Reimbursement

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

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If current drug pricing trends continue, cost-related non-adherence to therapy will result in the premature deaths of 112,000 Medicare beneficiaries per year.
 
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Pharmacists must demonstrate value to achieve success when implementing new services and especially when establishing an entirely new practice.
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Medicaid expansion has helped to increase annual checkups among low income individuals. 
 
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The combination of COVID-19 with opioid-induced respiratory depression, especially in an elderly patient, could be deadly.
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Trends and comfort levels have changed among consumers, pharmacies, and payers from 2019 to 2020 as it relates to pharmacist-provided services and value-based performance programs.
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Throughout the pandemic, pharmacists have played a critical role in the COVID-19 response in several ways
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For many years, employers, payers, and pharmacy benefit managers have been developing benefit designs to incentivize patients and providers to make cost-effective treatment decisions.
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A kickback can arise if a pharmacy pays commissions to a 1099 independent contractor marketing representative who generates patients for the pharmacy who are covered by a federal health care program.
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Financial distress and disruptions to work and social activities were significantly associated with depression and anxiety, as well as generally diminished psychological wellbeing.
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In the years following the passage of the Affordable Care Act, early-stage cancer diagnosis increased while late-stage fell. 
 
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For hospital pharmacies, the COVID-19 pandemic sparked an abrupt and intensive reevaluation of nearly every aspect of their operations.
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State Medicaid programs and other providers will need to learn more about the age distribution of autism among adults enrolled in Medicaid, in order to better serve them.