill

March 1, 2010 staff

On Christmas Eve morning, Senate Democrats managed to strong arm enough members with giveaways such as the “Cornhusker Kickback” and “Louisiana Purchase” to pass Senate Majority Leader Harry Reid’s (D-Nev.) healthcare bill, H.R. 3590, the Patient Protection and Affordable Care Act.  This $2.3 trillion legislation, packed with tax increases, insurance mandates, Medicare cuts, and rationed care was rammed through the House on March 21, 2010 in a 219-212 vote.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Agency of Healthcare Potentates

December 1, 2009 Elizabeth Wright

As taxpayers begin to grasp the sheer magnitude and the $787 billion price tag of H.R. 1, the American Recovery and Reinvestment Act of 2009, better known as the “stimulus,” more and more details are being exposed as policy makers have time to read and analyze the legislation.  There is one section of the bill that has little to do with stimulating the economy and everything to do with overseeing the kind of healthcare Americans will, or will not, receive in the future.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Wasted Healthcare Dollars

November 1, 2009 staff

As the national debt exceeds $12 trillion and the monthly deficit record of $176 billion was set in October, it would behoove officials in Washington to take reports of wasteful spending more seriously.  This is especially true in regard to the tens of billions of dollars that are wasted each year in federal healthcare programs.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Healthcare: Everyone Gets a Deal and Taxpayers Get the Tab

October 1, 2009 staff

No one questions that the nation’s healthcare system is troubled and needs to be fixed.  Typically, Congress would propose legislation to fix the heart of the problem and then cut whatever side deals are needed to pass the legislation. 

The Obama administration and congressional majority campaigned on a theme of changing the way Washington worked.  Most voters assumed that meant negotiations on major legislation would be open and transparent.  Unfortunately, there is less transparency than ever as final House and Senate healthcare bills are being crafted behind closed doors.

Budget, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Congress Plans to Tap Medicare to Pay for Healthcare Reform

October 1, 2009 staff

The Senate Finance Committee has reported out S. 1796, its version of a health care reform bill.  This was preceded, and indeed made possible, by an estimate from the Congressional Budget Office (CBO) that the bill would increase federal government spending by only $829 billion in 2010-2019.  With new taxes and reductions in projected spending in Medicare and Medicaid, CBO said this would actually result in a net saving to the federal budget of $81 billion over this period.  The bill’s advocates greeted this estimate with relief, tinged with self-congratulation for having produced a bill that, in the current environment, was considered by them to be fiscally responsible.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager

Medicare is Afflicted with Chronic Wasting Disease, and its Catchy

October 1, 2009 Leslie Paige

All of the healthcare reform bills currently under consideration depend, to a significant degree, upon eradicating waste and abuse from Medicare in order to offset the costs of the new coverage package.  Squeezing waste out of Medicare is a laudable goal and an aggressive waste eradication campaign could yield savings of $40 to $50 billion annually (conservatively), or 10 percent, a much higher percentage of fraud than exists in private healthcare systems.  Unfortunately, it is a pipedream.  Administrations and Congresses going back decades have tried, and failed miserably, to eliminate the waste. 

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