Tag Archives: Medicare Part D
Pharma Gains from Rule On Health Insurance Benefits
Recent change likely to boost drug coverage by plans, but with variation in formularies.
Health plans offering coverage to individuals and small companies are more likely to cover multiple drugs in each class or category under revised regulations proposed by the Department of Health and Human Services in November. A key change in rules to implement [...]
Posted in Legal, Regulatory, Strategy, healthcare Also tagged Affordable Care Act, essential health benefits, HHS, PBMs Leave a comment
Obama Deficit Plan Sides With PBMs Over Big Pharma
Amid the flurry of cost-cutting proposals aimed at guiding the Joint Select Committee on Deficit Reduction’s (Super Committee) budgetary blade, the Obama Administration has now weighed in with a proposal to cut $248 billion from Medicare spending over ten years, and $73 billion in Medicaid and other health-related spending. The Obama plan, which would increase [...]
Posted in Regulatory, Strategy, healthcare, leadership Also tagged generics, Medicaid, PBM, PCMA, Super Committee Leave a comment
Making Sense of US Health Reform: Some Points for the Perplexed
The March 21 passage by Congress of the Patient Protection and Affordable Care Act provides at long last a rough blueprint for driving future commercial opportunities in the second-biggest industry sector of the world’s largest economy. With over 2,400 pages of text and a phase-in timetable that extends to 2019, it is prudent to invoke [...]
Posted in Op-Ed Also tagged business, Economic, Health care, health insurance, Insurance, Medicaid, United States 3 Comments

Getting it Done in Washington