Chain and independent pharmacies aim to retain customers
Walgreen, Wal-Mart, Kroger and various independent pharmacies are filling prescriptions for the newly enrolled even if they don’t have their health insurance identification cards yet.
The pharmacies say they are providing temporary benefits as a bridge through early 2014 and will offer 30-day fills with no upfront costs for consumers who have proof of enrollment in a marketplace health plan. Like insurance carriers that extended existing health plan policies into 2014 as a bridge for members, the pharmacies are hoping to retain business.
“Helping patients sort through new or revised health insurance coverage is business-as-usual for independent community pharmacies year-round and especially each January,” said National Community Pharmacists Association CEO B. Douglas Hoey, RPh, MBA, in a statement. “Now more than ever that is the case with the advent of these new health plans.”
According to the organization, in 2006, community pharmacies offered emergency fills for seniors navigating the then-new Part D benefit.
“While health plans are the payer of first resort for the newly insured, most independent community pharmacists will provide emergency medication supplies, when appropriate, to their patients confirmed with new insurance coverage through the marketplaces, so that these patients don’t fall through the cracks,” according to Hoey.
David Calabrese of OptumRx Talks New Role, Market Insulin Prices and Other Topics 'On His Mind'
April 13th 2023In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy officer and market president of health plans and PBMs to his new role as Chief Clinical Officer where he now focuses more on things such as specialty pharmacy to home delivery — with an overall goal of creating whole-patient care. Throughout the conversation, Calabrese also touched on the market’s hot topic of insulin prices and behavioral health services within the OptumRx community, among other topics.
Listen
Upended: Can PBM Transparency Succeed?
March 6th 2024Simmering tensions in the pharmacy benefit management (PBM) industry have turned into fault lines. The PBMs challenging the "big three" have formed a trade association. Purchaser coalitions want change. The head of the industry's trade group says inherent marketplace friction has spilled over into political friction.
Read More
Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especially toward women in healthcare and other roles, and what it takes to run a biopharma company.
Listen
The deliberate disconnection of Change Healthcare to ring fence a cyberattack entered its seventh day today. Prescribers are finding ways to get pharmacy claims processed, and UnitedHealth Group says disruption to the dispensing of prescriptions has been minimal. But independent pharmacies want more information and protection from financial consequences from pharmacy benefit managers.
Read More