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January 10, 2013
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News for the PBM Industry

  Featured Story 
 Registration is now open for PCMA's Managed Markets Educational Forum!
Whether you are a seasoned managed markets executive or someone who supports the team, PCMA's Managed Markets Educational Forum will provide valuable education on fundamental, as well as complex and strategic issues relevant to professionals of all levels within pharma managed markets or market access divisions. Visit PCMA's website to learn more about our 2013 events!

  Legislative & Regulatory News 
  • HHS IG argues for more attention to possible overpayments
    CMS and its contractors should perform more fraud-related audits on Medicare Advantage plans, according to the HHS Office of Inspector General. The CMS contractor charged with rooting out fraud in Medicare Advantage plans focuses largely on Part D plans, which accounted for far less Medicare spending in 2011 than MA plans, the OIG said. However, the firm lacks access to a centralized claims database as well as the authority to go after possible overpayments if legal authorities do not handle the case, the report noted. Modern Healthcare (free registration) (1/10) LinkedInFacebookTwitterEmail this Story
  • Review advocates changes that would limit health care costs by $2T
    A study from the Commonwealth Fund concludes that $2 trillion could be trimmed from health care spending over 10 years if the federal government pressed to keep costs in line with GDP growth. The review calls for a yearly spending target and action by insurers, Medicaid, Medicare and other programs to push providers toward more cost-effective models. The idea has the potential to gain support from both parties in the next deficit talks, Commonwealth Fund President Dr. David Blumenthal said. Reuters (1/10) LinkedInFacebookTwitterEmail this Story
  • Other News
  Drug Industry Spotlight 
  • New packaging, labeling might improve Rx adherence
    Blister packaging labeled with the days of the week, pill bottle caps that give alerts and sound alarms when they are not opened on time, and clearer patient instructions are among the methods designed to increase prescription adherence. Patients who do not take their medications as prescribed are at higher risk for complications and expensive hospitalizations, and CMS reimbursement to health plans depends in part on refill rates for cholesterol, hypertension and diabetes drugs. The Wall Street Journal (1/8) LinkedInFacebookTwitterEmail this Story
  • Other News
Luck enters into every contingency. You are a fool if you forget it -- and a greater fool if you count upon it."
--Phyllis Bottome,
British writer


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Charles Cote
Assistant Vice President, Strategic Communications
(202) 207-3610

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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 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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