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Pharmacy Benefits Manager

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.

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. 

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, Taxes

Budget Gimmicks Hide the True Costs of Obamacare –

September 1, 2009 staff

There is a lot of discussion of how much the Obama healthcare plan will cost the federal government.  The House bill, if passed, will spend more than $1 trillion over 10 years and the Senate bill would spend more than $800 billion over 10 years.  This spending will be paid for with a lot of […]

Defense, Healthcare, PBM, PBMs, Pharmacy Benefits Manager

The Devil is in the Details of the Healthcare Bills, Or Not

August 1, 2009 Leslie Paige

President Obama and congressional Democrats have been playing defense on healthcare reform throughout the month of August as congressional town hall meetings across the country have erupted in anger and frustration.  A favorite theme in the President’s and his allies’ speeches is that Americans have been manipulated and exploited by opponents of his healthcare initiatives, jack-booted obstructionists who are peddling falsehoods about what is actually in the bills.

Healthcare, PBM, PBMs, Pharmacy Benefits Manager, Transportation

“Cash for Clunkers” Comes to a Screeching Halt

August 1, 2009 staff

This past June, Congress added $1 billion to the 2009 Supplemental Appropriations Act for the “Consumers Assistance to Recycle and Save Act of 2009”.  Though it had no business appearing in an emergency war funds bill, this “Cash for Clunkers” provision established a new one-year program administered through the Department of Transportation’s (DOT) National Highway Traffic Safety Administration (NHTSA) that gave individuals with older, less fuel efficient cars a credit worth up to $4,500 towards the purchase of a new car that met certain fuel efficiency standards.

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