Express Pharma

NOVEMBER 1, 2024

Specific highlights of the budget for the sector include an increase in outlay for research and development and for the Ayushman BharatPradhan Mantri Jan Arogya Yojana (PM-JAY), the government’s universal health coverage scheme, which saw a 10 per cent budget increase to Rs 7,300 crores.

Insurance Coverage and Processing 105

Insurance Coverage and Processing Biosimilars Communication Diabetes 105

Putting Patients First Blog

APRIL 14, 2025

While we recognize CMS intent to strengthen program integrity and reduce fraud, we are deeply concerned that several provisions in this rule will create obstacles to coverage, increase out-of-pocket costs, and disproportionately impact vulnerable populations.

Insurance Coverage and Processing 52

Insurance Coverage and Processing Documentation Hospitals Communication 52

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.

Drug Pricing 52

Drug Pricing Insurance Coverage and Processing Labelling HIPAA 52

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. To strengthen the proposal, the NHC recommends that CMS avoid implementing rigid definitions of overweight and obese.

Insurance Coverage and Processing 40

Insurance Coverage and Processing Biosimilars Communication Medication Therapy Management (MTM) 40

The Digital Apothecary

AUGUST 15, 2017

It definitely isn't the apothecary from "A Wonderful Life," or the cozy independent store in the center of town with a telephone operator in the back and a soda shop up front. Many large pharmacy operations now use automation technology (whether a community pharmacy or a hospital) to aid in the process of dispensing medications.

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Mail-Order Pharmacies Insurance Coverage and Processing Health and Personal Care Stores Medication Dispensing 130

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.

Insurance Coverage and Processing 52

Insurance Coverage and Processing HIV Treatment and Prevention Agents Communication Hospitals 52

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. PHPs and IOPs provide structured and intensive care options that are less restrictive than inpatient hospitalization, making them essential components of the continuum of care.

Insurance Coverage and Processing 40

Insurance Coverage and Processing Hospitals Inpatient Documentation 40