Navigation Links
Some Essential Benefits Rules Could Worry Small Businesses
Date:9/29/2011

WASHINGTON, Sept. 29, 2011 /PRNewswire-USNewswire/ -- As small businesses struggle to afford health benefits, a new employer survey indicates concern that forthcoming Essential Health Benefits regulations could include special interest protections that empower drugstores and drug companies to raise prescription drug costs, the Pharmaceutical Care Management Association (PCMA) said today. Pharmacy benefit managers (PBMs) administer drug benefits for thousands of small businesses throughout America.

The poll surveyed 400 owners and HR managers of small businesses with 100 or fewer employees directly impacted by the upcoming Essential Health Benefits regulations. By a 78 to 11 percent margin, respondents said "small businesses should be able to reduce prescription drug costs as much as possible, even if it means drugstores make less profit." Only six percent were interested in knowing how much drugstores are paid.

Small businesses disagree with the drugstore and drug company lobbies on the following issues:

  • Small businesses want access to plans that exclude expensive drugstores from their networks. 61 percent say it is a good idea to "allow employers to choose lower cost plans that exclude the most expensive drugstores from their coverage network."
  • Seventy-four percent oppose mandating across-the-board, low co-pays for high-priced drugs. By a 2-1 margin, small businesses think it would be better to require drug companies to offer case-by-case price discounts to those in need.
  • Small businesses want to hold drugstores accountable. 88 percent say it is a good idea to "allow plans to audit drugstores that appear to be overcharging."
  • Small businesses want access to plans that encourage delivery of prescription drugs through the mail. 79 percent say it is a good idea to "allow plans to offer discounts that encourage employees to get prescriptions by mail."

"On prescription drug issues, regulators will have to choose between small business and powerful special interests who want rules that make employers pay more. When costs go up, it becomes harder for small businesses to offer benefits to their employees," said PCMA President and CEO Mark Merritt.

Next week, the Institute of Medicine (IOM) is expected to offer recommendations to the U.S. Department of Health and Human Services (HHS) on the "essential benefits" regulations. Small businesses will be among those most affected by these rules, which apply to employers that purchase coverage and have fewer than one hundred employees, as well as qualified health plans in the state exchanges.

Click here for key findings from the poll.

PCMA represents the nation's pharmacy benefit managers (PBMs), which improve
affordability and quality of care through the use of electronic prescribing (e-prescribing),
generic alternatives, mail-service pharmacies, and other innovative tools for 200-plus million Americans.

Follow PCMA on Twitter


'/>"/>
SOURCE Pharmaceutical Care Management Association
Copyright©2010 PR Newswire.
All rights reserved

Related medicine technology :

1. Jetty.ca Features Essential Patient and Physician Resources for Critical Childbirth Complications
2. Though Essential to Pharmaceutical Sales Success, the Use of Health Outcomes Data Often Overlooked by Sales Leaders
3. Merz Pharmaceuticals Commends The Benign Essential Blepharospasm Research Foundation On 30 Years Of Community Support
4. Video Features Worlds First Essential Tremor Patient Treated With Noninvasive MR-Guided Focused Ultrasound
5. Therapeutic Area Essentials "Class of 2011" Brings Current Disease State Training to Pharma
6. Published Study Concludes: Vented Baby Bottles Protect Essential Nutrients in Breast Milk and Formula
7. Essential Pharmaceuticals Acquires Exclusive Worldwide Rights to Family of Cell Media Products from Lifeblood Medical
8. Essentialis Strengthens Patent Protection of Its Novel ATP-Sensitive Potassium Channel Opener Portfolio
9. Laerdal Introduces SimMan Essential
10. Health Outcomes Data Essential to Biopharmaceutical Sales Process
11. Creative Alliances with Nontraditional Players Increasingly Essential for Survival in Pharmaceutical Industry, New Ernst & Young Report Finds
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... February 12, 2016 ... titled Chronic Inflammation Global Clinical Trials Review, H2, ... the global clinical trials landscape along with top ... Region, Country (G7 & E7), Trial Status, Trial ... reviews top companies involved and enlists all trials ...
(Date:2/11/2016)... (NasdaqCM: PDEX) today announced financial results for its fiscal 2016 ... its Quarterly Report on Form 10-Q for the second quarter ... today. --> --> Quarter ... --> Net sales for the three months ended December ... from $2.8 million for the three months ended December 31, ...
(Date:2/11/2016)... -- Governor Andrew M. Cuomo today announced a major expansion ... Western New York . This announcement, made ... includes a major expansion of Athenex,s North American headquarters ... , as well as the creation of a state-of-the-art, ... . The combined projects are expected to yield ...
Breaking Medicine Technology:
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... Healthcare careers ... the five most searched jobs via the website of healthcare staffing leader Aureus Medical ... travel nurse jobs , travel therapy positions and in travel and ...
(Date:2/12/2016)... ... February 12, 2016 , ... The aging population ... of long term care. With that, says Patrick Loughney, president of Longtree ... roles in long term care environments. His company, which offers prep courses and ...
(Date:2/12/2016)... ... ... Basketball is a game for everyone, not just those who can hear! ... translation is featured in the top right of the screen. Every technique that is ... sign language translator to teach kids the game and how to be as active ...
(Date:2/12/2016)... ... February 12, 2016 , ... With the exception of restorative dentistry, to date there has been ... the recent approval by the FDA, there is a now a new protocol in stopping ... is very simple and quick to apply. The application is as simple as drying ...
(Date:2/11/2016)... ... ... Fitbody Personal Training offers outdoor training classes which includes an equestrian boot camp ... Located in Phoenixville, PA, the classes are structured as fun and friendly. , Fitbody ... to lose weight and tone up. This class offers a balance of exercises which ...
Breaking Medicine News(10 mins):