pcma medicare

SOURCE Pharmaceutical Care Management Association, Cision Distribution 888-776-0942 A, HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American. News provided by. WASHINGTON, Nov. 26, 2018 /PRNewswire/ -- Pharmaceutical Care Management Association (PCMA) President and CEO JC Scott released the following statement in response to the Administration's proposed Medicare Part D rule: "We share the Administration's goal of reducing prescription drug costs and increasing access to needed treatments for Medicare beneficiaries. It is therefore unfortunate and perplexing that today’s announcement comes as the Administration is attempting to revive a rebate rule that would drastically increase Part D premiums for seniors – by 25%.

WASHINGTON — Pharmaceutical Care Management Association (PCMA) president and CEO JC Scott issued the following statement on the Administration’s announcement on 2021 Medicare Part D premiums: Video Forum: Jeff Leger, Shoppers Drug Mart, NACDS launches flu vaccination awareness campaign, Video Forum: Lori Flees, Walmart Health and Wellness. Recent reports by the Government Accountability Office and Health and Human Services Office of Inspector General confirmed that PBM-negotiated rebates lower prescription drug costs in the Medicare program. PBMs administer prescription drug plans for more than 266 million Americans who have health insurance from a variety of sponsors including: commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program (FEHBP), state government employee plans, Medicaid plans, and others. However, PCMA has concerns with the proposed rule's reinterpretation of 'Any Willing Pharmacy' and the RFI's point-of-sale pharmacy price concession ideas, which put at risk the affordability and choice of preferred pharmacy plans – the most popular and widely chosen plan options in Part D. Three out of four seniors are enrolled in Part D plans featuring lower-cost pharmacy options. Share this …

The Pharmaceutical Care Management Association (PCMA) is the national association representing America’s pharmacy benefit managers (PBMs) PBMs administer prescription drug plans for more than 266 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. All Rights Reserved. We see no way to implement the ideas in the RFI without increasing costs to the program and most of those it serves.". PCMA supports many provisions in CMS' proposed rule, such as regulatory relief, and allowing flexibility for all Part D plan sponsors to promote the use of lower cost generics and biosimilars. After thoroughly reviewing the ideas in the RFI, we agree with CMS' initial assessment that requiring plans to apply manufacturer rebates and pharmacy price concessions at the point of sale would increase premiums, raise taxpayer costs by billions of dollars, and give brand drugmakers a windfall in excess of $29 billion over the next 10 years. The Administration’s decision last year to withdraw the rebate rule was the right decision. The program has routinely delivered low premiums and high satisfaction for the nation's seniors and disabled. PCMA issues statement on Medicare Part D premiums. This policy would do nothing to address drug prices, but instead would destabilize the successful Part D program by raising premiums for seniors while imposing nearly $400 billion in additional taxpayer costs, all at a time when federal spending is reaching record levels to counter the pandemic. À propos. A, HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American. PBMs administer prescription drug plans for more than 266 million Americans who have health insurance from a variety of sponsors including: commercial health plans, self-insured employer plans, union plans, Medicare Part D plans, the Federal Employees Health Benefits Program (FEHBP), state government employee plans, Medicaid plans, and others. The fundamental problem is these ideas focus on micromanaging how plans use existing price concessions for Medicare beneficiaries, but do nothing to reduce high prices set by drugmakers and imperil efforts to improve pharmacy performance. Today’s announcement shows that the 2021 and 2020 average basic premiums are the second lowest and lowest, respectively, average basic premiums in Part D since 2013. SOURCE Pharmaceutical Care Management Association, Cision Distribution 888-776-0942 We look forward to continuing to work with CMS to find ways to improve benefits and reduce costs in the Medicare Part D program.". WASHINGTON, Jan. 17, 2018 /PRNewswire-USNewswire/ -- The Pharmaceutical Care Management Association (PCMA) released the following statement on recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the Medicare Parts C and D proposed rule and request for information (RFI): "Since its inception, Medicare Part D has been a bright spot in American health care, offering generous, affordable coverage to more than 42 million beneficiaries. from 8 AM - 9 PM ET, Copyright © 2020 PR Newswire Association LLC. It is also encouraging that the Administration wants to increase transparency on real-time cost sharing for beneficiaries and doctors in Part D. The Administration is considering for a future plan year changing how price concessions negotiated between pharmacies and PBMs are reflected in beneficiary cost sharing.

We look forward to continuing to work with CMS to find ways to improve benefits and reduce costs in the Medicare Part D program." from 8 AM - 9 PM ET, Copyright © 2020 PR Newswire Association LLC.

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