Cash Talks in Primary Care

Primary care doctors are struggling with their role in the new world of health care reform. Many are increasing the number of patients they see during a day to bring in more cash. Others are becoming employees of larger physician groups or hospitals that are increasingly acquiring clinics. When a team of medical “mystery shoppers” […]

ACA is Limiting Patient Access to Cancer Centers

Some of America’s best cancer hospitals are off-limits to many of the people now signing up for coverage under the nation’s new health care program, according to a recent story in the Washington Post. An Associated Press survey found examples coast to coast. Seattle Cancer Care Alliance is excluded by five out of eight insurers […]

Hepatitis C and Specialty Pharmacy Market

Express Scripts Plans a Specialty Drug Price War over new hepatitis C treatments reports a recent Bloomberg News story. The news follows the release of Gilead’s Sovaldi (sofosbuvir), which reportedly costs $1,000 per pill. Express Scripts projects that Hepatitis C drug trend will grow by 168% by 2015, so employers and health plan payers are […]

Contracting With Specialty Pharmacies (SPs) At Your Own Peril

How a company works with and contracts with SPs will have to be rethought as a result of the initial Department of Justice (DoJ) settlement with BioScrip and ongoing investigation of Novartis in their marketing practices. When Novartis launched Exjade, it created a limited distribution network, including BioScrip and two other specialty pharmacies selected by […]

Tier 2 is Dead! Consumerism is having an effect on sales.

It’s not just Health Care Reform that is turning the world of health care upside down. The cost shift to both the employee/consumer is dramatic and having an effect on sales.  The old paradigm of success being defined as having Tier 2 access is no longer valid. The out of pocket burden for the employee/consumer […]

Aureus Health Services Enters the Specialty Hub Market

Aureus Health Services, launched through the acquisition of specialty pharmacies Town Total Health and Special Design Health Care launched its new HUB service platform. Aureus Health Services is a specialty pharmacy and health management company that provides drug fulfillment and other solutions designed to address the complexity of specialty medications and health conditions for patients, […]

McKesson Specialty Health Expands

McKesson Specialty Health acquired a majority stake in Oncology Rehab Partners, an oncology rehabilitation services company based in Northboro, Mass. This agreement further bolsters McKesson Specialty Health’s robust portfolio of innovative clinical, business and technology solutions for cancer care providers. With the addition of Oncology Rehab Partners’ industry-leading training and certification services, McKesson Specialty Health […]

340B Program Controversy Continues

The 340B program was created in 1992 to give certain ‘safety net providers’ discounts on outpatient drugs that are supposed to be comparable to pricing made available to state Medicaid agencies. These hospitals and clinics, or ‘covered entities,’ spend about $6 billion annually on drugs, with industry estimates projecting the spending could reach $12 billion […]