Putting Patients First Blog

SEPTEMBER 3, 2024

The NHC appreciates CMS’ efforts to gather patient-centered data as part of this ICR and its commitment to making the process more relevant for patients and patient organizations. While we acknowledge these improvements, it is important to note that some aspects of the data collection process may remain challenging.

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pharmaphorum

OCTOBER 1, 2022

In this latest coverage, pharmaphorum speaks with Eugene Borukhovich. If we look at insurers, during the kind of peak of the pandemic, insurers were not paying out, so, there was in theory lots of cash saved up for further investments. Augmented by technology, but not replaced by technology throughout that process.”.

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Putting Patients First Blog

JANUARY 10, 2024

Making available more specific information about total costs and coverage will ensure that all consumers have comprehensive information to help them make smart health care decisions. These resources should aim to clarify insurance terms and concepts, aiding consumers in navigating the complexities of selecting a health plan.

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Putting Patients First Blog

FEBRUARY 1, 2024

In November 2023, the NHC submitted a letter to House and Senate leadership about the inclusion of health care transparency and affordability provisions in future spending packages. 5378 More Transparency, Lower Costs Act in December 2023. We reiterated these priorities to start the year in January 2024. The House passed H.R.

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pharmaphorum

JANUARY 28, 2021

Pharmacists have more insight into a patient’s insurance coverage than most providers, so this change could create a lot of value for patients throughout the country. We didn’t anticipate seeing interchangeability for biosimilars until 2023, when several biosimilars referencing Humira are slated to come market.

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Putting Patients First Blog

OCTOBER 15, 2023

As the primary insurer for millions of Americans and as the programs that drive decisions throughout the health ecosystem, these federal programs can be a critical driver of innovations. Finally, the timing of the scoring process can be frustrating when working to advance good policy. Best Price).

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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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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. However, some may be concerned with this genetic information getting reported on insurance or to employers.

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Putting Patients First Blog

JANUARY 27, 2025

Coverage of Anti-Obesity Medications (AOMs) The NHC applauds CMS for aligning with the medical community and proposing to recognize obesity as a chronic disease and allow Medicare Part D coverage for AOMs. Below, we provide detailed comments and recommendations on key provisions of the proposed rule.

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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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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.

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Putting Patients First Blog

MAY 29, 2024

As of 2023, 30.8 1 This trend underscores the importance of informed decision-making for those with chronic diseases and disabilities, who face crucial choices regarding their health care coverage – whether selecting between traditional Medicare and MA, choosing among MA plans, or navigating their selected plan to access necessary care.

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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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Proxsys Rx

APRIL 4, 2024

In some states, you can combine specialty and retail, but the retail operation is subject to the heavy policy and process requirements of specialty accreditation — which is an onerous burden for a retail pharmacy. Fortunately, those steps tend to be the least burdensome in the process.

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Proxsys Rx

AUGUST 22, 2023

In some states, you can combine specialty and retail, but the retail operation is subject to the heavy policy and process requirements of specialty accreditation — which is an onerous burden for a retail pharmacy. Fortunately, those steps tend to be the least burdensome in the process.

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Putting Patients First Blog

JULY 3, 2023

We encourage the CMS to engage providers and patients in this process to decrease the overall burden on and encourage provider participation. This includes addressing workforce shortages that may lead to longer wait times. In addition, standards should be aligned with the capacity of payers and providers.

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Big Molecule Watch

AUGUST 25, 2023

The statute sets a deadline of September 1, 2023 for the Secretary of Health and Human Services (HHS) to publish a list of the 10 drugs that will be subject to “negotiations” with the government to determine the “maximum fair price” for the drug under Medicare. Revised Guidance at 24. For the first year, CMS will select 10 drugs.

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ID Stewardship

JUNE 6, 2023

BCPS, BCIDP Article Posted 7 June 2023 With the exception of the questions in bold, this entire text was written by ChatGPT. We’ll dive into the many ways AI can assist pharmacists, from streamlining medication dispensing processes to enhancing patient education. Interview with: ChatGPT by OpenAI Interview by: Timothy P.

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Putting Patients First Blog

MARCH 18, 2024

The NHC supports the development and use of processes and tools that enhance beneficiary experience, making interactions with the MPPP smoother and more intuitive for all beneficiaries. Similarly, updating the Explanation of Benefits to include visual aids and examples will clarify MPPP’s impact on cost-sharing and coverage.

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Putting Patients First Blog

MARCH 18, 2024

The NHC supports the development and use of processes and tools that enhance beneficiary experience, making interactions with the MPPP smoother and more intuitive for all beneficiaries. Similarly, updating the Explanation of Benefits to include visual aids and examples will clarify MPPP’s impact on cost-sharing and coverage.

