Forex Hitter – Quality Software Product Which Converts Like Crazy!
Forex Hitter – Quality Software Product Which Converts Like Crazy!
Impressive 1:13 Conversion (on Average!!) At Less Than 3% Refund Rate! 75% Commission On Every Sale – Straight Away!
Forex Hitter – Quality Software Product Which Converts Like Crazy!
Categories: Individual Retirement Account Tags: Converts, Crazy, Forex, Hitter, Like, Product, Quality, Software
What will senior centers of the future be like?
They’ll be resources for a new stage in life — not for retiring from life or work. The age range will be wider, spanning 50 years — people in their 50s up to 100 or older. There will be more younger seniors. The hours will be longer — evening and weekend hours will be in demand as people work past retirement age but want the services. There’ll be more courses and programs — new trends in exercise, fitness fashions, brain games for mental stimulation, work issues, financial planning, travel. Centers will work with other community groups to offer educational programs. Some may now be competitors — retirement communities and assisted living, colleges and universities, adult education, churches and synagogues. Younger seniors will want the latest computer programs, but they’ll also appreciate the wisdom of the elders — the chance to learn disappearing arts like caning or quilting. Parent care will be a huge issue. More people in their 60s will have parents in their 90s. They will be multilingual, multicultural. Fewer senior centers will be freestanding. They will be a part of a community center or a library, etc.
Categories: Senior Centers Tags: Centers, Future, Like, Senior
Saving for Retirement without Living Like a Pauper or Winning the Lottery
Saving for Retirement without Living Like a Pauper or Winning the Lottery
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Categories: Retirement Savings Tags: Like, Living, LOTTERY, Pauper, Retirement, Saving, Winning, without
States, Federal Government Could Save $30 Billion by Managing Medicaid Pharmacy More Like Medicare and Commercial Sector Programs
States, Federal Government Could Save $ 30 Billion by Managing Medicaid Pharmacy More Like Medicare and Commercial Sector Programs
Washington, DC (Vocus) December 6, 2010
A new study from The Lewin Group finds that Medicaid pharmacy could save more than $ 30 billion over the next decade by transitioning from the current approach used by state Medicaid fee-for-service (FFS) programs to the more efficient approaches used by Medicare Part D plans, Medicaid managed care organizations (MCOs), and the commercial sector, including typical state employee plans.
The study notes that Medicaid FFS pharmacy programs use fewer generic drugs and pay pharmacies higher dispensing fees and ingredient costs than other programs. The findings from this groundbreaking report challenge the assumption that Medicaid pharmacy can only reduce costs by cutting benefits, limiting eligibility, demanding deeper manufacturer rebates, or paying drugstores higher dispensing fees in exchange for more pricing transparency.
“Medicaid is one of the few pharmacy benefit programs that still relies heavily upon a fee-for-service approach. By operating more like Medicare and commercial market plans, Medicaid could increase the use of generics and save billions without cutting benefits,” said Pharmaceutical Care Management Association (PCMA) President and CEO Mark Merritt.
Currently, three-fourths of Medicaid pharmacy dollars are administered using a fee-for-service approach in which public officials play a role in determining how much to pay drugstores for each prescription filled (dispensing fees) and ingredient costs (the reimbursement for the cost of the actual drugs). The other one-fourth of Medicaid pharmacy is managed more like pharmacy benefits in the commercial sector, where third-parties use proven utilization management tools and negotiate pharmacy payments directly with chain drugstores and the drug wholesalers that represent independent pharmacies.
The Lewin study also finds that although state Medicaid programs pay widely varying Medicaid dispensing fees, these decisions seem largely unrelated to the level of ingredient cost reimbursements a state pays or the level of generic utilization a state achieves. For example, Texas pays the nation’s highest dispensing fees ($ 7.50) and New Hampshire pays the lowest ($ 1.75), but they both pay about the same for ingredient costs and generate similar rates of generic drug utilization.
Many Medicaid pharmacy discussions begin and end with the issue of the drug manufacturer rebates. However, the statutory and supplemental rebates paid to Medicaid by brand name drug manufacturers are determined separately from pharmacy dispensing fees and ingredient costs. This means that manufacturer rebates have no impact on the savings that more active management of dispensing fees and ingredient costs could achieve. Likewise, these savings also do not assume any additional cost sharing for Medicaid beneficiaries.
Key Findings
Savings Opportunities Exist In Four Key Areas
While Medicaid FFS programs and costs vary greatly state-by-state, The Lewin Group identified four key areas where pharmacy benefit management could generally be improved:
Generic Drug Dispensing: Medicaid FFS is less effective at encouraging the dispensing of generic drugs in place of brands. The generic dispensing rate in Medicaid FFS averages 68%, compared to an average 80% generic dispensing rate in Medicaid MCOs.
Dispensing Fees: At $ 4.81 per prescription, the national average dispensing fee that Medicaid FFS programs pay to retail pharmacies per each prescription is more than double the average dispensing fees paid by Medicare Part D payers, Medicaid MCOs, or health plans in the commercial sector.
Ingredient Costs: The rate at which retail pharmacies are reimbursed for the actual medication ingredients (pills, capsules, etc.) is also higher, on average, in Medicaid FFS programs than in Medicare Part D or the commercial sector.
Drug Utilization: The number of prescriptions dispensed per person is typically higher in Medicaid FFS programs than in Medicaid MCOs due to less effective controls on polypharmacy, fraud, waste, abuse, and other factors in the FFS setting.
Estimated Federal and State Medicaid Savings
If all state Medicaid programs used a market-based approach such that dispensing fees, ingredient costs, drug utilization, and generic drug dispensing were brought in-line with norms for Medicaid MCOs, Medicare Part D, and commercial payers, Lewin estimates that:
Combined federal and state savings to the Medicaid program would total $ 30.3 billion over the next decade.
Medicaid FFS prescription costs could be reduced by 14.8%.
Per member per month (PMPM) costs for Medicaid FFS pharmacy benefits could be reduced by $ 12 in 2011 under optimal management.
PCMA represents the nation’s pharmacy benefit managers (PBMs), which improve affordability and quality of care through the use of electronic prescribing (e-prescribing), generic alternatives, mail-service pharmacies, and other innovative tools for 210-plus million Americans.
The full report can be obtained at no charge at http://www.lewin.com/content/publications/Medicaid_Pharmacy_Savings_Report.pdf .
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Categories: Medicaid Tags: billion, Commercial, could, Federal, Government, Like, Managing, Medicaid, Medicare, More, Pharmacy, Programs, Save, Sector, States
Saving for Retirement Without Living Like a Pauper or W
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