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NHC 2025 Notice of Benefit and Payment Parameters (NBPP) Comments

Putting Patients First Blog

The NBPP is a set of rules and guidelines issued annually by CMS that outline the policies and standards for health insurance plans and issuers, primarily focusing on the Health Insurance Marketplace under the Affordable Care Act. These are the rules for the federal health insurance marketplace for the coming year.

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Considerations for Hernia Patients when Selecting a Surgeon

Putting Patients First Blog

The Abdominal Core Health Quality Collaborative (ACHQC) believes it is our obligation to listen and offer suggestions to help patients navigate the decision-making process. Communication Style and Approachability: It is important that you feel comfortable with your surgeon. Is there a dedicated focus on abdominal core health?

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How the US’s pending PIE Act will improve patient access to medication

pharmaphorum

Jennifer Mathieu, director of government relations at the Academy of Managed Care Pharmacy (AMCP), tells us why the organisation backed the pre-approval information exchange (PIE) Act of 2022 and how the legislation will empower companies to share information with healthcare payers and plans during the FDA approval process. .

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NHC Comments on Medicare Advantage and Prescription Drug Programs: Part C and Part D Medicare Prescription Payment Plan Model Documents

Putting Patients First Blog

The NHC commends CMS for its work in making these materials understandable – a vital component of beneficiary communication and education. While we find these documents generally well-constructed and accessible, there are opportunities for improvement to ensure they fully convey the MPPP’s intricacies to all beneficiaries.

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NHC Comments on Draft CY 2025 Part D Redesign Program Instructions

Putting Patients First Blog

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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NHC Comments on Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies

Putting Patients First Blog

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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How Amazon could Disrupt Pharmacy Services

The Digital Apothecary

Pharmacy has drastically changed, and with the patient view of most pharmacists just 'Count-Lick-and Pour' medications for patients it's not hard then to think of how to just automate the process. One issue is that the dispensing process is not a full-proof system at the current time. Which, to be honest, is a thing right now.