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CVS Health PBM and Pharmacy Price Changes 

AHealthcareZ - Healthcare Finance Explained
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5 окт 2024

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Комментарии : 26   
@yozimerio
@yozimerio 10 месяцев назад
I just wonder where the antitrust authorities are? I'm a pharmacist. Never opened a pharmacy because of all this BS.
@ahealthcarez
@ahealthcarez 10 месяцев назад
Good question. Thank you for watching.
@CharlieSpecter
@CharlieSpecter 4 месяца назад
Because it’s an oligopoly and not a monopoly, the feds don’t do anything
@mermaizingmentoring1111
@mermaizingmentoring1111 26 дней назад
Report in writing online to Insurance Commissioner AND Attorney General but ALSO rn during an election year have the “Constituency Liason” for one of your local Legislatives do an investigation in addition to the first to. There was several major lawsuits against the big red pharmacy one as by the FCC. Many have noticed that their monthly co-pay doubled there at that Rx recently!! 🥴 Gotta be criminal if Bill Hates is one of their biggest Investors (stock) etc. So the fact the condiment packages for fast food have about 12 toxic additives (salt, etc) and he’s invested during those during the Plandemic upon closing all the healthy restaurants !!
@shlomoisrael883
@shlomoisrael883 9 месяцев назад
I'm a small pharmacy owner and I cringe when I see this! It's so sad, I feel like I'm working for CVS. And this doesn't even take into account the DIR fees, all this would be so illegal in any other Industry
@ahealthcarez
@ahealthcarez 9 месяцев назад
Thank you for watching and sharing your perspective.
@byu0614
@byu0614 9 месяцев назад
Dear Dr. Bricker, Thank You!this is the simplest video I have ever seen regarding new CVS pricing change. We are a small independent pharmacy. Quick question: under New MAC for B- independent pharmacy, how does PBM know our acquisition cost? I think they will pay us $12 instead of 14.
@ahealthcarez
@ahealthcarez 9 месяцев назад
Good question. They don’t. They are going to apply some sort of ‘Avg AC’ methodology, which might lend itself to skewed reimbursement.
@daveearle6134
@daveearle6134 9 месяцев назад
Dr. Bricker, your videos are always educational and informative. Thank you for all you do. I noticed that your math was incorrect at the beginning of your video when you added "$8 + $10 + $12" at line 3:36 in your transcript and said it equaled $20 when it should be $30. Does that impact your calculations and overall cost variances?
@ahealthcarez
@ahealthcarez 9 месяцев назад
Thank you. No. Just means pharmacy + PBM make $120 for drugs that cost $30 instead of $20.
@christophermoriarty7843
@christophermoriarty7843 9 месяцев назад
I noticed this too
@BenPawliger-f3d
@BenPawliger-f3d 9 месяцев назад
Great video and very helpful, thank you very much
@ahealthcarez
@ahealthcarez 9 месяцев назад
Thank you for watching.
@ach3322
@ach3322 7 месяцев назад
I love this video.. my only question is why is the True Cost model does not include Acquisition Cost? Is it being replaced with Dispensing Fees? Thanks.
@Seanc34911
@Seanc34911 10 месяцев назад
Few questions: 1) When you say it is better to fill from CVS versus MCCPP in the new model, this is from the perspective of whom? If I’m tracking properly, the patient pays the same, the PBM (Caremark in this example) spread goes up for A & C, and the plan costs stayed the same? 2) Also, in this example the difference for CVS was $1, but is this magnified for most expensive biologics and such? 3) what is stopping them from making the delta between dispensing fees larger at CVS vs others(ie competitors)
@ahealthcarez
@ahealthcarez 10 месяцев назад
All good questions. 1. The patient if they have an HSA compatible plan with no copays 2. The revenue stream for specialty drugs like biologics takes the form of commissions (called ‘rebates’) from the pharmaceutical company to the PBM.
@ahealthcarez
@ahealthcarez 10 месяцев назад
3. Negotiations with the other pharmacy chains.
@Seanc34911
@Seanc34911 9 месяцев назад
@@ahealthcarez thank you for taking the time to answer my questions!
@pharmerbrown
@pharmerbrown 9 месяцев назад
Hello please check out blueberry pharmacy out of PA, he was the first and only one doing cost plus pricing. Thank you for explaining.
@ahealthcarez
@ahealthcarez 9 месяцев назад
Super! Thank you.
@shametanicole3193
@shametanicole3193 10 месяцев назад
You did it Once again Batman - 😊 Thanks
@ahealthcarez
@ahealthcarez 10 месяцев назад
Thank you for watching.
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