TITLE

Some states moving to 'carve out' model for pharmacy services

PUB. DATE
November 2009
SOURCE
State Health Watch;Nov2009, Vol. 16 Issue 11, p6
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The article offers a look at the efforts of some U.S. states to adopt the carve-out approach in response to the recession and financial crisis. Missouri is one of the states that adopted a carve out model for Medicaid managed care pharmacy services. Minnesota, meanwhile, have been using a carve-in model for drug benefits and has no plans to changing such. In Maryland, a carve-in health and prescription benefits model is also being applied for Medicaid recipients.
ACCESSION #
46706515

 

Related Articles

  • Fall-back drug plans not needed. Wechsler, Jill // Managed Healthcare Executive;Apr2005, Vol. 15 Issue 4, p10 

    The article focuses on the government run "fall back," plan for drugs industries of the United States. It reports that enough insurance companies and pharmacy benefit managers (PBM) have applied to sponsor Medicare prescription drug plans (PDPs) across the country to rule out the need for...

  • Firm stand taken on cuts in Medicaid reimbursements.  // Chain Drug Review;7/20/2009, Vol. 31 Issue 12, p59 

    The article reports on the opposition of Walgreen Co. against Medicaid cuts in pharmacy reimbursements in the U.S. The drug chain has been aggressive in defending the industry against cuts in Medicaid reimbursements. As of May 1, 2009, Walgreens decided to pull 44 of its pharmacies out of the...

  • OIG reports identify problems with 340B Drug Pricing Program. Brushwood, David B. // Pharmacy Today;Oct2004, Vol. 10 Issue 10, p30 

    The article focuses on two recently issued U.S. Department of Health and Human Services Office of Inspector General (OIG) reports which identify some problems with the functioning of the 340B Drug Pricing Program. The 340B Drug Pricing Program requires that manufacturers participating in...

  • Drug Discount Cards. Vastag, Brian // JAMA: Journal of the American Medical Association;1/14/2004, Vol. 291 Issue 2, p172 

    Offers a look at drug discount cards issued to Medicare recipients in the United States. Sponsors of the discount cards; Availability of the discount drug cards to Medicare recipients who do not receive prescription drug coverage through Medicaid.

  • ON GUARD: The auditor cometh. Paul, Reid // Drug Topics;1/8/2007, Vol. 151 Issue 1, p34 

    The article offers information regarding the fraud, waste, and abuse audit in pharmacies in the U.S. It was stated that for most part, auditors and even law enforcement officials are loathe to the precise definition of what constitutes fraud, waste, and abuse. By some estimates, fraud, waste,...

  • Texas dispensing fee hike hailed as big win for pharmacy.  // Chain Drug Review;9/28/2009, Vol. 31 Issue 16, p8 

    The article reports on the approval of the dispensing fee increase in the Texas Medicaid program by the Centers for Medicare and Medicaid Services (CMS) in the U.S. Steve Anderson, the president and chief executive officer of the National Association of Chain Drug Stores (NACDS), remarks the...

  • News Briefs.  // American Journal of Health-System Pharmacy;10/1/2007, Vol. 64 Issue 19, p1999 

    The article offers news briefs related to health-system in the U.S. The Center for Medicaid and State Operations will reimburse pharmacies for medications dispensed from written prescriptions only if the orders came from tamper-resistant prescription pads. The Joint Commission appointed Mark R....

  • States move to offset Medicaid dispensing fee cuts.  // Drug Store News;6/25/2007, Vol. 29 Issue 8, p58 

    The article reports on the effort of state lawmakers in Texas, Iowa and Kansas to restore the budget cuts proposed by the federal Centers for Medicare & Medicaid Services for retail pharmacy operators in the U.S. The three legislators have approved budget bills that limit the impact of federal...

  • Medicaid Reform in the 1990s. Boben, Paul J. // Health Care Financing Review;Winter2000, Vol. 22 Issue 2, p1 

    Discusses issues about Medicaid reform in the United States. Aspects of Medicaid that needed reform; Challenges posed by the transformation of Medicaid; Factors that influenced the increase in Medicaid spending.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics