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tci Medicare Compliance & Reimbursement - 2004 Issue 3

Managed Care: MEDICARE Rx BILL PUTS PBMs, HEALTH PLANS ON HOOK FOR COSTS

Will the Medicare prescription drug benefit lead to greater drug expenses for plans?Health plans are still waiting to see whether the passage of the Medicare prescription drug benefit changes how pharmaceutical companies deal with managed care plans. A lot still depends on the many regulations within the law that the Centers for Medicare & Medicaid Services and the Department of Health and Human Services will need to work on in the coming months, says Phil Blando, vice president of public affairs for the Pharmaceutical Care Management Association, the trade group representing pharmacy benefits managers. In many ways, the...

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