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A Look at PBM “Spread Pricing” Abuse in Medicaid

A Look at PBM “Spread Pricing” Abuse in Medicaid

by Gordon Hensley | Jun 18, 2019 | advocacy, Business, CMS, health care, Medicaid funding, Pharmaceutical, state government

With pharmacy benefit managers (PBMs) under a cloud of their own making due to a business model wholly dependent upon opaque, non-transparent drug pricing practices, the Centers for Medicare and Medicaid Services (CMS) recently prohibited yet another controversial PBM...
MIA: A Salient White House Policy Predicate for Repealing Obamacare

MIA: A Salient White House Policy Predicate for Repealing Obamacare

by Gordon Hensley | Jun 25, 2017 | GOP Politics, Health Reform, Medicaid funding, Trump, U.S. House, U.S. Senate

We’ve heard ad infinitum from President Trump that Obamacare is a “disaster,” a “loser,” and “a disgrace.” But what do Americans really know about the substantive policy rationale behind the White House push to repeal the so-called Affordable Care Act (ACA)? Not much...

Scott Walker Policy Expertise Back in Spotlight as Medicaid Dominates

by Gordon Hensley | Feb 27, 2017 | Campaign 2016, CMS, health care, Health Reform, Medicaid funding, Trump

Among Wisconsin Governor Scott Walker’s most attractive attributes: his deep understanding of policy detail — especially as it relates to the relationship between the federal and state governments. With “Repeal and Replace” of President...

If Clinton Wins: Big Impact on Medicaid Expansion

by Gordon Hensley | Oct 16, 2016 | Campaign 2016, health care, Health Reform, Medicaid funding

While the 2016 gubernatorial race outcomes will obviously have a major impact of future of state Medicaid expansion under the Affordable Care Act (ACA) a bigger factor would be a Hillary Clinton victory over Donald Trump in the presidential race. “If Clinton wins,...

Senate GOP Medicaid Repeal: Win the Battle But Possibly Lose The War

by Gordon Hensley | Dec 2, 2015 | Campaign 2016, Health Reform, Medicaid funding

With pressure from conservatives to finally “kill” Obamacare, Senate Majority Leader Mitch McConnell (R-KY) apparently has the votes to pass a repeal bill that also includes a provision to gut an expansion of Medicaid, which put millions of low-income...

Obamacare Here to Stay, Regardless of Political Rhetoric

by Gordon Hensley | Oct 21, 2014 | Campaign 2014, GOP Politics, health care, Health Reform, Medicaid funding, Uncategorized

Ohio GOP Governor John Kasich is taking heat for saying that Obamacare will not be repealed, even if the GOP takes the Senate (it will) on election day. The truth is that Kasich is right: nine GOP governors have already expanded Medicaid for their low income residents...
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