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Putting Patients First Blog

JULY 15, 2024

Too often the formal notice and comment process does not reach these marginalized communities and federal agencies must actively work to seek their input in non-traditional ways. This process respects their autonomy by involving them in decision-making to the extent that they are able.

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Proxsys Rx

DECEMBER 22, 2023

In some states, you can combine specialty and retail, but the retail operation is subject to the heavy policy and process requirements of specialty accreditation — which is an onerous burden for a retail pharmacy. Fortunately, those steps tend to be the least burdensome in the process.

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The Thyroid Pharmacist

JUNE 30, 2023

Luckily, even without insurance coverage, this medication is available in generic form and is very affordable, usually costing between $15 to $40 per month. It’s a process and a journey, but it’s definitely worth it. Published 2023 Mar 31. It needs to be compounded into lower doses by a professional compounding pharmacy.

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PharmaShots

JUNE 28, 2023

PharmaShots' analysis of Enbrel’s industry trials is depicted below: (Trials were taken on 6 Jun 2023). The chart depicts data till 8th Jun 2023). Plaque Psoriasis (Moderate to Severe): The drug is used for children aged 4≥yrs and adults Clinical Trials Analysis3 Currently, Enbrel is undergoing 541 trials, incl.

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The Happy PharmD

SEPTEMBER 15, 2024

Well, now’s the perfect time to dive into a discussion with me about the latest insights from the 2023 report by the Well-Being Index. Watch this discussion on YouTube: 2023 Well-Being Report: Are Pharmacist Stress Levels Being Downplayed? Or perhaps it’s the constant back-and-forth with insurance companies over coverage?

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Express Pharma

JANUARY 12, 2024

Further, introduction of the Scheme for Promotion of R&D and Innovation in Pharma Med Tech Sector (PRIP) in September 2023 showcases the focus on creating an ecosystem for innovation and research. Due to the multiplicity of regulatory processes and multiple regulators, undertaking operations become complex and time consuming.

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Putting Patients First Blog

DECEMBER 13, 2023

NHC 2024 Policy Priorities December 13, 2023 By: Allen Pinn, Coordinator, Policy The National Health Council (NHC) prides itself in providing a voice for the over 160 million people living with a chronic disease or disability and their caregivers. In 2023, the NHC continued its leadership in the health care space.

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Express Pharma

JULY 29, 2024

Shield is also the first blood test for CRC screening that meets the requirements for Medicare coverage. Commercial insurance coverage for patients eligible for CRC screening will continue to expand following anticipated future guideline inclusion by the American Cancer Society and the U.S. Accessed online May 8, 2023.

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Community Pharmacy

NOVEMBER 15, 2022

For those who have Medicare on their mind, we will do a quick overview of how the program works before diving into the 2023 updates and notable changes you should be aware of as we head into the new year. If this applies to you, then you can begin your application process here to get the process started. for brand-name.

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Birth Control Pharmacist

JANUARY 19, 2023

What Does the January 2023 Update Mean for Mifepristone Dispensing? As of January 2023, the US Food and Drug Administration (FDA) announced an update to the Risk Evaluation and Mitigation Strategy (REMS) for mifepristone. Mifepristone is a medication that is used to end an early pregnancy. About the Author Amanda Idusuyi , Pharm.D

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PharmaShots

MAY 24, 2023

PharmaShots' analysis of Trikafta/Kaftrio’s clinical trials is depicted below: (Trials were taken on 9th May 2023). The chart depicts data till 10th May 2023) Product Dashboard PharmaShots has created a product dashboard that presents key metrics and data on Trikafta/Kaftrio in a visual format.

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Pharmaceutical Technology

MAY 26, 2023

In 2023, the FDA has issued two warning letters to the illegally operating online pharmacies www.ivermectin4covid.com and pharmahealthonline.com. Mackey says that people may seek medications due to issues with health insurance policies, variable coverage for certain conditions, lack of access, and more.

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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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Putting Patients First Blog

AUGUST 2, 2024

The NHC supports the survey on sources of coverage and learning collaborative on long-COVID proposed is Section 101. The NHC particularly appreciates Section 202’s inclusion of increasing health literacy around the specifics of insurance coverage. Health literacy is another vital issue.

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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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Putting Patients First Blog

JULY 7, 2023

Statement by Randall Rutta, CEO of the National Health Council, in Support of the Biden Administration’s Action to Reign-in Short Term Health Insurance Plans July 7, 2023 (Washington, D.C. The proposed rule will restore that purpose, with the appropriate patient protections in place.

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Putting Patients First Blog

MARCH 29, 2023

NHC Comments on Help Committee Pandemic Preparedness RFI (PDF) March 29, 2023 The Honorable Bernard Sanders Chair United State Senate Committee on Health, Education, Labor, and Pensions Washington, DC 20510 The Honorable Bill Cassidy, M.D. By increasing the eligibility for these supports, more consumers are able to afford health insurance.

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