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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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

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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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

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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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

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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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

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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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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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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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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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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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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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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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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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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Specialty Pharmacies Hospitals Insurance Coverage and Processing Medication Dispensing 52

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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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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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 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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Insurance Coverage and Processing Communication Documentation Mail-Order Pharmacies 40

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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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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Proxsys Rx

AUGUST 16, 2023

“Wholesale Acquisition Cost prices occur pre-rebate and prior to price negotiations between drugmakers and buyers — the pharmacy benefit managers, federal payers and commercial health insurers — in the prescription drug supply chain. Irrespective of insurance status, no patient pays retail drug prices.

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