Navigation Links
Texas Medicaid Managed-Care Problems Gaining National Attention
Date:6/22/2012

AUSTIN, Texas, June 22, 2012 /PRNewswire-USNewswire/ -- Pharmacy Choice and Access Now (PCAN)— a national coalition of consumers, local businesses and pharmacists committed to preserving quality and affordable health care today urged Texas state leaders to act quickly to prevent ongoing harm from the state's new Medicaid managed-care program to community pharmacies and their Medicaid patients. Since the State's shift to managed care in March, dramatically reduced payments to pharmacies participating in the program have led to numerous pharmacy closures and other problems for businesses and patients —problems that are now getting national attention.  

"The Texas Medicaid pharmacy program is attracting national attention for all the wrong reasons," said Michael Wright, executive director of the Texas Pharmacy Business Council. "By failing to include simple protections for pharmacies and their patients under managed care, the State is directly facilitating pharmacy closings and loss of jobs. The State is also making it harder for patients to access the pharmacy care they need, especially in rural areas."

A recent New York Times article details the experiences of community pharmacists attempting to adjust to the new system.  The piece mentions dramatic reductions in revenue to pharmacies resulting in business closures and ongoing hardships for those still in business; unfair poaching of independent pharmacy customers by CVS Caremark, a managed care pharmacy benefit manager (PBM); computer errors and miscommunications from the Health and Human Services Commission (HHSC); and a lack of transparency making it difficult for pharmacies to evaluate PBM contracts.

Wright said pharmacists throughout the state have stressed the need for fair reimbursement rates and transparency from the PBMs under the new system.  Given a free hand to do as they like, the PBMs have already slashed reimbursements to community pharmacies by as much as 80 percent, driving many pharmacies out of business and leaving hundreds more struggling to survive. Oak Cliff pharmacy owner Ronald Barrett describes in the article the difficulties posed by the unsustainable reimbursements by saying, "I can't pay my employees; I can't pay my light bill."

"From the beginning, we have asked state leaders for fair, adequate reimbursements and transparency in PBM operations so we can continue to provide the quality care our patients need. As this article shows, instead of fairness, the State appears to have given the PBMs an unfair competitive advantage over community pharmacies and the ability to run them out of business," said Wright.  "The HHSC has failed to respond to our pleas for a fairer system; perhaps they will act now to prevent further embarrassment on a national scale."

Texas is one of many states that has chosen to increase their use of managed care with the hope of realizing cost savings for their Medicaid programs. In addition to the reported pharmacy closures and other problems, a new Bloomberg Government study found that managed care systems decrease access to pharmacy care and actually increase health care costs in the long term when patients develop more serious conditions. 

To support small Texas businesses and the health of the state's poorest citizens, PCAN urges state legislators to act immediately to ensure equitable reimbursement and a level playing field so community pharmacies can continue to service patients under the new managed care system. 

Pharmacy Choice & Access NOW (PCAN) is a coalition of consumers, local business and pharmacists across the nation committed to preserving quality and affordable health care and pharmacy services for patients.  PCAN members are committed to providing the most cost effective solutions in the areas of health care and pharmacy services to enable states around the country to help solve their budget woes while maintaining quality care for children, families and other Medicaid-served populations.  You can Join the conversation on Facebook (Pharmacy Choice and Access Now) and Twitter (@RxPCAN)

For more information, please visit www.RxChoiceandAccess.com

Contact: Elizabeth Heaton at (703) 901-9706
Elizabeth@RXChoiceandAccess.com


'/>"/>
SOURCE Pharmacy Choice and Access Now (PCAN)
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Softway Solutions Develops Award-Winning Health App for Texas Heart Institute
2. Texas A&M System Awarded National Center for Innovation
3. New Chronic Wound Therapy Awarded at Texas Largest Life Science Event
4. Sensus Healthcare and Texas Dermatology Associates at Baylor University Medical Center Announce the Formation of the SRT University™ Comprehensive Education Series for Practitioners, Healthcare Professionals, and Patients
5. Centene Corporation Selected for Ohio Medicaid Contract
6. Problems Plague Medicares Method for Measuring Payment Errors
7. Safe in Common to Exhibit at American Academy of Nurse Practitioners 27th National Conference
8. Bench Internationals Denise (DeeDee) DeMan Elected to SoCalBios Board of Directors
9. PAREXEL International To Present At NASDAQ OMX Investor Conference
10. ADVENTRX Pharmaceuticals To Present At 2012 BIO International Convention Business Forum
11. European Hematology Association, American Society of Hematology, and the European Cancer Patient Coalition Issue an International Call to Action to Alleviate Drug Shortages
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/2/2017)... Fla. , Oct. 2, 2017  AllianceRx Walgreens ... company formed by Walgreens and pharmacy benefit manager Prime ... its new brand, which included the unveiling of new ... , as well as at a few other ... the new brand to patients, some of whom will ...
(Date:10/2/2017)... Denmark , Oct. 2, 2017 The Rebound ... in the struggle to reverse the tide of prescription drug ... for regulating their medicine intake and stepping down their dosage ... set to launch in December 2017; the first 100,000 people ... Learn more at http://www.rebound-solution.com/ ...
(Date:9/28/2017)... -- Cohen Veterans Bioscience and Early Signal Foundation announce ... home sensors for real-time monitoring of patients with trauma-related ... organization focused on disruptive health solutions for rare disorders ... to record and integrate behavioral, cognitive, physiological and contextual ... ...
Breaking Medicine Technology:
(Date:10/13/2017)... ... 13, 2017 , ... Coveros, a leader in agile coaching ... contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile ... of Agile methodologies in a consistent and high value manner across CMS programs. ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian history ... The Brink” is the creation of published author, William Nowers. Captain Nowers and ... WWII veteran, he spent thirty years in the Navy. Following his career as ...
(Date:10/12/2017)... ... October 12, 2017 , ... CitiDent and San Francisco dentists, ... cutting-edge Oventus O2Vent technology. As many as 18 million Americans are estimated to ... breathing. Oral appliances can offer significant relief to about 75 percent of people ...
(Date:10/12/2017)... Wis. (PRWEB) , ... October 12, 2017 , ... ... standard products to meet the demand of today’s consumer and regulatory authorities worldwide. ... of probiotic experts and tested to meet the highest standard. , These ...
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of Medical Informatics (ACMI) will ... during the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual ... F. Collen, a pioneer in the field of medical informatics, this prestigious award is ...
Breaking Medicine News(10 mins):