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Preferred Pharmacy Network
In the United States, a preferred pharmacy network is a group of pharmacies that involves a prescription drug plan that selects a group of preferred pharmacies, which likely include pharmacies willing to give the plans a larger discount than other pharmacies. Consumers are then able to choose between preferred or non-preferred pharmacies. Those who choose the preferred pharmacies then save money in the form of lower copayment. Cost savings A study released by Visante in January 2013 found that the greater use of "preferred" and "limited" pharmacy networks could save taxpayers $115 billion over the next 10 years on prescription drug costs. Many networks offer savings through discount card programs. According to a report on this new study in The Hill, "embracing these models would save Medicaid, Medicare and commercial plans $26 billion, $35 billion and $54 billion, respectively, over the next decade". However, real-world comparisons of costs between preferred pharmacy netwo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
United States
The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territories, nine Minor Outlying Islands, and 326 Indian reservations. The United States is also in free association with three Pacific Island sovereign states: the Federated States of Micronesia, the Marshall Islands, and the Republic of Palau. It is the world's third-largest country by both land and total area. It shares land borders with Canada to its north and with Mexico to its south and has maritime borders with the Bahamas, Cuba, Russia, and other nations. With a population of over 333 million, it is the most populous country in the Americas and the third most populous in the world. The national capital of the United States is Washington, D.C. and its most populous city and principal financial center is New York City. Paleo-Americ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pharmacy
Pharmacy is the science and practice of discovering, producing, preparing, dispensing, reviewing and monitoring medications, aiming to ensure the safe, effective, and affordable use of medicines. It is a miscellaneous science as it links health sciences with pharmaceutical sciences and natural sciences. The professional practice is becoming more clinically oriented as most of the drugs are now manufactured by pharmaceutical industries. Based on the setting, pharmacy practice is either classified as community or institutional pharmacy. Providing direct patient care in the community of institutional pharmacies is considered clinical pharmacy. The scope of pharmacy practice includes more traditional roles such as compounding and dispensing of medications. It also includes more modern services related to health care including clinical services, reviewing medications for safety and efficacy, and providing drug information. Pharmacists, therefore, are experts on drug therapy and a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical Prescription
A prescription, often abbreviated or Rx, is a formal communication from a physician or other registered health-care professional to a pharmacist, authorizing them to dispense a specific prescription drug for a specific patient. Historically, it was a physician's instruction to an apothecary listing the materials to be compounded into a treatmentthe symbol ℞ (a capital letter R, crossed to indicate abbreviation) comes from the first word of a medieval prescription, la, Recipere (), that gave the list of the materials to be compounded. Format and definition For a communication to be accepted as a legal medical prescription, it needs to be filed by a qualified dentist, advanced practice nurse, physician or veterinarian, for whom the medication prescribed is within their scope of practice to prescribe. This is regardless of whether the prescription includes prescription drugs, controlled substances or over-the-counter treatments. Prescriptions may be entered into an ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Drug
A drug is any chemical substance that causes a change in an organism's physiology or psychology when consumed. Drugs are typically distinguished from food and substances that provide nutritional support. Consumption of drugs can be via insufflation (medicine), inhalation, drug injection, injection, smoking, ingestion, absorption (skin), absorption via a dermal patch, patch on the skin, suppository, or sublingual administration, dissolution under the tongue. In pharmacology, a drug is a chemical substance, typically of known structure, which, when administered to a living organism, produces a biological effect. A pharmaceutical drug, also called a medication or medicine, is a chemical substance used to pharmacotherapy, treat, cure, preventive healthcare, prevent, or medical diagnosis, diagnose a disease or to promote well-being. Traditionally drugs were obtained through extraction from medicinal plants, but more recently also by organic synthesis. Pharmaceutical drugs may be used ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Discounts And Allowances
Discounts and allowances are reductions to a basic price of goods or services. They can occur anywhere in the distribution channel, modifying either the manufacturer's list price (determined by the manufacturer and often printed on the package), the retail price (set by the retailer and often attached to the product with a sticker), or the list price (which is quoted to a potential buyer, usually in written form). There are many purposes for discounting, including to increase short-term sales, to move out-of-date stock, to reward valuable customers, to encourage distribution channel members to perform a function, or to otherwise reward behaviors that benefit the discount issuer. Some discounts and allowances are forms of sales promotion. Many are price discrimination methods that allow the seller to capture some of the consumer surplus. Types The most common types of discounts and allowances are listed below. Dealing with payment Prompt payment discount ''Trade discounts ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Copayment
