CVS HEALTH and ILLEGAL in the same article !

Congresswoman Speier Discovers CVS Illegally Charged 11,000 Women for Contraceptives

http://speier.house.gov/index.php?option=com_content&view=article&id=1550:congresswoman-speier-discovers-cvs-illegally-charged-11-000-women-for-contraceptives&catid=20&Itemid=14

From the article:

Congresswomen Jackie Speier (D-San Francisco/San Mateo Counties) received a letter today from Sol J. Ross, Head of Federal Affairs of CVS Health, in response to her September 9th letter to CEO Larry J. Merlo calling on CVS Health to correct an error and provide remedies to consumers who have been charged an illegal co-pay for generic contraceptives at CVS pharmacies.

Congresswoman Speier is also recommending other companies that she received complaints about, such as Walgreens and Target, although they were not the Pharmacy Benefit Manager (PBM) in these cases, provide training to their retail pharmacists to know and apply the basic principles of the Affordable Care Act so that they can help identify and rectify these illegal co-pay charges for customers who frequent their stores.

I guess that this pretty much confirms that we are expected to be BILLING EXPERTS and we need to start questioning the copays spit out by the computer system.. from the PBM ?

In case no one noticed.. the last two quarters of CVS Health’s financial reports showed the per-cent increase of their net bottom line was multiples of the per-cent increase of the gross revenue..  Maybe this is just one issue… that is going on.. that allowed them to do this… when the other major chains are not showing similar financial results…

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