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(Yahoo)   Aetna drops Walgreens from its prescription plans, forcing low-income customers to turn elsewhere for needed medication   (news.yahoo.com) divider line
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809 clicks; posted to Business » on 30 Dec 2020 at 5:16 PM (15 weeks ago)   |   Favorite    |   share:  Share on Twitter share via Email Share on Facebook



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2020-12-30 4:04:50 PM  
They are owned by CVS, after all... which is why i dropped Aetna.

/There should be a law.
 
2020-12-30 4:09:35 PM  
"The removal of one pharmacy chain from the network earlier this month has not created or contributed to network access issues and we meet or exceed all of the state's access requirements for managed care organizations," the statement from Aetna said. "In fact, the Illinois Department of Healthcare and Family Services has reviewed our updated network and determined it ensures equity."

Wait! Yes it has! I have examples! In the article! Let me help you:

Instead of walking a few blocks to pick up his medication at a neighborhood pharmacy, the patient has to set out on a 3-mile bus trip to the closest CVS, at 26th Street and Pulaski Road.

and

Critics say the decision is hitting poor and majority-Black neighborhoods on the South and West sides hard at a time when residents are already disproportionately suffering from COVID-19 and unemployment.
"It's really pathetic," state Rep. La Shawn Ford, D-Chicago, said of Aetna's decision. "It's an attack not just on Black people, but on those that are struggling during the pandemic."


and

CVS, which owns Aetna, has no pharmacies in five key West Side neighborhoods: North Lawndale, East Garfield Park, West Garfield Park, Humboldt Park and Austin.

and

In 2018, the Tribune reported that pharmacy access was a growing health concern in Chicago, with some public health experts saying that more than a dozen low-income neighborhoods, mostly on the South and West sides, were becoming "pharmacy deserts."

Government run health care, please. Health care should NOT be a For Profit enterprise.
 
2020-12-30 5:02:59 PM  
Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.
 
2020-12-30 5:09:33 PM  
Walgreen's not accepted?

So, folks are going to have to cross the street to the opposite corner to use CVS.

If you need to find a CVS look around for a Walgreen's
 
2020-12-30 5:19:41 PM  
The dollar store should add a pharmacy.
 
2020-12-30 5:20:26 PM  

Nadie_AZ: "The removal of one pharmacy chain from the network earlier this month has not created or contributed to network access issues and we meet or exceed all of the state's access requirements for managed care organizations," the statement from Aetna said. "In fact, the Illinois Department of Healthcare and Family Services has reviewed our updated network and determined it ensures equity."

Wait! Yes it has! I have examples! In the article! Let me help you:

Instead of walking a few blocks to pick up his medication at a neighborhood pharmacy, the patient has to set out on a 3-mile bus trip to the closest CVS, at 26th Street and Pulaski Road.

and

Critics say the decision is hitting poor and majority-Black neighborhoods on the South and West sides hard at a time when residents are already disproportionately suffering from COVID-19 and unemployment.
"It's really pathetic," state Rep. La Shawn Ford, D-Chicago, said of Aetna's decision. "It's an attack not just on Black people, but on those that are struggling during the pandemic."

and

CVS, which owns Aetna, has no pharmacies in five key West Side neighborhoods: North Lawndale, East Garfield Park, West Garfield Park, Humboldt Park and Austin.

and

In 2018, the Tribune reported that pharmacy access was a growing health concern in Chicago, with some public health experts saying that more than a dozen low-income neighborhoods, mostly on the South and West sides, were becoming "pharmacy deserts."

Government run health care, please. Health care should NOT be a For Profit enterprise.


Government run health care, prisons, and all education is needed to ensure all Americans can lay claim to life, liberty, and the pursuit of happiness.

Anyone who tells you otherwise is trying to deprive you of one of them.
 
2020-12-30 5:31:14 PM  
Aetna sucked when my employer offered it. Small network and horrible customer service. Once I could buy insurance on Covered California (Obamacare) I jumped on it. Now I have choice finally.
 
BBH
2020-12-30 5:34:55 PM  
This is a typical practice now, for an insurance company to join a pharmacy group to try to lower drug prices. Many independent pharmacies, or grocery store pharmacies belong to either Walgreen's or CVS networks.
 
2020-12-30 5:41:30 PM  

jasonvatch: They are owned by CVS, after all... which is why i dropped Aetna.

/There should be a law.


