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.

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Putting Patients First Blog

JUNE 24, 2025

It will also negatively affect access to coverage and care for people that obtain their health coverage through the ACA Marketplace and Medicare. The proposed reconciliation bill heightens the risk that millions of Americans will lose access to care and coverage by shifting even more Medicaid costs to the states.

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Pharmaceutical Technology

JUNE 23, 2025

Better insights into how SDoH affects health can highlight the systemic influences that leave certain groups with worse health outcomes than others, despite similar health insurance coverage or access. For example, it’s important to consider whether someone has insurance (public or private), a job, and what their income may be.

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Putting Patients First Blog

MAY 19, 2025

For many of the individuals we represent, Medicaid serves as their sole source of health coverage offering access to comprehensive and affordable care that supports individuals to manage complex health needs, maintain their quality of life, and live independently in their communities. The magnitude of cuts could be devastating.

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Insurance Coverage and Processing Hospitals Diabetes 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.

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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. Below, we provide detailed comments and recommendations on key provisions of the proposed rule.

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Ramblings of a pharmacist

DECEMBER 27, 2024

Hospitals and health systems maintain formularies of products that they will stock in the hospital pharmacy and administer to inpatients. Health insurance providers do the same, and usually outsource this function to Pharmacy Benefit Managers. Physicians HATE prior authorizations, so it works pretty well at annoying people.

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