A copayment or copay (called a gap in Australian English) is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service. It may be defined in an insurance policy and paid by an insured person each time a medical service is accessed. It is technically a form of coinsurance, but is defined differently in health insurance where a coinsurance is a percentage payment after the deductible up to a certain limit. It must be paid before any policy benefit is payable by an insurance company. Copayments do not usually contribute towards any policy out-of-pocket maximum, whereas coinsurance payments do. Insurance companies use copayments to share health care costs to prevent moral hazard. It may be a small portion of the actual cost of the medical service but is meant to deter people from seeking medical care that may not be necessary, e.g., an infection by the common cold. In health systems with prices below the market clearing level in wh ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
The Hill (newspaper)
''The Hill'' is an American newspaper and digital media company based in Washington, D.C. that was founded in 1994. Focusing on politics, policy, business and international relations, ''The Hill''s coverage includes the U.S. Congress, the presidency and executive branch, and election campaigns. ''The Hill'' describes its output as "nonpartisan reporting on the inner workings of Government and the nexus of politics and business". The company's primary outlet is TheHill.com. ''The Hill'' is additionally distributed in print for free around Washington, D.C. and distributed to all congressional offices. It is owned by Nexstar Media Group. History Founding and early years The company was founded as a newspaper in 1994 by Democratic power broker and New York businessman Jerry Finkelstein, and Martin Tolchin, a former correspondent for ''The New York Times''. New York Representative Gary L. Ackerman was also a major shareholder. The name of the publication alludes to " Capitol Hill" a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Centers For Medicare And Medicaid Services
The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001. CMS actively inspects and reports on every nursing home in the United States. This includes maintaini ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Morgan Griffith
Howard Morgan Griffith (born March 15, 1958) is an American lawyer and politician who has been the U.S. representative for Virginia's 9th congressional district since 2011. The district covers a large swath of southwestern Virginia, including the New River Valley and the Virginia side of the Tri-Cities. He is a member of the Republican Party and the Freedom Caucus. Griffith was the majority leader of the Virginia House of Delegates and represented the 8th district from 1994 to 2011. The district was based in his hometown of Salem and included parts of surrounding Roanoke County. Early life, education, and career Griffith was born in Philadelphia, Pennsylvania, and in his infancy his family relocated to Salem, Virginia. He graduated from Andrew Lewis High School in 1976 and from Emory and Henry College in 1980 with a Bachelor of Arts. Griffith completed his education with a J.D. from the Washington and Lee University School of Law in 1983. After law school, Griffith settled i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Resources And Services Administration
The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services located in North Bethesda, Maryland. It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable. Comprising six bureaus and twelve offices, HRSA provides leadership and financial support to health care providers in every state and U.S. territory. Its grantees provide health care to uninsured people, people living with HIV/AIDS, and pregnant women, mothers and children. They train health professionals and improve systems of care in rural communities. HRSA oversees organ, bone marrow and cord blood donation. It supports programs that prepare against bioterrorism, a program to compensate people who experience vaccine adverse events, and maintains databases that protect against health care malpractice and health care waste, fraud and abuse. Functions HRSA's $10 billion budget ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Preserving Our Hometown Independent Pharmacies Act Of 2011
Preserving Our Hometown Independent Pharmacies Act of 2011 (''H.R. 1946'') is legislation that was introduced in the 112th United States Congress on May 23, 2011, with the full title of the bill stating to "ensure and foster continued safety and quality of care and a competitive marketplace by exempting independent pharmacies from the antitrust laws in their negotiations with health plans and health insurance insurers". The chief sponsor of the legislation was Republican Tom Marino (R-PA10), while other notable co-sponsors include Republican Cathy McMorris Rodgers (R-WA5), Democrat Leonard Boswell (D-IA3), and Republican Austin Scott (R-GA8). Support Support for the bill came from the National Community Pharmacists Association (NCPA). In a press release dated June 21, 2011, NCPA wrote that the legislation would allow independent community pharmacies to collectively negotiate the terms and conditions of insurance contracts. Opposition Opposed to the bill were people from the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pharmacy Competition And Consumer Choice Act Of 2011
The Pharmacy Competition and Consumer Choice Act of 2011 (''H.R. 1971'') is the legislation that was introduced in the 112th United States Congress on May 24, 2011, with the full title of the bill stating to "amend the Public Health Service Act to ensure transparency and proper operation of pharmacy benefit managers". The chief sponsor of the legislation was Republican Cathy McMorris Rodgers (R-WA5), while other notable co-sponsors include Democrat Anthony Weiner (D-NY9), Republican Austin Scott (R-GA8), Democrat Jesse Jackson, Jr. (D-IL2) and Republican Tom Marino (R-PA10). Support Support for the bill came from the National Community Pharmacists Association (NCPA). In a press release dated on May 24, 2011, NCPA writes that the bill would protect patients' ability to go to the pharmacy of their choice, eliminate needless pharmaceutical spending and allow legitimate anti-fraud oversight, while avoiding abusive pharmacy audits. Opposition Opposition to the bill came from the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