Really, if we're going to treat healthcare like an electronics store where everything is put on credit and you find out the price after the first bill, maybe the FTC could bother to farking exist and rattle the antitrust sabre when it really clearly applies.
 
2020-12-30 5:43:10 PM  

BBH: This is a typical practice now, for an insurance company to join a pharmacy group to try to lower drug prices. Many independent pharmacies, or grocery store pharmacies belong to either Walgreen's or CVS networks.


CVS owns Aetna.  They are cutting their biggest competitor out of the network.
 
2020-12-30 5:44:58 PM  
This seems like one of those anti trust things.

I really have no clue what those are, but it just seems like one.

Healthcare should not be for-profit.
 
2020-12-30 5:53:39 PM  

IamTomJoad: Walgreen's not accepted?

So, folks are going to have to cross the street to the opposite corner to use CVS.

If you need to find a CVS look around for a Walgreen's


You didn't read TFA, did you? While your scenario may be common in suburbia, it's not the case in the inner cities.
 
2020-12-30 5:57:06 PM  
How TF are we, the people, allowing such things to be legal?

/rhetorical
//I know the answer.
///It's disgusting.
 
2020-12-30 6:00:19 PM  

knackx: How TF are we, the people, allowing such things to be legal?

/rhetorical
//I know the answer.
///It's disgusting.


Because we've voted for it
 
2020-12-30 6:12:08 PM  
I'm not even mad, that's a really ballsy move. Someone should do something even ballsier like write a law to prevent this shiat in the future.
 
2020-12-30 6:16:27 PM  
Golly, it's almost like letting greedy oligarchs control our access to health care is not in the average American's best interest. But how can that be in the land of the best health care system ever in the history of the universe?
 
mgh [TotalFark]
2020-12-30 7:03:55 PM  
I've got Aetna (no choice), and I got a letter back in January 2020 that said I needed prior authorization if I went anywhere other then CVS.  So this isn't exactly "new".

30 minute drive for me to get to a CVS, 10 minutes to a Walgreens.. but cost wise, it's a big difference.
 
2020-12-30 7:10:01 PM  
This sort of shiat is why we need a single payer program designed to me the needs of the US consumer.   stockholders of health insurers be damned.
 
2020-12-30 7:21:26 PM  
Aetna has 271 in-network pharmacies for Medicaid patients in Chicago alone, according to the insurance company.
But many of those in-network options are small, independent pharmacies that don't offer the hours, conveniences and large stock of readily available medications that make life easier


So basically, people are complaining because they have to use local shops that normally get driven out of business by places like Walgreens?

Chicago is 234 square miles. That's a rate of more than one per square mile.
 
2020-12-30 7:22:23 PM  

mgh: I've got Aetna (no choice), and I got a letter back in January 2020 that said I needed prior authorization if I went anywhere other then CVS.  So this isn't exactly "new".

30 minute drive for me to get to a CVS, 10 minutes to a Walgreens.. but cost wise, it's a big difference.


Yes.

They don't have to pay for Walgreen's to make a profit. They're wringing cost out of the system.
 
2020-12-30 7:24:51 PM  

GardenWeasel: IamTomJoad: Walgreen's not accepted?

So, folks are going to have to cross the street to the opposite corner to use CVS.

If you need to find a CVS look around for a Walgreen's

You didn't read TFA, did you? While your scenario may be common in suburbia, it's not the case in the inner cities.


Ummmmm.....I live in the inner city and am speaking from experience.

In fact, the closest Walgreen's to me recently shut down, strange thing is it's the only one I can think of that doesn't have a CVS across the street.
 
2020-12-30 7:56:58 PM  

optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.


Have......have you seen the mail lately? I work for the parent company in TFA and I wouldn't recommend mail order for ANYTHING your life depend on at this point.

/Local sorting facility is 28-35 days behind
 
2020-12-30 7:59:24 PM  

Igor Jakovsky: BBH: This is a typical practice now, for an insurance company to join a pharmacy group to try to lower drug prices. Many independent pharmacies, or grocery store pharmacies belong to either Walgreen's or CVS networks.

CVS owns Aetna.  They are cutting their biggest competitor out of the network.


This is the state medicaid plan Aetna offers, not the entire Aetna network. In my state, we accepted United Healthcare, but not the United Healthcare Medicaid plan (that's a UHC decision not ours). Try explaining that to patients.
 
2020-12-30 8:39:34 PM  

optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.


