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:6/24/2016)... June 24, 2016 According to ... Type (Standard Pen Needles, Safety Pen Needles), Needle Length ... Growth Hormone), Mode of Purchase (Retail, Non-Retail) - Trends ... report studies the market for the forecast period of ... USD 2.81 Billion by 2021 from USD 1.65 Billion ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
(Date:6/23/2016)... 2016  MedSource announced today that it has ... solution of choice.  This latest decision demonstrates MedSource,s ... their clients by offering a state-of-the-art electronic data ... nowEDC as the EDC platform of choice in ... "nowEDC has long been a preferred EDC platform ...
Breaking Medicine Technology:
(Date:6/24/2016)... ... 2016 , ... To succeed under value-based payments, healthcare providers ... how to move forward, given the need to sustain current operations. PYA has ... an organization’s specific needs. , PYA Principal Martie Ross states, “Healthcare providers want ...
(Date:6/24/2016)... Brooklyn, New York (PRWEB) , ... June 24, 2016 , ... ... medical marijuana patients optimize the ingestion of their medication by matching users with high ... allows users to compare pieces with no commitment. , Inhale was founded by two ...
(Date:6/24/2016)... ... ... Dr. Seema Daulat, a native Texan and University of Texas at Austin ... July 13, 2016. , Dr. Daulat earned her Doctorate of Medicine (MD) at The ... the Agape Clinic serving Dallas’ underprivileged community. , Following medical school, Dr. Daulat completed ...
(Date:6/23/2016)... Los Angeles, CA (PRWEB) , ... June 23, 2016 , ... ... being conducted that may expose a possible link between head and neck cancer in ... individuals participating in the study were evaluated based on whether they had gum disease, ...
(Date:6/23/2016)... ... ... The Mechille Wilson Agency, a Texas-based insurance company that provides coverage to hundreds ... a charity drive to assist a student to be chosen from the local area. ... be presented to the chosen student to help with the growing costs of tuition, ...
Breaking Medicine News(10 mins):