Reimbursement

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.

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.

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.

 

Individuals covered via high-deductible health care plans not found to have a greater risk of heart attack or stroke. 

Long-term care (LTC) pharmacies caring for this population face a myriad of unique obstacles, especially the regulatory framework surrounding them.
 

How a pharmacy performs with respect to specific measures can be associated with a DIR fee.

New ruling means up to 126,400 women of childbearing age may need to pay out-of-pocket for birth control. 
 

Expanded Medicaid program in Michigan found to largely benefit the most vulnerable patients. 

 

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

The partnership with VillageMD will open 500 to 700 “Village Medical at Walgreens” physician-led primary care clinics in more than 30 US markets in the next 5 years.
 

Multiple pharmacies recently received letters from ESI stating that on behalf of TRICARE and the Defense Health Agency, ESI was recouping money for compound drug claims submitted in 2015.

According to the investigators, payers and employers are increasingly adopting HDHPs in an effort to control rising health care costs.