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November 8, 2012
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News for the PBM Industry

  Legislative & Regulatory News 
  • Governors, legislatures to decide ACA's future
    Governors in Texas, Florida and elsewhere have refused to set up insurance exchanges under the Affordable Care Act, Missouri voters passed a ballot measure prohibiting the state from doing so without the Legislature's approval and some states are considering running their exchanges in partnership with the federal government. Officials in other states, such as New Jersey and Virginia, have laid the groundwork for insurance exchanges but were waiting to announce plans until after the election. Leaders of 11 states and the District of Columbia said they will expand their Medicaid programs, six said they won't and some are negotiating with HHS on the scope of expansion. Yahoo/The Associated Press (11/9), Kaiser Health News (11/7), The Hill/Healthwatch blog (11/7) LinkedInFacebookTwitterEmail this Story
  • House GOP sets sights on Medicare payment board
    House Republicans say they will introduce new bills to repeal the Affordable Care Act's Medicare Independent Payment Advisory Board, which has yet to be set up and is tasked with finding ways to cut costs if spending growth reaches a certain level. Congress may reject the IPAB's suggestions and implement equivalent cost-cutting measures. The Hill/Healthwatch blog (11/7) LinkedInFacebookTwitterEmail this Story
  PBM Industry News 
  Drug Industry Spotlight 
  • Drug industry uses citizen petitions to block generics
    The brand-name pharmaceutical industry is using citizen petitions as a means to challenge generic competitors, something that generic-drug-makers say is simply a tactic to delay generics and retain market share. The petitions "do raise concerns that the FDA should know about," said Rutgers-Camden law professor Michael A. Carrier, a co-author of a paper on the topic. "But a lot of petitions are filed by large companies in an effort to delay generic entry into the market." The Philadelphia Inquirer (11/7) LinkedInFacebookTwitterEmail this Story
Leave other people's mistakes where they lie."
--Marcus Aurelius,
Roman emperor


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PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 210 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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