Safeguarding seniors health care : quality in managed care : hearing before a subcommittee of the Committee on Appropriations, United States Senate, One … hearing, Department of Health and Human…
Safeguarding seniors health care : quality in managed care : hearing before a subcommittee of the Committee on Appropriations, United States Senate, One … hearing, Department of Health and Human…
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Categories: Senior Health Care Tags: Appropriations, Before, Care, Committee, Department, health, Hearing, Human, Managed, Quality, Safeguarding, Senate, seniors, States, subcommittee, United
American Prosperity Group (APG) Grows to Fifteen Retirement Planning Franchises in Nine States, as More Retirees Seek Protection for their Financial Assets
American Prosperity Group (APG) Grows to Fifteen Retirement Planning Franchises in Nine States, as More Retirees Seek Protection for their Financial Assets
New York, NY (PRWEB) August 12, 2011
When American Prosperity Group (APG) opens a new office in Morristown, New Jersey, this fall, it will mark the fifteenth franchised office in the company’s system, and a doubling of the network’s size in the past three years.
That makes the company the first, biggest and fastest-growing retirement and estate planning franchise brand in the country, and CEO Mark Charnet believes APG’s growth is just beginning.
“It’s been an unprecedented three years in the financial markets and the U.S. economy,” said Charnet, who founded APG with a single office out of his Wayne, New Jersey home, in 2003 after 22 years in the financial services industry. “And the volatility does not seem to be ending any time soon.”
Charnet concluded, “One thing is irrefutably clear. You can never have too much security in your portfolio, and at APG that’s our mission – battling the Five Forces of Portfolio Demise.”
They do it through what Charnet calls the “Trinity Method of Investing©,” which allows retirees to maximize income today, while protecting, preserving and perpetuating their wealth for tomorrow – no matter what nasty turns the market might take.
More on the company’s unique approach to retirement and estate planning can be found at http://www.1APG.com.
Much of the company’s growth results from the diversity and commitment of APG’s franchisees. They are an eclectic group of entrepreneurs, each of whom had a successful career in or outside the financial services industry. They helped the company reach number 300 in Entrepreneur magazine’s 2011 Franchise 500 list.
“We are only as good as the approach we espouse, and the results we deliver for our clients,” said Jeff Beyer, APG’s franchisee in Newtown, Pennsylvania.
According to Beyer, it has been, and continues to be, a challenging environment – but one that lends itself to explaining the APG value proposition.
“It’s gotten pretty ugly out there again,” said Beyer, “And more than ever, retirees tell us that the key to their peace of mind is to preserve and protect their accumulated wealth.” He concluded, “That’s what the Trinity Method of Investing is all about.”
According to Charnet, that method helps protect retirees from the Five Forces of Portfolio Demise:
Risk of loss from a liability lawsuit
High cost of health care
Negative portfolio impact of paying for long-term care
The impact of federal and state estate taxes and income taxes at death
Stock market losses
And if APG’s franchise growth is any indication, the method is paying off. The company’s Morristown office will be operational in the fall, and APG expects to reach 20 franchised offices within a year.
About American Prosperity Group
American Prosperity Group (APG), is the leading and fastest growing Retirement Planning Services franchise in the country, with fifteen franchised offices open in nine states. APG is headquartered in Wayne, NJ, and was founded by Mark Charnet, with a mission to continue helping retirees and others, plan and implement a successful retirement and proper estate plan. The emerging franchise does this by implementing parts of a total retirement and estate planning system required to meet each client’s needs. The system is built around Charnet’s proprietary and copyrighted system known as the Trinity Method of Investing©. For more information, visit http://www.1APG.com and http://www.APGFranchise.com.
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, Vocus PRW Holdings, LLC.
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Categories: New York State Retirement System Tags: American, Assets, Fifteen, Financial, Franchises, Group, Grows, More, Nine, Planning, Prosperity, Protection, Retirees, Retirement, Seek, States, Their
Learn In The United States
Learn In The United States
Learn In The U.s. is the marketplace’s leading preparation kit for international students seeking admission into top colleges and universities in America. It covers Every Single Step of the U.s. college application process for foreign students.
Learn In The United States
Categories: Arizona State Retirement System Tags: Learn, States, United
Social Security (United States): Social Security, Portability, Supplemental Security Income, Social Security Debate, Social Security Number
Social Security (United States): Social Security, Portability, Supplemental Security Income, Social Security Debate, Social Security Number
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Categories: Social Security Tags: Debate, Income, Number, Portability, Security, Social, States, Supplemental, United
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 .
Follow PCMA on Twitter
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©Copyright 1997-
, Vocus PRW Holdings, LLC.
Vocus, PRWeb, and Publicity Wire are trademarks or registered trademarks of Vocus, Inc. or Vocus PRW Holdings, LLC.
Categories: Medicaid Tags: billion, Commercial, could, Federal, Government, Like, Managing, Medicaid, Medicare, More, Pharmacy, Programs, Save, Sector, States
Living arrangement of people aged 65 and older: Findings from 1968 Survey of the Aged (United States Social Security Administration. Report)
Living arrangement of people aged 65 and older: Findings from 1968 Survey of the Aged (United States Social Security Administration. Report)
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Categories: Social Security Tags: 1968, Administration, aged, arrangement, Findings, from, Living, Older, People, Report, Security, Social, States, Survey, United
Government Jobs in America: [2011] Jobs in U.S. States & Cities and U.S. Federal Agencies with Job Titles, Salaries & Pension Estimates – Why You Want One, What Jobs Are Available, How to Get One
Government Jobs in America: [2011] Jobs in U.S. States & Cities and U.S. Federal Agencies with Job Titles, Salaries & Pension Estimates – Why You Want One, What Jobs Are Available, How to Get One
“Tell me how to get a State, City or U.S. Federal job. Why are government jobs so desirable? What jobs are available? Tell me what today’s government jobs are like. What are the salaries? What are the pensions? How do I complete the application and hiring process?” This book covers all aspects of getting secure, high-paying government employment. It covers getting work in U.S. State, City, and Federal government agencies and departments. “What Jobs are Available,” shows job titles in U.S
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Categories: Social Security Tags: 2011, Agencies, America, Available, Cities, Estimates, Federal, Government, JOBS, Pension, Salaries, States, Titles, U.S., want
Pension book reserves in West Germany: Their application to other countries, their potential applicability to the United States
Pension book reserves in West Germany: Their application to other countries, their potential applicability to the United States
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Categories: Pensions Tags: applicability, application, Book, countries, Germany, Pension, potential, reserves, States, Their, United, West
NEW Medicaid Reform and the American States: Case St…
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