SCPC Expresses Concern Proposed CMS Rule Threatens Seniors’ Access to Essential Medications, Further Undermines LTC Pharmacy Economic Viability
Washington, DC –The Senior Care Pharmacy Coalition (SCPC) today said its initial review of the Centers for Medicare and Medicaid Services (CMS) proposed changes to Medicare Advantage and Part D programs to “lower drug prices and reduce out-of-pocket expenses” would, in actuality, threaten seniors’ access to essential medications, and further undermine the economic viability of long-term care (LTC) pharmacies.
“Our initial analysis of the proposed CMS Rule is that seniors in skilled nursing and assisted living facilities (SNFs/ALFs) will see their access to essential medications curtailed and that LTC pharmacies’ economic viability will be undermined by further empowering prescription drug plans and pharmacy benefit managers (PDPs/PBMs),” warned Alan G. Rosenbloom, President and CEO of SCPC — the only federal advocacy organization devoted exclusively to the interests of the nation’s long-term care (LTC) pharmacies and the patients they serve.
Rosenbloom noted LTC pharmacy economic viability — and ongoing ability to serve the nation’s most frail, vulnerable citizens — has already been placed at substantial risk by the rapid consolidation of PDPs/PBMs, and in related markets like health insurance and retail, specialty, LTC and mail order pharmacies.
“The unchecked and oligopolistic consolidation among gargantuan firms increasingly dominating America’s health care system undercuts the nation’s commitment to free and fair markets. Ultimately, this places unaffiliated pharmacies –- like a majority of the nation’s LTC pharmacies –- at an unfair and exploitative competitive disadvantage, benefitting neither senior consumers nor competition,” the SCPC President and CEO concluded.
LTC pharmacies, a distinct subset within the pharmacy community, serve a specialized population of seniors in SNFs, ALFs and other residential care settings. The typical patient suffers from multiple chronic conditions, significant impairments in daily living activities, mild to moderate dementia, and takes 12-13 prescription medications daily –- making drug prices and access to needed medications an essential variable in maintaining vulnerable seniors’ health and well-being.
The Senior Care Pharmacy Coalition (SCPC) is the only national organization exclusively representing the interests of LTC pharmacies. Its members operate in all 50 states and serve 750,000 patients daily in skilled nursing and assisted living facilities across the country. Visit seniorcarepharmacies.org to learn more.
Senior Care Pharmacy Coalition and ATI Advisory Share New Analysis of Medicare Beneficiaries Demonstrating Common Long-Term Care Needs Across Settings
The Senior Care Pharmacy Coalition (SCPC) and ATI Advisory (ATI) have released a new analysis finding that 75% of Medicare beneficiaries who need long-term care (LTC) live in the community, while only 25% live in nursing homes or assisted living communities. Nearly 60% of the community-dwelling population with LTC needs also have four or more chronic conditions and fill 10 or more prescription medications a year.
Check out SCPC CEO Alan Rosenbloom on the Pharmacy Podcast Network’s “PBM Reform Podcast”
SCPC President and CEO Alan Rosenbloom speaks with the Pharmacy Podcast Network the importance of advocating for PBM reform, the status of the LTC Pharmacy Definition Act, LTC Pharmacy at-home, drug pricing legislation and its implications for LTC Pharmacy, and more.
SCPC Applauds House Oversight and Accountability Committee Chair James Comer for Launching Investigation into PBM Practices
The Senior Care Pharmacy Coalition (SCPC), the only Washington-based organization exclusively representing the interests of long-term care (LTC) pharmacies, applauds House Committee on Oversight and Accountability Chairman James Comer (R-KY) for launching an investigation into pharmacy benefit managers (PBMs) and their tactics that are harming patient care and increasing costs for many patients.
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