Medicare
IRA Reduces Specialty Pharmacy Reliance on Patient Assistance Programs
The Inflation Reduction Act (IRA), which has made brand-name medications more affordable, also has yielded a key ...
JANUARY 2, 2025
NASP Urges Action on ‘Abysmal’ Medicare Part D Reimbursement
Medicare Part D contract rates for specialty pharmacies for 2024 and 2025 are “abysmal,” said Julie ...
NOVEMBER 20, 2024
The NOPAIN Act: Clinical and Financial Opportunities in Hospital Outpatient and Ambulatory Settings
This monograph features the clinical perspectives from those working in the trenches of postsurgical pain ...
OCTOBER 14, 2024
NASP Urges Action on 'Abysmal' Medicare Reimbursement
Medicare Part D contract rates for specialty pharmacies for 2024 and again in 2025 are “abysmal,” Julie ...
OCTOBER 12, 2024
Offsetting High Drug Costs Is a Moving Target
One of Medicare’s primary reimbursement policies adds costs to a health system that is already spending at ...
SEPTEMBER 5, 2024
Why Health Plans Need a High Health Equity Index to Prosper
Medicare Advantage and other health plans are giving more attention to medication adherence, social determinants or ...
AUGUST 31, 2024
CMS Incentivizes Payor Health Disparity Performance
Medicare Advantage and other health plans are starting to pay more attention to medication adherence, social ...
JUNE 22, 2024
AI May Not Be So Smart When Payors Use It To Deny Medical Claims
Concerns are growing about the increasing use of artificial intelligence to review—and in many cases ...
FEBRUARY 27, 2024
Policy Experts Call for Universal ePAs
Two health policy experts are calling for a universal electronic prior authorization system that works for all ...
NOVEMBER 11, 2023
IRA Could Save Seniors $400 PY in Rx Drug Costs
The Department of HHS released a new report projecting that nearly 19 million seniors may save about $400 per year ...
AUGUST 5, 2023
Mark Cuban’s MCCPDC Could Save Medicare 78.8% On 7 Top Oncology Drugs
Medicare Part D beneficiaries and the U.S. government have the potential to save tens of millions of dollars if ...
JULY 27, 2023
CMS Proposes One-Time $9 Billion Restitution To Fix Years of 340B Underpayments
One year after a 2022 Supreme Court decision that the CMS did not have the authority to lower reimbursement rates ...
JULY 14, 2023
