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Managed Care
July 2004
Maureen Glabman
Wish List: 10 Things You Want From Your PBM One auditor estimates that 3 percent to 10 percent of pharmacy benefit manager (PBM) claims are processed incorrectly -- always in favor of the PBM. mark for My Articles similar articles
Managed Care
September 2006
Martin Sipkoff
PBMs Raise the Curtain Efforts are under way to find out exactly how pharmacy benefit managers work their magic. mark for My Articles similar articles
Pharmaceutical Executive
October 1, 2008
Chris Biddle
Stop the Bleeding Pharmaceutical manufacturers overpay pharmacy benefit managers millions of dollars each year in rebate overpayments. Here's how to stop the leakage. mark for My Articles similar articles
Managed Care
February 2007
Martin Sipkoff
As Drug Payment Model Changes, Confusion Grows Among Insurers Purchasers are hopeful that life after "average wholesale price" will be simpler, fairer, and, with luck, easier to grasp. mark for My Articles similar articles
Managed Care
March 2005
MargaretAnn Cross
Transparency Catches Eye In Coalition's Deal With Medco A consortium of employers is paying the pharmacy benefit manager a new administration fee but taking all rebates and discounts. mark for My Articles similar articles
Managed Care
September 2002
John Carroll
When Success Sours: PBMs Under Scrutiny Pharmacy benefit managers are under fire from many corners. What will the push for transparency mean for the industry? mark for My Articles similar articles
Pharmaceutical Executive
April 1, 2007
Jill Wechsler
Washington Report: Medicaid Sets the Pace for Pharma Pricing Forget Medicare price negotiations. Pending changes in Medicaid drug-pricing formulas will put even more pressure on pharmaceutical prices. mark for My Articles similar articles
Managed Care
November 2007
Martin Sipkoff
PBMs Agree to Disclose What They Pay for Drugs Pharmacy benefit managers will charge employers a straight administrative fee, rather than make much of their income through deals with the drug industry. mark for My Articles similar articles
BusinessWeek
May 9, 2005
Weintraub & Barrett
BW 50: Can Caremark's Health Hold Up? Caremark Rx Inc. faces a growing set of legal and market challenges, but Its drug-benefit business is soaring, and its CEO remains upbeat about the future. mark for My Articles similar articles
Managed Care
November 2005
John Carroll
FTC Report Arms PBMs In Battle With Drugstores Congress passed the Medicare Modernization Act allowing pharmacy benefits managers to participate in Medicare Part D. mark for My Articles similar articles
Managed Care
December 2003
Tony Berberabe
Why Do FEHBP and Big Unions Excel at Managing Drug Costs? Pharmacy benefit managers can do only so much to keep drug price increases in the single digits. Initiatives instituted by health plans can help in this effort. mark for My Articles similar articles
The Motley Fool
December 29, 2005
Brian Gorman
PBMs at a Crossroads One prediction that's sure to come true next year -- drug prices will rise. Pharmacy benefit management (PBM) companies will respond. But the year ahead promises to be trickier for investors seeking to profit from PBMs. mark for My Articles similar articles
The Motley Fool
July 27, 2004
Brian Gorman
Medco's Pumped About Generics Generic drugs are actually helping improve Medco's margins, making it a winner with investors and health-care plans. mark for My Articles similar articles
Pharmaceutical Executive
May 1, 2011
Mason Tenaglia
Out of Control The pharmaceutical industry needs to use new and better data to accurately measure how much it is willing to invest in avoiding plan control. mark for My Articles similar articles
Managed Care
August 2002
Madeleine A. Estabrook
Regulators Take More Interest In Role of PBMs in Health Care In a highly regulated industry such as health care, it is just a matter of time before every component of the industry comes under scrutiny and review. Pharmacy benefit managers are taking center stage now. mark for My Articles similar articles
The Motley Fool
April 19, 2011
Bryan White
Rising Star Buy: Medco Health Medco has a much brighter future than its current stock price implies. mark for My Articles similar articles
The Motley Fool
November 3, 2010
