|Who are my legislators?|
CONCERNING THE DEVELOPMENT OF A PRIOR AUTHORIZATION PROCESS TO BE USED IN OBTAINING PRIOR APPROVAL FROM CARRIERS FOR COVERAGE OF DRUG BENEFITS
Carriers and pharmacy benefit management firms routinely require health care providers to request prior authorization when prescribing medications or treatments not routinely covered by health plan formularies.
Each carrier and pharmacy benefit management firm has its own prior authorization process, and the multiplicity of prior authorization processes imposes a significant administrative burden on health care providers, resulting in delayed patient access to medication and increased administrative costs.
A standardized prior authorization process that any health care provider can use, regardless of the carrier, pharmacy benefit management firm, or health plan that covers that provider’s patient, will simplify the administrative process and improve patient care by allowing health care providers to devote less time to administrative duties and more time to patient care.
SOLUTION: Propose legislation to enact a simpler authorization process that would only apply to private health care plans.
January 17, 2012: U.S. launches national war on Alzheimer's
The No. 1 goal stated in the early draft of the National Alzheimer's Project Act is to prevent and effectively treat Alzheimer's by 2025. Although the funding levels have not been determined, disease experts compare the multi-agency federal approach of NAPA to the wars on heart disease and cancer.
The government spent about $500 million in 2011 on research for Alzheimer's and related dementias. By comparison, approximately $521 million was spent on complementary and alternative medicine and $823 million on obesity. Cancer drew a $6 billion check in 2011 for starters, with additional funding allocated for breast, brain and lung cancers. Experts have spent a year formulating the framework for the plan, and the final draft is due on the desk of HHS Secretary Kathleen Sebelius this month or early February.
Changes to Medicare Part D will hurt seniors 8/23/11
Milwaukee Journal Sentinel - Rob Gundermann, Public Policy Director for the Alzheimer's & Dementia Alliance, shares an opinion piece saying, "...Medicare Part D already works. But it can only continue to do so if Congress lets it."