I have to purchase my meds at my insurers mail order company. which means I don't have the opportunity to shop about for competitive pricing. I don't know of anything else that is this way in my life. I try to be a good steward to our funds and find bargains. I don't understand why it is legal to make someone purchase goods without choosing where.
 
2020-12-30 8:58:06 PM  

gar1013: Aetna has 271 in-network pharmacies for Medicaid patients in Chicago alone, according to the insurance company.
But many of those in-network options are small, independent pharmacies that don't offer the hours, conveniences and large stock of readily available medications that make life easier

So basically, people are complaining because they have to use local shops that normally get driven out of business by places like Walgreens?

Chicago is 234 square miles. That's a rate of more than one per square mile.


Fark user imageView Full Size
 
2020-12-30 9:07:22 PM  
You ever wonder how much money is wasted in the "healthcare" industry that goes towards corporate profits instead of actual care?
 
2020-12-30 9:29:24 PM  

jayphat: Igor Jakovsky: BBH: This is a typical practice now, for an insurance company to join a pharmacy group to try to lower drug prices. Many independent pharmacies, or grocery store pharmacies belong to either Walgreen's or CVS networks.

CVS owns Aetna.  They are cutting their biggest competitor out of the network.

This is the state medicaid plan Aetna offers, not the entire Aetna network. In my state, we accepted United Healthcare, but not the United Healthcare Medicaid plan (that's a UHC decision not ours). Try explaining that to patients.


This is one of the reasons why the State of CA in 2021 is completely doing away with private health insurance plans being provided to Medicaid recipients.

/It's a bigger headache than it's worth.
//costs the State more money too
///the shenanigans is unreal
 
2020-12-30 10:02:19 PM  

mgh: I've got Aetna (no choice), and I got a letter back in January 2020 that said I needed prior authorization if I went anywhere other then CVS.  So this isn't exactly "new".

30 minute drive for me to get to a CVS, 10 minutes to a Walgreens.. but cost wise, it's a big difference.


Yeah, our prescription coverage has been like this for a few years. For a one-off prescription (like a course of antibiotics) you can go anywhere, but anything that needs refilling has to be from either CVS or mail order. It was annoying until CVS started running the pharmacies inside Target.
 
2020-12-30 10:16:46 PM  

TelemonianAjax: Nadie_AZ: "The removal of one pharmacy chain from the network earlier this month has not created or contributed to network access issues and we meet or exceed all of the state's access requirements for managed care organizations," the statement from Aetna said. "In fact, the Illinois Department of Healthcare and Family Services has reviewed our updated network and determined it ensures equity."

Wait! Yes it has! I have examples! In the article! Let me help you:

Instead of walking a few blocks to pick up his medication at a neighborhood pharmacy, the patient has to set out on a 3-mile bus trip to the closest CVS, at 26th Street and Pulaski Road.

and

Critics say the decision is hitting poor and majority-Black neighborhoods on the South and West sides hard at a time when residents are already disproportionately suffering from COVID-19 and unemployment.
"It's really pathetic," state Rep. La Shawn Ford, D-Chicago, said of Aetna's decision. "It's an attack not just on Black people, but on those that are struggling during the pandemic."

and

CVS, which owns Aetna, has no pharmacies in five key West Side neighborhoods: North Lawndale, East Garfield Park, West Garfield Park, Humboldt Park and Austin.

and

In 2018, the Tribune reported that pharmacy access was a growing health concern in Chicago, with some public health experts saying that more than a dozen low-income neighborhoods, mostly on the South and West sides, were becoming "pharmacy deserts."

Government run health care, please. Health care should NOT be a For Profit enterprise.

Government run health care, prisons, and all education is needed to ensure all Americans can lay claim to life, liberty, and the pursuit of happiness.

Anyone who tells you otherwise is trying to deprive you of one of them.


Those all sound like economic sectors where the Demand from society as a whole is unmet by private sector Supply due to insufficient profit motive and existing social and geographic barriers, but where the cost of collective investment to meet society's Demand is both possible, and more than outweighed by the long term benefits and cost reductions to society as a whole.
 
2020-12-30 10:28:58 PM  

TelemonianAjax: gar1013: Aetna has 271 in-network pharmacies for Medicaid patients in Chicago alone, according to the insurance company.
But many of those in-network options are small, independent pharmacies that don't offer the hours, conveniences and large stock of readily available medications that make life easier

So basically, people are complaining because they have to use local shops that normally get driven out of business by places like Walgreens?

