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In many cases, the end of the year gives you time to step back and take stock of the last 12 months. This is when many of us take a hard look at what worked and what did not, complete performance reviews, and formulate plans for the coming year. For me, it is all of those things plus a time when I u...
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PCMA Statement on Essential Health Benefits Final Rule

Regulators Reject Expensive 'Protected Class' Approach in the Exchanges

WASHINGTON, Feb. 20, 2013 /PRNewswire-USNewswire/ -- The Pharmaceutical Care Management Association (PCMA) released the following statement today on the Department of Health and Human Services (HHS) Essential Health Benefits (EHB) final rule:

"Regulators rejected the 'protected class' approach that shields competing drug companies from offering competitive pricing to be included on formularies. 

"Unfortunately, 'protected classes' are used in Medicare and increase costs by $4.2 billion, according to the Centers for Medicare and Medicaid Services (CMS).  There is no evidence that 'protected classes' improve quality or access and they should not be imposed on plans in the Exchanges.

"Plans can negotiate greater price concessions from competing drug makers – and reduce overall prescription drug benefit costs – when they have more flexibility to design clinically-based formularies."

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.

Follow PCMA on Twitter

SOURCE Pharmaceutical Care Management Association

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Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

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