| News for the PBM Industry |  |
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- Survey: Consumer-directed health plans are increasing as HMOs drop
Fewer employers offered health-maintenance-organization coverage last year, according to an Aon Hewitt survey, with the percentage down to 38% of respondents. Higher-deductible consumer-directed plans, however, were provided by 58% of employers in the survey last year, compared with 41% in 2010. "Employers are beginning to explore innovative solutions that focus on both the short-term need to manage health care costs and the longer-term requirement to change underlying behavior patterns, shifting the focus from 'caring for the sick' to 'actively managing the health of their employees,'" Aon Hewitt's Maureen Fay said in a statement. Forbes
(9/17)     
| Legislative & Regulatory News | | |
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- States seek compromise on ACA Medicaid expansion
Indiana, New Mexico and Wisconsin are some of the states seeking to expand their Medicaid programs to include people earning up to 100% of the poverty level and direct people with incomes between 100% and 133% of the poverty level into insurance exchanges. The Affordable Care Act provides funding for states that expand Medicaid eligibility to 133% of the poverty level. The Wall Street Journal
(9/18)
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| Opinion, Commentary & Analysis | | |
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| SmartQuote | | |
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 | The secret of managing is to keep the guys who hate you away from the guys who are undecided."
--Casey Stengel,
American baseball player and manager
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| About PCMA |
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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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| | Recent PCMA SmartBrief Issues:
- Monday, September 17, 2012
- Friday, September 14, 2012
- Thursday, September 13, 2012
- Wednesday, September 12, 2012
- Tuesday, September 11, 2012
| | | Lead Editor: Melissa Turner
Mailing Address:
SmartBrief, Inc.®, 555 11th ST NW, Suite 600, Washington, DC 20004 | |
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