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Stories 3 results of 1,579
PHARMACIES: PBMs are killing independent owners
As a local pharmacist, it was refreshing for me to see an article in The Press about the challenges facing pharmacies today. Low insurance reimbursement does not affect only rural pharmacies, however, but is leading to the demise of all independently owned pharmacies. Contrary to what Greg Lopes would want you to believe, PBMs are definitely and primarily responsible for the closure of many pharmacies. Not only, as the article pointed out, are 25% of claims paid below cost, but many more pay mere pennies above the cost of the drug. After adding the direct cost of the vial, lid and label, easily 50% of claims are paid at or below cost.
ADVERTISING: Advertorial — A commitment to patient-centered care
Direct Primary Care (DPC) is revolutionizing the health care landscape, offering a refreshing departure from the traditional fee-for-service model. In essence, DPC fosters a direct relationship between patients and their primary care physicians, unencumbered by insurance intermediaries. This approach prioritizes patient outcomes, access to care, and affordability in profound ways. You may have heard this be termed “membership medicine” or “concierge medicine.”
PRESCRIPTIONS: Lower costs are better
There is a bill working its way through the U.S. Congress called the SMART Prices Act (S.1246). This legislation would boost Medicare prescription drug price negotiation by enhancing the Centers for Medicare & Medicaid Services’ ability to negotiate lower prices on brand-name drugs. The effect would be — LOWER costs for drugs for Medicare recipients!
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