Chicago is 234 square miles. That's a rate of more than one per square mile.

[Fark user image image 425x374]


Lol. Ok
 
2020-12-30 10:31:40 PM  

sinko swimo: optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.

I have to purchase my meds at my insurers mail order company. which means I don't have the opportunity to shop about for competitive pricing. I don't know of anything else that is this way in my life. I try to be a good steward to our funds and find bargains. I don't understand why it is legal to make someone purchase goods without choosing where.


Who is paying for them?

Hint, they are probably covering more of the cost than you are. Far more.
 
2020-12-30 11:11:17 PM  

gar1013: sinko swimo: optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.

I have to purchase my meds at my insurers mail order company. which means I don't have the opportunity to shop about for competitive pricing. I don't know of anything else that is this way in my life. I try to be a good steward to our funds and find bargains. I don't understand why it is legal to make someone purchase goods without choosing where.

Who is paying for them?

Hint, they are probably covering more of the cost than you are. Far more.


They can farking afford it.
 
2020-12-30 11:32:33 PM  

Nadie_AZ: "The removal of one pharmacy chain from the network earlier this month has not created or contributed to network access issues and we meet or exceed all of the state's access requirements for managed care organizations," the statement from Aetna said. "In fact, the Illinois Department of Healthcare and Family Services has reviewed our updated network and determined it ensures equity."

Wait! Yes it has! I have examples! In the article! Let me help you:

Instead of walking a few blocks to pick up his medication at a neighborhood pharmacy, the patient has to set out on a 3-mile bus trip to the closest CVS, at 26th Street and Pulaski Road.

and

Critics say the decision is hitting poor and majority-Black neighborhoods on the South and West sides hard at a time when residents are already disproportionately suffering from COVID-19 and unemployment.
"It's really pathetic," state Rep. La Shawn Ford, D-Chicago, said of Aetna's decision. "It's an attack not just on Black people, but on those that are struggling during the pandemic."

and

CVS, which owns Aetna, has no pharmacies in five key West Side neighborhoods: North Lawndale, East Garfield Park, West Garfield Park, Humboldt Park and Austin.

and

In 2018, the Tribune reported that pharmacy access was a growing health concern in Chicago, with some public health experts saying that more than a dozen low-income neighborhoods, mostly on the South and West sides, were becoming "pharmacy deserts."

Government run health care, please. Health care should NOT be a For Profit enterprise.


bUt HoW wOuLd It WoRk!? YoU hAvE nO pLaN! tHe uK's NHS iS a DiSaStEr!!!
 
2020-12-30 11:59:57 PM  

SirMadness: gar1013: sinko swimo: optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.

I have to purchase my meds at my insurers mail order company. which means I don't have the opportunity to shop about for competitive pricing. I don't know of anything else that is this way in my life. I try to be a good steward to our funds and find bargains. I don't understand why it is legal to make someone purchase goods without choosing where.

Who is paying for them?

Hint, they are probably covering more of the cost than you are. Far more.

They can farking afford it.


Lol. Insurance, how does it work?

There's no "they". Your premiums are based upon the cost of claims.
 
2020-12-31 7:11:55 AM  

gar1013: SirMadness: gar1013: sinko swimo: optikeye: Most health plans cover mail prescriptions. Which is even safer than hanging out at the walmart pharmacy queue. Tho, in low income places delivery could be difficult as they normally won't leave it on the door steps or mail box.

I have to purchase my meds at my insurers mail order company. which means I don't have the opportunity to shop about for competitive pricing. I don't know of anything else that is this way in my life. I try to be a good steward to our funds and find bargains. I don't understand why it is legal to make someone purchase goods without choosing where.

Who is paying for them?

Hint, they are probably covering more of the cost than you are. Far more.

They can farking afford it.

Lol. Insurance, how does it work?

There's no "they". Your premiums are based upon the cost of claims.


Well, MY insurance covers a fixed cost for a given drug, regardless of the dispensary rates, so therefore, they don't give a flying fark what pharmacy I use.

But then again, my insurance is Canadian, so that's probably why I don't understand whatever the hell is going on in your world that is supposedly patently obvious.

/First he says "they are covering more of the cost than you are."
//Then he says "there's no 'they.'"
 
2020-12-31 12:03:47 PM  
Another instance of the "choice" I get with my private health insurance.
 
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