Putting Patients First Blog

JULY 2, 2024

Without appropriate guardrails, CMS’ broad definition of drugs eligible for negotiation may discourage these types of improvements. Similarly, long-acting insulin analogs provide more stable blood sugar control and reduce the number of daily injections needed for diabetes patients. and Keating, N. Journal of Clinical Oncology, 42(8).

Drug Pricing

Putting Patients First Blog

JANUARY 27, 2025

To strengthen the proposal, the NHC recommends that CMS avoid implementing rigid definitions of overweight and obese. Instead, CMS should review Part D plan prior authorization criteria to ensure that plan definitions align with treatment guidelines and ICD-10 diagnosis codes, promoting consistency and alignment among providers and payers.

Insurance Coverage and Processing

PharmD Live

MAY 13, 2024

However, aging also brings about physiological and pathological changes that increase the risk of developing multiple chronic diseases, such as cardiovascular disease, stroke, and diabetes. Prevalence of polypharmacy Polypharmacy is a significant and growing public health concern across all U.S. healthcare settings.

Long-Term Care Facilities