If you were practicing pharmacy when Medicare D first came into being, you remember the life-altering nightmare it became for all pharmacies. Cards were not received. Plans were not updated. Phone lines were jammed. Claims didn’t adjudicate…for weeks. Nothing I had ever experienced on Jan 1 of ANY year ever compared to the nightmare that the beginning of Medicare D was. And for patients, not once inch of slack was ever given to pharmacies. It seemed that to most of the seniors banging on my counter that Jan 1 was the onset of their Nirvana to cheap drugs, whereas in reality it was more like the Apocalypse. Many recipients held off getting prescriptions in December under their existing plan just to load up on Med D. The only people to whom it didn’t matter were retirees that had plans that didn’t change: those lucky lifetime recipients of employee sponsored lifelong plans.
I really don’t know what this new Obamacare is going to mean for pharmacy. I doubt any of it will be good. Its a rare day when anything NEW that comes from the government actually benefits pharmacy. Every new regulation come with new paperwork and requirements and I am sure this will also. On a personal level, I can see that this will probably create a lot of new ” Plan terminated” rejects starting Jan 1. What I dont know is if Obama ‘s cronies have their crap together enough to have all the adjudication requirements and card distribution in place so that Jan 1 people will actually be able to USE their benefits.
You can bet that if I get a rejected claim, that it wont’ be ME calling for assistance. I remember all too well Med-D.
Should be interesting….