Posted on December 5, 2024 by Pharmaciststeve
CMS proposes additional prior auth reforms for Medicare Advantage plans https://www.cmadocs.org/newsroom/news/view/ArticleId/50770/CMS-proposes-additional-prior-auth-reforms-for-Medicare-Advantage-plans CMS has proposed new regulations aimed at reducing the inappropriate use of prior authorization in Medicare Advantage programs. The Centers for Medicare & Medicaid Services (CMS) recently proposed regulations that would establish additional guardrails on Medicare Advantage plans’ prior authorization practices — including the […]
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Posted on December 3, 2024 by Pharmaciststeve
https://www.cato.org/events/pain-refugees-collateral-damage-war-drugs For much of the 21st century, public health officials and policymakers have blamed doctors for overprescribing opioids and causing the overdose crisis. In response, the Centers for Disease Control and Prevention issued pain management guidelines aimed at reducing opioid prescriptions. Most states have codified them into law. Federal and local drug task forces have […]
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Posted on December 3, 2024 by Pharmaciststeve
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Posted on November 30, 2024 by Pharmaciststeve
Pharmacies sue GoodRx, accusing the company of conspiring with PBMs https://www.healthcare-brew.com/stories/2024/11/19/pharmacies-sue-goodrx-accusing-company-conspiring-pbms It’s not all good news for GoodRx. The drug discount company is facing at least three separate class-action lawsuits from independent pharmacies accusing it of “conspiring” with pharmacy benefit managers (PBMs) to fix reimbursement rates in a way that boosts the PBMs’ profits. Also […]
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Posted on November 28, 2024 by Pharmaciststeve
Chronic Pain Is Rising, and It’s Not Clear Why More Americans are living with pain now, CDC data show https://www.medpagetoday.com/neurology/painmanagement/113149 A new CDC report indicated that the percentage of Americans with chronic pain rose considerably in recent years, and it’s not clear why. In 2023, 24.3% of U.S. adults had chronic pain lasting 3 months […]
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Posted on November 27, 2024 by Pharmaciststeve
Warren Blasts United Health CEO for Monopolistic Practices that Harm Patients Here is a 5 minute video of Senator Warren “ripping” the president of UHC over how they financially operate. UnitedHealth Pays Its Own Physician Groups More Than Others https://www.medpagetoday.com/special-reports/features/11314 UnitedHealth Group pays many of its physician practices “significantly more” than other groups “in the […]
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Posted on November 25, 2024 by Pharmaciststeve
The first SS check was issued in Jan 31, 1940 for a total sum of $22.54 and employees & employers each paid 1% of the first $3,000 a person earned. By the time I graduated college (1970) SS taxes were 4.6% of the employee’s first $7,800 and of course the employer had to pay a […]
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Posted on November 23, 2024 by Pharmaciststeve
DOJ suspends DEA searches at airports over civil rights concerns https://nypost.com/2024/11/23/us-news/doj-suspends-dea-searches-at-airports-over-civil-rights-concerns/ (The Center Square) – The U.S. Department of Justice told the Drug Enforcement Administration to suspend consensual searches at airports and other mass transit facilities after hearing about potential civil rights violations. Department of Justice Inspector General Michael Horowitz announced the suspension after hearing […]
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Posted on November 21, 2024 by Pharmaciststeve
Here is Pam Bondi’s re-election TV video in 2014 for Florida Attorney General And the state AG of Florida is an attorney married to a DEA Agent!
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Posted on November 21, 2024 by Pharmaciststeve
Optum audit shows possible law violation, lower payments to independent pharmacies https://mississippitoday.org/2024/11/07/optum-audit-shows-possible-law-violation/ The findings of a recent audit of a major company that manages prescription benefits revealed it may have violated Mississippi law. The review of Minnesota-based Optum’s business practices by the Mississippi Board of Pharmacy indicated that the company paid independent pharmacies in Mississippi […]
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