Brian Orelli
A Generic Prescription for Double-Digit Growth MedcoHealth Solutions has it. mark for My Articles similar articles
The Motley Fool
November 8, 2006
Michael P. Cecil
CVS/Caremark: A Brobdingnagian Drug Seller The merger of CVS and Caremark says a lot about pharmaceutical retailers and pharmacy benefit mangers trying to deal with a rapidly changing paradigm. mark for My Articles similar articles
Managed Care
December 2001
Steven S. Martin
PBM Industry Today: Who's Managing Drug Costs? Health plans need to take a closer look. HMOs and employers alike will feel increasing pressure to give in to the desires of consumers... mark for My Articles similar articles
Pharmaceutical Executive
December 1, 2008
Jill Wechsler
Challenge and Challenges Expanded healthcare coverage also fits the goals of pharma manufacturers. mark for My Articles similar articles
BusinessWeek
January 21, 2010
John Carey
Making Personalized Medicine Pay Medco and other pharmacy benefit managers say future profits depend on matching drugs to patients based on their genes. mark for My Articles similar articles
Pharmaceutical Executive
February 1, 2014
Jill Wechsler
Drug Coverage, Costs Under Scrutiny Benefits offered by insurance plans on health exchanges and through Medicare are raising concerns about patient access to needed therapies mark for My Articles similar articles
Managed Care
October 2005
Health Plans Pay Less When PBM Owns Mail-Order Pharmacy The ongoing debate on whether health plans pay more for drugs when using a mail-order pharmacy owned by a pharmacy benefits manager (PBM) or when the mail-order pharmacy is not owned by a PBM may be closer to resolution. mark for My Articles similar articles
Pharmaceutical Executive
April 10, 2014
Obama Policies Reshape Pharma Marketing Health reform initiatives promote transparency, challenge reimbursement, writes Jill Wechsler. mark for My Articles similar articles
Managed Care
March 2000
Tim Sawyers
Test Prospective PBM Before Signing Contract How to select, then monitor a pharmacy benefit management company, from a consultant and former HMO director of pharmacy services. mark for My Articles similar articles
CFO
February 22, 2005
Martha E. Mangelsdorf
I Want a New Drug Plan Companies hoping to curb prescription-drug charges are looking at a host of new cost-control measures. mark for My Articles similar articles
The Motley Fool
October 22, 2010
Roger Friedman
3 Health-Care Stocks for Your Watchlist There's money to be made in health care. But finding the right plays, especially among health care providers, can prove confounding. mark for My Articles similar articles
Pharmaceutical Executive
February 1, 2009
Jill Wechsler
Securing Savings A close look at the healthcare industry will separate real cost-cutting measures from money-saving myths. mark for My Articles similar articles
CFO
June 1, 2010
Alix Stuart
"This Is the Era of Smarter Medicine." A prescription-drug provider says it can thrive even as it helps drive down health-care costs. An interview with Richard Rubino, CFO, Medco Health Solutions Inc. mark for My Articles similar articles
The Motley Fool
January 12, 2010
Dayana Yochim
6 Ways to Score Cheap(er) Drugs Stop overpaying for the pills you have to pop with these simple ways to trim your prescription-drug tab. mark for My Articles similar articles
The Motley Fool
January 25, 2011
Brian Orelli
2 Keys to Amgen's Continued Success Prolia and Xgeva have to perform. mark for My Articles similar articles
The Motley Fool
June 30, 2005
Brian Gorman
The Co-Pay Effect Higher co-payments look like the wave of the future, and investors should expect the trend to boost major generic players like Teva Pharmaceutical, Mylan Laboratories, and Novartis. mark for My Articles similar articles
Managed Care
March 2000
Bob Carlson
State Insurance Commissioners Weigh PBM Regulations This Month A payment delay by PCS causes concerns about under regulation of prescription benefit managers. mark for My Articles similar articles
Managed Care
June 2005
PBMs Get Thumbs up From Satisfied Customers Pharmacy benefit managers that educate physicians on the safety and efficacy of generic drugs or provide them with generic drug samples to increase the use of generics get higher satisfaction ratings than those that don't. mark for My Articles similar articles
