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:3/23/2017)... 23, 2017  Additive Orthopaedics, LLC., an early ... has kicked off a multi-centered clinical study to ... segments. According to Brian McLaughlin ... lattice structures have already shown tremendous post-operative success ... allograft wedges from which we have seen evidence ...
(Date:3/23/2017)... 23, 2017 Newborns are highly vulnerable ... vaccines because their young immune systems typically mount ... Hospital report achieving strong vaccine responses in newborn ... before human trials — by adding compounds known ... two simultaneous papers, they also describe improved adjuvant ...
(Date:3/23/2017)...  A new genetic test has been discovered ... who carry HLA-B*15:02 and who are ... deadly side effect of certain medications used to ... HLA-B*15:02 is strongly associated with life-threatening severe ... toxic epidermal necrolysis in patients treated with carbamazepine ...
Breaking Medicine Technology:
(Date:3/23/2017)... ... ... 150+ Hospital and Health System Executive Speakers including: , , Chief ... the United States of America: George W. Bush , Boxing Legend, Successful Entrepreneur ... Leonard , JD, Chairperson, McGuireWoods LLP: Amber McGraw Walsh , Senior ...
(Date:3/23/2017)... Grants Pass, OR (PRWEB) , ... March 23, 2017 , ... ... Power of Water, Global Climate Change and Your Health on VoiceAmerica, recently talked on ... 22nd, but she also used the occasion to remind listeners of an important distinction. ...
(Date:3/23/2017)... ... March 23, 2017 , ... Natural ... all aspects of people’s health and nutrition, announced its product Leyzene is now ... Natural Subsistence develops nutritional supplements that help people improve all aspects of their ...
(Date:3/23/2017)... ... ... Inflow IQ & Inflownomics of Raleigh, NC introduce a powerful information access network. ... experts in dangerous situations the Inflow IQ team can help people. Get ready ... & refreshing knowledge systems that enhance life. , Authentically enjoy 500 ...
(Date:3/23/2017)... ... , ... The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) ... Health Care Quality and Management and Patient Safety. , It is with appreciation and ... also to the Health Care Quality and Patient Safety movements. Diplomates and Members lead ...
Breaking Medicine News(10 mins):