News & Updates

Medicaid programs willing to boot out drug pricing middlemen

Axios — By Bob Herman, October 8, 2019 Michigan’s Medicaid program is proposing to fire the pharmacy benefit managers that handle its prescription drug claims and negotiate prices. The state would manage drug coverage itself, starting Dec. 1. The big picture: More state Medicaid agencies have determined that outsourcing all negotiations and operations of prescription drugs to PBMs has read more…

Why Millions of Senior Citizens Can’t Get the Drugs They Need

Bloomberg Government  By John Tozzi – September 19, 2019 Senior citizens who try to fill prescriptions have them rejected at the pharmacy counter millions of times each year because their doctors either don’t, or are unable to, check whether a patient’s Medicare plan covers a particular drug. That’s the upshot of a new report from a federal watchdog that read more…

Pelosi unveils signature plan to lower drug prices

The Hill  By Peter Sullivan– September 19, 2019 Speaker Nancy Pelosi (D-Calif.) on Thursday unveiled her long-awaited plan to lower prescription drug prices, one of the top priorities for Democrats this year. The plan would allow the secretary of Health and Human Services to negotiate the price of up to 250 drugs per year, and read more…

As Action on Senate Finance Committee Drug Pricing Bill Set to Resume, National LTC Pharmacy Advocacy Group Praises Cap on Patient Costs

Commenting on several elements of the Senate Finance Committee’s pending drug pricing bill, the Senior Care Pharmacy Coalition (SCPC) praised the broad contours of the sweeping legislation and offered strong support for the proposed cap on Medicare Part D beneficiaries’ out-of-pocket costs…Read More

How Medical Middlemen Delay and Deny Cancer Treatments to Americans

Morning Consult BY TED OKON August 21, 2019 Democratic presidential candidates have devoted plenty of debate time to health care and pointed fingers at a familiar bogeyman: the all-powerful pharmaceutical industry. They are right to be outraged at high drug prices and the affordability crisis millions of Americans face every day, but they missed a huge problem read more…

Senate bill aims to protect taxpayers from costly drugs

Roll Call One proposed change to Medicare prescription drug benefit is to help the program control costs it absorbs to keep premiums stable. (CQ Roll Call file photo) Congress this year could enact the biggest overhaul of Medicare’s prescription drug benefit since it was first established in 2003. If successful, seniors — and taxpayers — read more…

Senate committee unveils ambitious plan to cap drug price hikes, out-of-pocket expenses

Stat News By LEV FACHER and NICHOLAS FLORKO JULY 23, 2019 WASHINGTON — A key Senate committee on Tuesday unveiled a long-awaited package of drug pricing reforms that would cap how much drug makers can hike their prices in Medicare. It would also cap out-of-pocket expenses for Medicare beneficiaries and dramatically reform the program’s prescription drug benefit.The bipartisan effort, read more…

Generic drugs ‘wildly overpriced’ in Medicare, study finds

Becker’s Hospital Review Morgan Haefner – Monday, July 15th, 2019 Many generic drugs in Medicare Part D are “wildly overpriced,” according to an analysis from drug pricing research firm 46brooklyn. The report, which examined data from CMS’ Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information Files, found that while some generic drugs are priced fairly, others “show unbelievable read more…

National LTC Pharmacy Advocacy Group Asks CMS to Release “Summary Data” on PBM Medicare Spread Pricing Activity

SCPC Thanks CMS for Curtailing PBM Medicaid Spread Pricing; Time for Similar Medicare Transparency…Read More.

‘An Arm And A Leg’: Why Are Drug Prices So Random? Meet Mr. PBM

Kaiser Health News
Surely, an old-time, generic drug can’t cost $720 — for a three-month supply…Read More.

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