The Motley Fool
May 10, 2011
Brian Orelli
Uncontrolled Crying Over AVANIR's Prescription Data? It's been a slow start, but don't write off this company's pseudobulbar drug just yet. mark for My Articles similar articles
Pharmaceutical Executive
July 1, 2005
Jill Wechsler
Washington Report: The e-Bandwagon The federal government is driving e-Rx adoption by establishing standards that Medicare drug plans will have to adopt by 2009, and HHS officials are pushing to make this happen much earlier. mark for My Articles similar articles
Managed Care
July 2000
John Carroll
Physicians Reconsider Taking On Pharmacy Risk They've been burned here in the past, but physicians - and the HMOs that they contract with - may have learned some lessons. mark for My Articles similar articles
Managed Care
June 2007
Martin Sipkoff
Rebates for Anti-Anemia Drugs Draw Response From FDA, CMS Overusing erythropoiesis-stimulating agents to collect rebates can be really bad for the patient. Ripping off taxpayers and private payers is another concern. mark for My Articles similar articles
Managed Care
July 2002
Thomas Kaye
Managing the Drug Benefit: One Company's Experience The pharmacy director of Blue Cross of Oklahoma shares his company's success with using three tiers and coinsurance to promote member responsibility. mark for My Articles similar articles
Pharmaceutical Executive
February 1, 2012
Jill Wechsler
Costs and Benefits of Health Reform Will expanded markets and accountable care organizations offset higher rebates, added fees, and closer scrutiny of marketing and prices? mark for My Articles similar articles
BusinessWeek
May 10, 2004
John Carey
Drug Prices: A New Covenant? The states' growing negotiating clout with Big Pharma raises crucial questions mark for My Articles similar articles
Pharmaceutical Executive
September 1, 2012
Jill Wechsler
Costs, Coverage, and Court Decisions Its election season and drug pricing issues are once again front and center in the policy wars on managing the high cost of healthcare. mark for My Articles similar articles
CFO
March 1, 2012
David McCann
Companies May Win This Drug War The conflict between Express Scripts and Walgreen just might lead to lower drug-benefit costs for companies. mark for My Articles similar articles
The Motley Fool
September 27, 2006
Michael P. Cecil
A Drug-Price Avalanche? Wal-Mart shapes the way America buys many products, and its recently announced $4 program for generic prescription drugs may be the harbinger of a major change in prescription-drug sales. mark for My Articles similar articles
Managed Care
March 2007
Use of Generics On the Rise Recent data indicate that generic medication accounts for nearly 60% of the drugs dispensed to people in Medicare Prescription Drug Plans and Medicare Advantage plans. mark for My Articles similar articles
Managed Care
January 2007
Martin Sipkoff
Employers Want Plans & PBMs To Push Hard for Generics Health insurers' aggressive stand on members' use of generic drugs can attract new clients, but does it interfere with the physician-patient relationship? mark for My Articles similar articles
Pharmaceutical Executive
April 1, 2011
Off-Label But On Point? Use of off-label drugs is a balancing act for physicians, and poses even more problems for pharma. The FDA is moving slowly to help. mark for My Articles similar articles
Entrepreneur
November 2004
Julie Monahan
Club Meds Fed up with the high cost of prescription drugs, a group of 50 employers from the Fortune 500 are banding together to negotiate a better deal with pharmaceutical companies. mark for My Articles similar articles
Managed Care
February 2002
Bob Carlson
Proposal To Regulate Formularies Draws Sharp Difference of Opinion The National Association of Insurance Commissioners has spent two years developing a model. Drug companies like it; health plans don't... mark for My Articles similar articles
Pharmaceutical Executive
November 1, 2006
Roundtable: Deficit Reduction Act As things stand today, the most disruptive, confusing, and impossible-to-comply-with regulations for pharma marketing will be the ones springing from the Deficit Reduction Act of 2005, signed into law by President Bush this past February. mark for My Articles similar articles