Putting Patients First Blog
JANUARY 16, 2024
NHC 2025 Notice of Benefit and Payment Parameters (NBPP) Comments January 16, 2024 Allen Pinn, Coordinator, Policy The National Health Council (NHC) submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the 2025 Notice of Benefit and Payment Parameters (NBPP) on January 8.
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
MARCH 4, 2024
However, we urge CMS to consider the following recommendations to ensure the 2025 policies further align with patient-centered care. Created by and for patient organizations more than 100 years ago, the NHC brings diverse organizations together to forge consensus and drive patient-centered health policy.
Putting Patients First Blog
JANUARY 10, 2024
Need for New Shopping Tools on HealthCare.gov Many of the issues raised in the 2025 NBPP, such as nonstandard plans and auto re- enrollment, focus on the need to ensure people are in plans that best meet their needs. This often is difficult for people to achieve given the current information and tools available to patients on Healthcare.gov.
Community Pharmacy
NOVEMBER 15, 2022
If this applies to you, then you can begin your application process here to get the process started. Medicare Part D has four phases of coverage that users need to be aware of before and during enrollment in the program. In 2022, the initial coverage limit was $4,430. In 2022, the coverage gap limit was $7,050.
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.
Putting Patients First Blog
JULY 3, 2023
The NHC supports the requirements that states set standards for appointment waiting times for primary care, OB/GYN services, and mental health and substance use disorder services that are aligned with the standards for qualified health plans (QHPs) in the federally-run Marketplaces in 2025.
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