Navigation Links
Are Bargaining Groups Hired by Independent Drugstores Causing Payment Delays to Pharmacies?
Date:9/6/2007

PCMA Reaffirms PBMs Paying Clean Claims Within 30 Days

WASHINGTON, Sept. 6 /PRNewswire-USNewswire/ -- Reaffirming that its member companies are paying clean Medicare Part D claims to pharmacies within 30 days, the Pharmaceutical Care Management Association (PCMA) today questioned whether independent drugstore bargaining organizations known as PSAOs could be a factor in late payments to pharmacies.

More than half of America's independent pharmacies hire Pharmacy Service Administration Organizations (PSAOs) to centralize and streamline the following kinds of functions:

-- Collectively bargain with pharmacy benefit mangers (PBMs) to get

favorable terms;

-- Acquire rebates from drug companies; and

-- Process claims/billing information on behalf of independent

pharmacies.

-- In these cases, while the pharmacy sends claims directly to the

PBM, it requires the PBM to send reimbursements to the PSAO.

-- After the PSAO receives the reimbursement from the PBM, it then

pays the pharmacy.

-- This middle step, which occurs at the request of the pharmacy,

could be causing any delays that might be occurring.

"One factor that may be overlooked by the independent drugstore lobby is that their own bargaining groups--PSAOs--could be slowing down payments," said PCMA President & CEO Mark Merritt. "When a PSAO is involved," Merritt added, "there is no guarantee that claims paid promptly by PBMs aren't getting held up by PSAOs. Since so many independent pharmacies use PSAOs, we'd hope that any study of payment practices thoroughly examines their role."

While generating deeper-than-expected discounts for beneficiaries on their necessary prescription medicines, PCMA member companies are also paying all clean claims within 30 days. The 30-day pharmacy claims timeframe is a standard consistent with physician and hospital claims in Medicare Part
'/>"/>

SOURCE Pharmaceutical Care Management Association
Copyright©2007 PR Newswire.
All rights reserved

Page: 1 2

Related medicine news :

