Tuesday, April 29, 2014

Covert Flash Hyperinflation

The price of oxycodone 15mg went up by a factor of four TODAY.
The reimbursement to the pharmacy by insurance companies has not.

So Mr. Smith who dropped off his pain prescription yesterday is in the pharmacy waiting-- in pain.
And we are looking at a seventy something dollar loss to provide one of his maintenance pain meds.

This flash hyper inflation is becoming de rigueur since the affordable care act took effect.  At a 400% increase in cost overnight and NO increase in reimbursement pharmacies are forced to take the hit to keep the patient or send them on their way to a Wall Street funded too big to fail pharmacy.

In a few weeks the insurance companies will increase reimbursement approaching the cost.  But daily I am seeing more and more losses where the reimbursement is below acquisition cost.  This pattern seems to be cycling through all the CIIs and other medications as well.

In this day and age of high frequency trading I have to wonder if it is part of a CVS Caremark /Express Scripts-MerckMedco/Prime-BlueCross/OptumRx-United Health/Catamaran  vertical integration hostile takeover and domination of all of "Healthcare (tm)" by insurance companies.