Monday, July 22, 2019

Calif. DHCS To Purchase Drugs With Negotiated Fee-For-Service Pool, This Is Big!

From the office of Governor Gavin Newsom.

SACRAMENTO – Continuing the implementation of Governor Gavin Newsom’s Executive Order to take on high prescription drugs costs, the California Department of Health Care Services (DHCS)
announced today that it will soon begin accepting proposals to implement a significant component of the state’s prescription drug purchasing plan. Under the proposal, DHCS will be transitioning Medi-Cal pharmacy services from its contracted managed care plans to its directly negotiated fee-for-service system; purchasing on behalf of 13 million enrollees, as opposed to the current 2 million.

“California will use our market power and our moral power to take on drug manufacturers and demand fairer prices for prescription drugs. And we will continue to move closer to ensuring health care for every Californian,” said Governor Newsom. “Today’s announcement gets us one step closer to the goal.”

Just moments after being sworn in, Governor Newsom launched a series of first-in-the-nation actions to make health care more affordable for all Californians and to move the state closer toward the goal of health care for all. Those proposals included Executive Order N-01-19 to create the nation’s largest single-purchaser system for drugs and to, ultimately, allow all Californians and private employers to sit together at the bargaining table across from big drug companies when negotiating prescription drug prices.

This executive order directed state agencies to review opportunities to expand existing bulk purchasing efforts for state, local and private sector entities and transition Medi-Cal pharmacy services from managed care into the fee-for-service delivery system to create significant negotiating leverage and substantial savings for the state.

Today’s announcement brings the state closer to making that system a reality by creating the framework for a consolidated state negotiation and purchasing system for Medi-Cal pharmacy and a uniform Medi-Cal pharmacy provider network and pharmacy utilization policy while allowing Medi-Cal Managed Care Plans to retain all care coordination, pharmacy adherence and disease management responsibilities.

Earlier this year, the Governor announced that the counties of Los Angeles, Santa Clara, Alameda and San Francisco, among the largest public purchasers of prescription drugs in California, will partner with the state to use our combined market power to take on drug companies and lower the cost of prescription drugs.


4 comments:

  1. Thank you for the great story

    ReplyDelete
  2. Just wondering, How Does Anyone Know this Plan will Work? How do we know Prices Will Not Jump Higher then They Are? Sounds Like a Big Scheme to Me.

    ReplyDelete
  3. If prices go up, it will prove that there is no such thing as supply and demand or bulk pricing. It will mean that Canada gets better prices not because the don't use for profit insurance companies, but because there is actually no such thing as competition. If that can be proven, the drug companies can be taken over, sold off or fined for price fixing.

    ReplyDelete
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