In a first look at pharmacy trends in public health insurance exchange plans, use of specialty medications was greater among exchange enrollees versus patients enrolled in a commercial health plan, according to new research released by Express Scripts.
Pharmacy benefits are typically the most utilized benefit by plan members and one of the fastest-growing in terms of cost. Consequently, selecting the right pharmacy benefit manager is a critical decision in managing a plan and determining member satisfaction with that plan.
Overall spending on traditional prescription drugs -- mostly pills used to treat common conditions such as high cholesterol and depression -- will decline 4% by the end of 2015, largely because of the availability of generic medications, according Express Scripts. Here are 10 of the top brand-name drugs that had generic equivalents become available in 2013 or are expected to have generics available this year, courtesy of Express Scripts.
Copayments and co-insurance fees have increased on average 34% compared with those of the pre-Affordable Care Act individual insurance market, according to the results of a new HealthPocket study released Thursday.
A group of Catholic health and educational organizations dont have to comply with a federal Affordable Care Act requirement to provide their employees with contraception coverage, a federal judge in New York ruled.
Expenditures in the $2.7 trillion U.S. health care system have doubled since 1980, growing to 18% of gross domestic product and leading to financial success for drugmakers, hospitals and insurers.
Consumers are happier with brick-and-mortar pharmacies than with mail-order.
Health care fraud will come at employers at an alarming rate, in part because the Affordable Care Act opens insurance up to millions of people who have little or no experience buying health insurance, says fraud expert Chuck Whitlock.
Staff at Walgreens stores will direct customers who ask about the exchanges to the GoHealth Marketplace, where they can shop and compare health insurance plans, enroll and find other tools and information.
Customer satisfaction with traditional brick-and-mortar pharmacies continues to outpace satisfaction with mail-order pharmacies, according to the J.D. Power 2013 U.S. Pharmacy Study.
The bill passed Monday would require pharmacies to notify doctors and sometimes patients when a cheaper biosimilar drug is substituted for a brand-name medicine. It also would forbid a pharmacist from substituting the biosimilar drug if the physician says no.
Some of the cheapest drugs, he points out, can do the most damage in terms of personnel issues.
Misuse of drugs like OxyContin is driving up the cost of insurance claims, and abuse of opioids is killing more people than cocaine and heroin combined.
Previous Truven research reported that $125 billion to $175 billion in annual spending in the publicly and privately insured population could be classified as abuse and fraud of the system.
In the trial of 72 people whose depression hadnt responded to at least two antidepressants, patients taking ketamine were twice as likely to report improvement than those on a placebo.