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NCPA: Pharmacy Benefit Managers Scare Tactics Have No Basis in U.S. Newswire (press release), DC - Laws like the one enacted in Maine would be bad news for the giant PBMs because they require PBMs to disclose such business practices as the amount of rebates they receive for steering patients to "preferred" drugs-kickbacks that investigators say are not being passed on to consumers in the form of cost savings. When Maine enacted its PBM reform statute, PCMA sued. A federal appeals court rejected the PBM's arguments, and now the Supreme Court has turned down PCMA's request to hear the case. Legislators have been closely watching the Maine case, PCMA v. Rowe, and the Supreme Court's decision to reject PCMA's request for a writ of certiorari leaves the door wide open for more states to enact PBM consumer protections. Currently, Maine, Georgia, Maryland, Mississippi, North Dakota, South Dakota, and the District of Columbia have enacted laws regulating PBM operations. 2006-06-19 World! Exclusive! First-ish Look At The Chosen One! Defamer.com, CA - and the two people whose selfless combination of their genetic material has ushered in a new era of peace, harmony, and perpetual, joyous high-fiving into a turbulent, evil-plagued planet. Mere moments after staring upon the Chosen One's image, we felt as if we were bathed in the same golden light that surrounds the infant's still-frail form, and our usual feelings of crippling insecurity and anxiousness were quickly supplanted by a general sense of warmth and well-being. That's all the secondhand grace we can endure for now, but later we plan on exposing a troubling mole with irregular borders to the young Shiloh's placid image, hoping that the blemish will shrink into benign nothingness and save us the copay for a trip to the dermatologist. 2006-06-18 Insurance plan approved by Mason fiscal Ledger Independent, KY - Mason County Fiscal Court members approved signing with Blue Cross/Blue Shield Tuesday morning for health insurance, despite a 12.5 percent increase in rates. Judge-Executive James "Buddy" Gallenstein said the increase will also be reflected in the premium employee's must pay. 2006-06-16 It is a good-news year for cholesterol management Benefitnews.com, NY - Cholesterol management goes hand in hand with healthy eating. The rules are fairly simple: Eat a balanced diet that minimizes foods that are high in cholesterol, saturated fat and trans fat - generally, meat and dairy products. They increase LDL and cause the body to make more of its own cholesterol, reports the National Institutes of Health. In contrast, plant-based unsaturated fats such as olive oil are good for you. 2006-06-15 School board increases its health care premium Providence Journal (subscription), RI - Committee member Joyce Andrade said that the teachers contract is not the only issue at stake. The schools' contract with the Warwick Independent School Employees, representing 500 custodians, minibus drivers, secretaries, teaching assistants and maintenance workers, expires in August. The School Committee intends to pursue the same health care proposal with them. 2006-06-14 Pharmacy services change to become more efficient Contra Costa Times, CA - Essentially all Medicare patients are required by the federal government to pay some type of copay for their insurance, some Medi-Cal patients are also required by the state to pay a copay, and many private insurance systems require a copay. Some people may think that it is a good idea for the county to pay those copays for patients (you know, those are individuals who believe that government should take care of us), but the county taxpayers are not currently required to pay those costs of care. 2006-06-13 Time running out to get Medicare Plan D savings Asbury Park Press, NJ - While picking a prescription drug plan is an important health care decision, those who have still not enrolled might want to keep this in mind: The late enrollment penalty is a lifetime charge, but your choice of a Part D plan is not set in stone for a lifetime. If you find a plan you like better, you can always change during the annual open enrollment period, which will occur every year from Nov. 15 to Dec. 31. 1. More vigilance over copay collections urged: expert suggests payment rules - Practice Trends NEW ORLEANS -- Physicians need to get tough about collecting what''s owed them, Michael Fleischman said at the annual meeting of the American Academy ... 2. What ever happened to the four-tiered copay structure? Despite sporadic experiments with percentage-based copays and fourth- or fifth-tier benefits, the majority of PBM membership remains in a three-tiered ... 3. Copay disparity remains in Medicare for covering mental health treatment.(Copayment, other outpatient services, institutional services versus outpatient A new study indicates that prescription drug copay incentives are effective in switching brands of proton pump inhibitors (PPIs). The study, from Market ... 4. A new study indicates that prescription drug copay incentives are effective in switching brands of proton pump inhibitors - PPIs - Drug Cost Studies in Case study: Financial benefits of a generic prescription program When economic incentives between physicians and patients align, change can happen rapidly. 5. Smarter scripts Mr. Daub''s resignation as AHCA president/CEO was announced as this issue went to press. Long-term care providers have never been known for being politically ... |
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