pharmaphorum

NOVEMBER 1, 2022

Not unlike the financial industry, these institutions still exchange patient information via fax machines. As in finance, traditional healthcare stakeholders tend not to share information very efficiently with their competitors. Facilitating digital interoperability among these various stakeholders is paramount.

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Putting Patients First Blog

MARCH 18, 2024

While implementing this new program, it will be critical that CMS work with patients, patient advocacy groups, and other stakeholders to support choice and access to clear, understandable, and actionable information. The NHC provides the following technical comments on the MPPP Part Two guidance.

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Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

Putting Patients First Blog

MARCH 18, 2024

While implementing this new program, it will be critical that CMS work with patients, patient advocacy groups, and other stakeholders to support choice and access to clear, understandable, and actionable information. The NHC provides the following technical comments on the MPPP Part Two guidance.

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Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

Putting Patients First Blog

JULY 2, 2024

We believe that patient-centric engagement is essential to ensure that the negotiation process leads to outcomes that genuinely benefit patients. Patient Engagement The NHC recognizes and commends CMS’ willingness to improve the listening sessions and the data submission processes. Improving the Data Collection (ICR) Process.

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Putting Patients First Blog

APRIL 29, 2024

The NHC commends CMS for its work in making these materials understandable – a vital component of beneficiary communication and education. Periodic Reviews : We suggest conducting periodic reviews of the MPPP’s impact based on quantitative data and qualitative feedback to inform targeted improvements.

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Putting Patients First Blog

MARCH 4, 2024

Ensure Comprehensive Transparency in Formulary Management: Provide clear, comprehensive guidelines to Part D plans to ensure transparency in plan coverage, tiering, and utilization management (UM) policies, offering safeguards against practices that could restrict access to necessary treatments.

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The Thyroid Pharmacist

AUGUST 4, 2023

4] One of the key things to note is that this gene variation also prevents people from properly methylating, which is one of the body’s key detox processes that helps them get rid of toxins. 3] Mental health symptoms like brain fog, depression, irritability, and anxiety are related to impaired methylation. [4]

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ID Stewardship

JUNE 6, 2023

We’ll dive into the many ways AI can assist pharmacists, from streamlining medication dispensing processes to enhancing patient education. Personalized Medication Recommendations : AI algorithms can process patient data, such as age, gender, medical conditions, and allergies, to generate tailored medication recommendations.

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Insurance Coverage and Processing Prescription Filling Hospitals Medication Dispensing 52

Putting Patients First Blog

JULY 15, 2024

The DDIWG should actively seek input from individuals with disabilities who also belong to other marginalized groups, such as people of color, LGBTQ+ individuals, and low-income communities. This tool plays a critical role in informing health policies and practices that are truly patient-centered and inclusive of the disability community.

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Health and Personal Care Stores Insurance Coverage and Processing Communication Documentation 52

Proxsys Rx

SEPTEMBER 26, 2023

Even with her insurance coverage, the co-pay was beyond her means. The gentleman in question had no health insurance coverage at all, and the cash price for his prescription was far beyond his means to pay. For more information, contact Howard Hall. Our pharmacists were only too happy to help.

Insurance Coverage and Processing 52

Insurance Coverage and Processing Hospitals Prescription Filling Specialty Pharmacies 52

Putting Patients First Blog

MARCH 4, 2024

Under the new Manufacturer Discount Program, manufacturers will be required to provide discounts on applicable drugs during the initial coverage phase and catastrophic phase of the defined standard Part D drug benefit. Beneficiaries should have access to information that helps them understand their premiums and overall Part D costs.

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Insurance Coverage and Processing Communication Hospitals 40

Putting Patients First Blog

JUNE 5, 2023

This is not a venue that patients and their advocates have access to, as health insurance plans are the primary users of the portal. CMS must ensure stakeholders have ample opportunity to provide input throughout the implementation and adjustment process. A simple 30-day comment period process will likely not be sufficient.

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European Pharmaceutical Review

MARCH 28, 2024

Because the submission of the plan will open this dialogue, it will also socialise these issues with other rare disease populations and provide the opportunity to mitigate them in their own communities. How could the clinical trial landscape for rare diseases evolve over the next five years?

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Insurance Coverage and Processing Packaging Communication 52

Proxsys Rx

NOVEMBER 8, 2023

Even with her insurance coverage, the co-pay was beyond her means. The gentleman in question had no health insurance coverage at all, and the cash price for his prescription was far beyond his means to pay. For more information, contact Howard Hall. Our pharmacists were only too happy to help.

Insurance Coverage and Processing 40

Insurance Coverage and Processing Hospitals Prescription Filling Specialty Pharmacies 40

Putting Patients First Blog

SEPTEMBER 9, 2024

16 We encourage CMS to continue refining these data collection processes to ensure they capture meaningful and actionable information. We believe this process is crucial for adapting the payment system to evolving clinical practices and emerging medical technologies.

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Insurance Coverage and Processing Hospitals Inpatient Documentation 40

Viseven

JULY 11, 2023

The provider’s team used to spend 80 hours processing a list of potential clients. Humana , a US-based health insurance company, took advantage of a few Salesforce products at once to build a single view around their customers. With Salesforce, they do it for 15 minutes.

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Putting Patients First Blog

SEPTEMBER 9, 2024

This data can inform policy decisions and help track progress towards health equity goals. The continuation of audio-only communication options remains essential. CY 2025 PFS proposed rule). In line with the recent revisions to OMB’s Statistical Policy Directive No.

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Insurance Coverage and Processing Documentation Vaccines Communication 40

FDA Law Blog: Biosimilars

OCTOBER 29, 2023

Since that blog post, an important step forward was the decoupling of the coverage requirement from the FDA Birth Control Guide in the guidance provided by the Department to plans and issuers.

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Insurance Coverage and Processing Communication 45

Putting Patients First Blog

NOVEMBER 12, 2024

General Support for CMS Proposals The NHC commends CMS for its ongoing commitment to advancing health equity, improving access to care, ensuring program integrity, and maintaining affordability through Marketplace coverage. Copay Assistance and Drug Coverage in Large Group Plans Accumulator Adjustment Programs and Cost Sharing.

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Pharmaceutical Technology

NOVEMBER 30, 2022

In the US, most private health insurers have been slow to cover the cost of anti-obesity therapeutics. Medicare Part A, Part B, and Part D do not generally cover approved weight loss medications like Saxenda, but Medicare Advantage plans may allow for expanded coverage, as per the Medicare.org site.

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Insurance Coverage and Processing Diabetes Labelling Communication 105

Pharmaceutical Technology

NOVEMBER 30, 2022

In the US, most private health insurers have been slow to cover the cost of anti-obesity therapeutics. Medicare Part A, Part B, and Part D do not generally cover approved weight loss medications like Saxenda, but Medicare Advantage plans may allow for expanded coverage, as per the Medicare.org site.

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Insurance Coverage and Processing Diabetes Labelling Communication 98

Pharmaceutical Technology

MAY 26, 2023

Mackey says that people may seek medications due to issues with health insurance policies, variable coverage for certain conditions, lack of access, and more. He says that this should be informed by real-world evidence and better post-market surveillance of the effects these drugs have on consumers.

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Pharmaceutical Technology

FEBRUARY 7, 2023

Launching a new drug can be a risky business, with regulatory approval no guarantee that private, commercial, and government-funded insurers will reimburse it. Meanwhile, in Germany, the AMNOG process is conducted twelve months after the drug is launched, thus giving freedom to the company to set the drug’s price during this period.

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