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Search Results for: adverse selection

Wal-Mart’s difficult position

The “Wal-Mart” legislation on the docket in over 20 states is pushing some pro-business advocates into a Hobbesian choice – support Wal-Mart and other opponents of mandatory benefits legislation, thereby adding thousands to Medicaid rolls, or support the legislation and … Continue reading Wal-Mart’s difficult position

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Posted on February 28, 2006Author Joe PadudaCategories Health Care Issues4 Comments

McClellan’s rose colored glasses

Director of the Center for Medicare/Medicaid Services Mark McClellan was up on Capitol Hill yesterday testifying on Part D, conveying the message that all was going better, improvements were being made, and the cost of the program was lower than … Continue reading McClellan’s rose colored glasses

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Posted on February 11, 2006Author Joe PadudaCategories Medicare and Medicaid, Pharmacy, PBMs, and Pharma costs

Why seniors are saying NO to Part D

More on the adverse selection problems with Part D from a research study by DSS Research. The study indicates more than half of eligible seniors have no plans to enroll in a Part D program. And, their characteristics should set … Continue reading Why seniors are saying NO to Part D

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Posted on January 24, 2006Author Joe PadudaCategories Medicare and Medicaid, Pharmacy, PBMs, and Pharma costs

HSAs. CDHPS, and FOOLs

This blog world is getting incestuous… Ezra Klein posted an excellent summation of the issues inherent in HSAs on his blog about the time I was posting here on CDHPs, and the two crossed paths in the ether. Here is … Continue reading HSAs. CDHPS, and FOOLs

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Posted on January 23, 2006Author Joe PadudaCategories Health Care Issues

Part D – the real problem

No, it is not going well. Despite what the spokespeople at HHS claim, enrollment in Medicare Part D has been a failure to date. Perhaps not a dismal failure, but certainly a lot further towards the “failure” end of the … Continue reading Part D – the real problem

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Posted on January 20, 2006Author Joe PadudaCategories Medicare and Medicaid, Pharmacy, PBMs, and Pharma costs

Medicare Part D’s challenges and problems

It will come as no surprise that the war over the Medicare Part D program (free subscription required) is continuing to heat up, with Republicans touting the benefits for seniors while Democrats describe the program as a giveaway to the … Continue reading Medicare Part D’s challenges and problems

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Posted on December 5, 2005Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs1 Comment

Why Medicare Part D will not succeed

The Medicare Part D marketing wagon train has hit the road, with CMS Director Mark McClellan leading the effort to convince skeptical seniors to enroll in the program. By all accounts, the effort has yet to hit its stride (free … Continue reading Why Medicare Part D will not succeed

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Posted on July 18, 2005Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs1 Comment

Medicare Part D winners and losers

Kevin Piper summarizes the good, the bad, the ugly, the winners and losers from the new Medicare Part D program in his blog “the Piper Report”. As more information has become available, it is clear that there will be substantial … Continue reading Medicare Part D winners and losers

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Posted on June 1, 2005Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs

Medicare Part D explored

Several readers have noted that there are other reasons for getting involved in the new Medicare drug program, citing the government’s “loss prevention” financial arrangements, the sophistication of PBMs in managing formularies, and the desire to enter what will be … Continue reading Medicare Part D explored

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Posted on May 18, 2005Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs

Medicare’s drug answer

The growing popularity of Medicare Part D (the Medicare Drug program) among health plans pharmacy benefit managers (PBMs), is a mystery. As I have noted before, the program as presently conceived is guaranteed to drive adverse selection with only the … Continue reading Medicare’s drug answer

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Posted on May 17, 2005Author Joe PadudaCategories Pharmacy, PBMs, and Pharma costs2 Comments

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