Reimbursement

The Pharmacy Times® Reimbursement resource center provides clinical news and articles, information about reimbursement for clinical pharmacy services.

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National Association of Chain Drug Stores joins with 20 other groups in asking Congress to take action that includes designating pharmacists as providers under Medicare.
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A new study found that Medicare Part D prescription drug insurance plans largely favor generic drugs over brand-name counterparts, despite previous reports to the contrary.
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Vizient report shows that the COVID-19 pandemic resulted in a $200 million increase in the top 10 COVID-related drugs, as well as a decrease in vaccinations between March and April.
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The investigators noted that the shift toward value-based care has placed a greater emphasis on preventive care and chronic disease management services as delivered by multidisciplinary health care teams.
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Representatives from the organizations spoke with HHS last week before President Donald Trump signed several executive orders, including one that would address manufacturer rebates also collected by PBMs.
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As legislators debate the next stimulus package, pharmacists are expressing dismay that the current language does not include designating pharmacists as providers under Medicare Part B for COVID-19 testing and immunization.

 
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Individuals covered via high-deductible health care plans not found to have a greater risk of heart attack or stroke. 
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Long-term care (LTC) pharmacies caring for this population face a myriad of unique obstacles, especially the regulatory framework surrounding them.
 
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How a pharmacy performs with respect to specific measures can be associated with a DIR fee.
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New ruling means up to 126,400 women of childbearing age may need to pay out-of-pocket for birth control. 
 
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Expanded Medicaid program in Michigan found to largely benefit the most vulnerable patients. 

 
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Regardless of the channel through which a specialty medication is billed and filled, management strategies will be an essential cornerstone to controlling costs.