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Time for Policymakers to Choose: 'Prompt Pay' Mandate or Postpone AMP Reimbursement Cuts
Date:6/24/2008

red to create its own drug plan -- Community Care Rx (CCRx) -- which pays claims in 30 days -- twice the length of time as the 14-day mandate in their own bill.

Three separate but remarkably consistent studies -- including the drugstore lobby's own study -- highlight that PBMs are paying claims on time.

Grant Thornton study (the drugstore lobby's own study) that shows pharmacies are being paid within 30 days (See Page 15 for findings on average payment time).

Part D claims are being paid within 21-25 days, according to the Centers for Medicare & Medicaid Services.

Part D claims are paid within 23 days, according to a PricewaterhouseCoopers (PwC) study.

To highlight the costs associated with the independent drugstore lobby's agenda, PCMA recently released a series of new prints ads. One print ad warns policymakers that other Medicare providers -- including doctors and hospitals -- would likely demand the "same prompt-pay deal" next year if Congress requires pharmacists to be paid twice as fast in Medicare. An additional print ad highlights how "finding the bad apples isn't easy" in detecting fraud, waste, and abuse and that proposals mandating "prompt pay" would make it even tougher.

The AMP delay letter, PCMA print ads, and other information available at HYPERLINK "http://www.pcmanet.org/" http://www.pcmanet.org.

PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 210 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D.


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SOURCE Pharmaceutical Care Management Association
Copyright©2008 PR Newswire.
All rights reserved

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