1. No link between blood groups and prostate cancer
2. Religious groups overcome objections to cervical cancer vaccines
3. Yogic Moments: Age Old Yoga, Benefits All Age Groups
4. Plastic Surgery Is Primetime among Ethnic Groups
5. Study Finds Online Support Groups Emotionally Benefit Women Suffering From
6. Specialist Services Can Help Ethnic Groups To Tackle Alcohol Misuse
7. Distinct Support Services Needed, To Resurrect Ethnic Groups from Alcohol Abuse
8. NGOs and Various Groups Come Together To Address the Issues on AIDS
9. U.S: Prize for the best hearing category (ethnic groups) goes to…. Non-Hispanic Blacks
10. Anti-Obesity Groups Criticize Response of Medical Professionals
11. Hospitals Appeal to Citizen Groups to Rush Doctors, Paramedicals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/2/2014)... Dennis Thompson HealthDay ... -- Hospitals that pull out all the stops to ... saving lives, but the cost of such heroism is ... are about 5 percent better at saving elderly patients ... that operate with less intensity, said senior author Dr. ...
(Date:10/2/2014)... by scientists at The University of Nottingham could lead ... painkiller. , A drug resulting from the research, published ... offer new hope to sufferers of chronic pain conditions ... painkillers are currently available. , The work, led by ... Sciences, in collaboration with David Bates, Professor of Oncology ...
(Date:10/1/2014)... The peptide a small protein beta-amyloid is strongly associated ... unequivocal proof that this peptide is the causal agent ... main obstacle impeding such confirmation is that beta-amyloid is ... it aggregates, that is when it self-assembles to form ... with a single target, beta-amyloid alone, but with multiple ...
(Date:10/1/2014)... in the Journal of the American Medical Association ... with moderate or severe chronic knee pain, acupuncture did ... of Melbourne randomly assigned 282 patients (50 years or ... sham or pretend laser treatment. , Treatments were ... to laser and sham (inactive) laser acupuncture. , Researcher ...
(Date:10/1/2014)... and Physical Sciences Research Council (EPSRC) will focus ... control systems which run, for example, manufacturing plants, ... network. , The research will help understand ... the systems behind our critical national infrastructure. ... Systems (RITICS), based at Imperial College London, is ...
Breaking Medicine News(10 mins):Health News:'High-Intensity' Hospitals Save More Elderly After Surgery: Study 2Health News:'High-Intensity' Hospitals Save More Elderly After Surgery: Study 3Health News:Medical discovery first step on path to new painkillers 2Health News:Laying siege to beta-amyloid, the key protein in Alzheimer's disease 2Health News:Study finds acupuncture does not improve chronic knee pain 2Health News:£2.5 million to recognize and reduce cyber-attack threats to critical infrastructure 2
... By studying the addition of sugars to proteins ... nervous system of insects, Karen Palter, researcher of ... to better understand neurodegenerative diseases in humans. Currently, ... projects exploring the glycosylation process that could eventually ...
... has increased in recent years, the Washington Post reports. ... and the American Society of Aesthetic Plastic Surgery, while ... medicine procedures, the number of blacks, Hispanics and Asians ... five years. In 2002, minorities accounted for 16% of ...
... Evidence is accumulating that depression is a risk factor ... Women's Health Watch. A recent study found that ... called selective serotonin reuptake inhibitors (SSRIs) had double the ... Other research points to depression itself as a source ...
... development and spread of drug-resistant tuberculosis (TB), the Stop TB ... Global Drug Facility, has provided anti-TB drug treatments for 10 ... ,"This is an important milestone, because getting anti-TB ... complete their treatment is the only way to break the ...
... the myriad strains of the human immunodeficiency virus (HIV) ... conducted at the Uniformed Services University of the Health ... variable, its prevention requires a vaccine effective enough to ... neutralise multiple viral strains. ,The latest ...
... Girls actress Lindsay Lohans father, Michael, believes now that his ... change her life completely. ,Lohan is currently ... in Malibu. ,Michael believes that Lohan can ... negative influence. ,"I'm glad she's there and ...
Cached Medicine News:Health News:Nervous Systems of Insects may Offer Clues on Neurodegenerative Diseases 2Health News:Nervous Systems of Insects may Offer Clues on Neurodegenerative Diseases 3Health News:Stop TB Partnership Has Provided Treatments for Ten Million People in Six Years 2
(Date:9/30/2014)... -- STUDY OBJECTIVES The objective of BCC ... overview of the current and future characteristics of ... objective is to present a comprehensive analysis and ... tool in the treatment of various diseases. ... the protein therapeutics market, which includes peptide hormones, ...
(Date:9/30/2014)... , Sept. 30, 2014  Decision Resources Group finds ... Brazil , Russia ... China (BRIC) will see robust expansion as ... favored over surgical procedures. Although revenues will be somewhat ... challenges, prolonged device approval times and demand for low-cost ...
(Date:9/30/2014)... 30, 2014 According ... Market by Product [Enzymes (Glycosyltransferase, Neuraminidase, Glycosidase), ... Reagents], Application (Immunology, Oncology) & by End ... by MarketsandMarkets, provides a detailed overview of ... market trends, and strategies impacting the global ...
Breaking Medicine Technology:Global Markets and Manufacturing Technologies for Protein Drugs -- Focus on Cytokines and Monoclonal Antibodies 2Global Markets and Manufacturing Technologies for Protein Drugs -- Focus on Cytokines and Monoclonal Antibodies 3Global Markets and Manufacturing Technologies for Protein Drugs -- Focus on Cytokines and Monoclonal Antibodies 4Brazilian, Russian, Indian and Chinese Markets for Peripheral Vascular Devices Will See Strong Expansion Through 2023 2Brazilian, Russian, Indian and Chinese Markets for Peripheral Vascular Devices Will See Strong Expansion Through 2023 3Glycobiology / Glycomics Market Worth $928.11 Million by 2019 2Glycobiology / Glycomics Market Worth $928.11 Million by 2019 3Glycobiology / Glycomics Market Worth $928.11 Million by 2019 4
... MD, internationally recognized laser expert and Fellow of the American ... developed a laser technique making laser hair removal burns in ... years, individuals with ethnic skin types have suffered needlessly with ... on Oprah ) have caused them to avoid laser ...
... Women,s Health Weekly recently reported that America,s ... life-changing medicines for diseases affecting women, according to a new ... Manufacturers of America (PhRMA). The medicines are ... are in human clinical trials. , In the U.S., ...
Cached Medicine Technology:WIFH Atlanta Announces Breakthrough Technique in Laser Hair Removal for Ethnic Skin Types 2Record Number of New Medicines in Development for Women 2
Small pupil irrigating nucleus chopper, wedge-shaped inferior edge with, blunt tip and front notch, for engaging the iris, 0.6 mm dual sideports, 20 gauge....
Irrigating nucleus chopper, 0.6 mm dual sideports, 20 gauge. For the right handed surgeon....
Karate phaco chopper, semi-sharp, wedge shaped inferior edge with a pointed tip...
Phaco chopper, short (0.75 mm) pointed "quick chop" tip....
Medicine Products: