- Arkansas/Rhode Island: Walmart, one of the biggest pharmacy operators in the country, intends to leave the network of CVS Health's pharmacy benefits manager, CVS Caremark, over a pricing dispute, though the two sides may reach a compromise, according to the Wall Street Journal. CVS Caremark President Derica Rose said Walmart is seeking higher reimbursement rates that would increase costs for Caremark customers—though a person familiar with Walmart's position said Walmart has asked CVS to keep rates at existing levels. According to Bloomberg, Walmart said it was resisting CVS' efforts to direct consumers toward certain pharmacies to fill prescriptions. CVS has requested that Walmart remain in-network through April 30, but if Walmart rejects those terms, the split would be finalized in February. The split would affect Caremark's Medicaid beneficiaries and privately insured patients but not its Medicare plans (Paavola, Becker's Hospital Review, 1/15; Langreth/Boyle, Bloomberg, 1/15; Wilde Mathews/Nassauer, Wall Street Journal, 1/15).
- California: Doctors say they were not given advance notice that a new state prescribing law took effect Jan. 1, and as a result pharmacies are rejecting prescriptions for controlled substances. The new law requires providers to use tamper-proof forms that contain a unique serial number for controlled substance prescriptions. Assembly member Evan Low (D), who sponsored the measure, in a statement Monday acknowledged the law's implementation has not gone smoothly and said he is committed to finding a solution (Anderson, Sacramento Bee, 1/14).
- Maine: Central Maine Healthcare has named Peter Wright as president of its hospitals in Bridgton and Rumford. Wright most recently served as CEO of Valley Regional Healthcare and has previously served as COO of Littleton Regional Hospital, both in New Hampshire (Vaidya, Becker's Hospital Review, 1/11).
Don't miss the mark in contract negotiations
The complexities of payer negotiations can make a successful outcome seem like a moving target. But with the right strategy and resources, you can come to the table empowered to secure high-yield contract terms.
Before heading into your next negotiation, review our guide to the dos and don’ts of negotiations to ensure you walk away with the best contracts possible.