PBM tools could save $51.1B for Medicaid, report finds | Final rule coming for CMS' new physician payment system | States' share of expanded Medicaid budgets to begin growing
October 14, 2016
PCMA SmartBrief
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PBM tools could save $51.1B for Medicaid, report finds
Medicaid could save $51.1 billion over the next 10 years by using pharmacy benefit manager tools, according to a Pharmaceutical Care Management Association-sponsored report by The Menges Group. "There is a real budgetary opportunity for federal and state policymakers to reduce costs while making Medicaid benefits more robust and sustainable," said PCMA President and CEO Mark Merritt.
Drug Store News (10/13) 
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Legislative & Regulatory News
Final rule coming for CMS' new physician payment system
The final rule for CMS' physician payment system under the Medicare Access and CHIP Reauthorization Act is expected to be released as soon as this week.
Modern Healthcare (tiered subscription model) (10/13) 
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States' share of expanded Medicaid budgets to begin growing
State Medicaid budgets are projected to increase by 4.4% as rules requiring states to begin picking up 5% of the cost of expanding the program begin taking effect, according to the Kaiser Family Foundation's annual Medicaid budget survey.
CQ.com (subscription required) (10/13) 
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Drug Industry Spotlight
Doctors Without Borders rejects Pfizer's vaccine donation
Pfizer's offer to donate 1 million doses of pneumonia vaccine would undermine long-term efforts to increase access to immunization, and the company should lower its prices instead, according to Doctors Without Borders.
STAT (10/13) 
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Generic anti-inflammatory from Granules approved by FDA
The FDA has approved Granules' ibuprofen tablets in 200-mg strength. The treatment is the generic version of Johnson & Johnson's Motrin IB tablets.
NDTV (India) (10/13) 
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If you would be a real seeker after truth, it is necessary that at least once in your life you doubt, as far as possible, all things.
Rene Descartes,
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About PCMA
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 266 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.

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Charles Cote
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