PHARR A low reimbursement rate for Medicaid patients is crippling independent pharmacies in the Rio Grande Valley to the point that most will go out of business, state Sen. Juan Chuy Hinojosa said Wednesday while standing inside a small drugstore that closed its doors last week. About a dozen Valley pharmacies went out of business since the Health and Human Services Commission placed 400,000-plus Medicaid beneficiaries into its managed care program March 1 in an effort to more efficiently deliver health care to the poor and to those with disabilities. But Hinojosa, D-McAllen, said the profit-driven companies that are now managing Medicaid dramatically cut reimbursement rates for small, independent pharmacies while paying a higher fee to the chains. Quite frankly, the dispensing fee and the reimbursement rates are unacceptable, Hinojosa said at a news conference surrounded by dozens of pharmacists at Sam Houston Pharmacy, a Pharr-based drugstore that shut down the first day of managed care. They were never intended to be that low. The Valley made the long-delayed switch to managed care March 1 despite opposition from local legislators, who successfully delayed its rollout here for about a decade. Under managed care, the state contracts the coverage for its … Continue reading
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