Drugs Now Under Managed Care, Despite Pharmacists' Fear

Texas is expanding Medicaid managed care today to include prescription drugs, despite pharmacists' cries that the likely cuts to their reimbursement rates will be “managed care Armageddon.”

State lawmakers approved the change to save Texas money — an anticipated $100 million over the next biennium. But pharmacists fear that managed care organizations' lower reimbursement rates will drive them out of business. 

“I am totally scared to death,” Louis Rumsey, a pharmacist who owns Elam Road Pharmacy in South Dallas, told a joint committee of Texas House and Senate members on Wednesday. Rumsey, who is making plans to sell the pharmacy over ...

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