HIT Consultant

SEPTEMBER 28, 2022

What You Should Know: – Prescryptive Health , a health tech company empowering consumers with prescription drug pricing data, has acquired Northwest Pharmacy Services Inc, a full-service, non-profit Pharmacy Benefit Manager. NWPS serves over 44,000 members in the Pacific Northwest.

Prescription Drug Pricing 52

Prescription Drug Pricing 52

Bill of Health

OCTOBER 7, 2022

New Reforms to Prescription Drug Pricing in the US: Opportunities and Challenges. Reforming Patient Cost Sharing for Cancer Medications in Medicare Part D. JAMA Oncol. 2022 Aug 4. Epub ahead of print. Hwang TJ, Kesselheim AS, Rome BN. 2022 Aug 19. Epub ahead of print. Lumpkin MM, Hamburg MA, Schultz WB, Sharfstein JM.

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Prescription Drug Pricing FDA Medicare Medicare 130

Healthcare IT Today

APRIL 7, 2023

Real-time Prescription Benefit High prescription drug prices create affordability challenges for patients and the health care system as a whole.

US Department of Health and Human Services 86

US Department of Health and Human Services Prescription Drug Pricing Hospitals 86

Health Populi

OCTOBER 8, 2019

Pricing failure, the second big waste factor, is predominantly challenged by pharmaceutical/prescription drug pricing based on this research. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027.

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Prescription Drug Pricing Medicare Medicare Health Insurance 104

Healthcare IT News - Telehealth

JANUARY 25, 2023

OptumRx launched Price Edge, a tool that compares pricing for traditional generic drugs to ensure members get the lowest prescription drug prices. It's a new year, and healthcare technology vendors are rolling out their latest innovations, market approvals, acquisitions and staffing shake-ups.

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Prescription Drug Pricing Doctors Health Insurance Medicaid 128

HIT Consultant

JANUARY 21, 2022

Anyone with a December 2021 LG TV or newer can access affordable medications via the Capital Rx Advantage prescription savings card, downloaded directly from the comfort of their own homes via the Independa Health Hub (automatically on all LGTVs. It beats other popular discount cards on prices 80% of the time.

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Prescription Drug Pricing Medicare Medicare 95

Healthcare Law Blog

JUNE 2, 2023

In the underlying Seventh Circuit cases, relators alleged that retail pharmacies had knowingly submitted false reports of their Usual and Customary (“U&C”) drug prices to the government for reimbursement under Medicare Part D and Medicaid, because the reports allegedly did not account for discounted drug prices offered through certain prescription (..)

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Prescription Drug Pricing Medicaid Medicaid Medicare 52

Healthcare It News

APRIL 28, 2022

"With prescription drug prices rising at every turn, patients need price transparency and the ability to discuss options with their doctors during office visits," Davis advised. ADVICE FOR OTHERS.

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Prescription Drug Pricing Hospitals Medicare Medicare 221

Health Law Advisor

MARCH 7, 2023

However, CMS’s release of the Initial Rebate Guidances represents the agency’s first significant opportunity to submit substantive and specific input from the broader stakeholder community with regard to one of the most significant components of the prescription drug pricing changes of the IRA.

Medicare 52

Medicare Medicare Prescription Drug Pricing Medicaid 52

HIPAA Journal

FEBRUARY 2, 2023

GoodRx is a Santa Monica, CA-based provider of a telemedicine platform that includes a free-to-use website and mobile app that consumers can use to track prescription drug prices and obtain coupons that provide discounts on medications. The platform can also be used to arrange telehealth visits and access other health services.

HIPAA 98

HIPAA Prescription Drug Pricing Compliance Telemedicine 98

Health Populi

JANUARY 27, 2021

health citizens support attacking COVID-19 through testing, federal support for vaccines, expanding telehealth, expanding the ACA, and reforming (lowering) prescription drug prices. Ultimately, U.S. For the details, check out the post on the Medecision site.

COVID-19 68

COVID-19 Prescription Drug Pricing Governance ACA 68

Health Populi

JANUARY 29, 2019

Health Populi’s Hot Points: I introduced this post noting today is the first of what will be a long and deep look into prescription drug pricing in America. Federal government has proposed a sweeping set of pricing reforms for government programs with varying levels of impact and probability of being enacted.”

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Prescription Drug Pricing FDA Patient Advocacy Governance 96

Health Populi

MARCH 6, 2019

is prescription drug prices — that they’re too high, that the Federal government should negotiate to lower costs for Medicare enrollees, and that out-of-pocket costs for drugs should be limited. The biggest culprit/contributor to prescription drug prices? consumers were asked.

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Prescription Drug Pricing Governance Medicare Medicare 56

Health Populi

JANUARY 24, 2023

Take Optum, which this week launched the Price Edge tool to help steer patients to the “lowest price generic medicines” according to the program’s press release. The price-comparison tool exclusively focused on generic drugs will be available to Optum Rx members.

Prescription Drug Pricing 68

Prescription Drug Pricing Hospitals Health Insurance 68

Health Populi

OCTOBER 15, 2021

Drug price negotiation, say by the Medicare program, is a unifying public policy in the current era of political schisms in America, based on the findings in a special Kaiser Family Foundation (KFF) Health Tracking Poll conducted in late September-early October 2021.

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Prescription Drug Pricing Medicare Medicare COVID-19 68

Health Populi

SEPTEMBER 9, 2022

The decline of the pharma industry reputation is an important reality-check here given that even Republican voters have been keen to see greater regulation of prescription drug pricing in recent health tracking polls.

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Prescription Drug Pricing Health Insurance Medical Billing Medicare 62

Health Populi

APRIL 25, 2023

middle-class households finding that health care has returned to the #1 household fiscal concern ahead of inflation in 2023.

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Prescription Drug Pricing COVID-19 Hospitals Public Health 62

Health Populi

JUNE 30, 2023

Take prescription drugs pushing medical trend upward.

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Prescription Drug Pricing COVID-19 Hospitals ACA 81

Health Care Law Brief

JANUARY 19, 2022

On December 31, 2021, New York Governor Kathy Hochul signed landmark legislation to increase the transparency of prescription drug pricing and to establish requirements on pharmacy middlemen.

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Prescription Drug Pricing Compliance Medicaid Medicaid 52

Kaiser Health News

AUGUST 12, 2022

Never before have we been able to negotiate prescription drug prices. Second, it would extend the enhanced premium subsidies for people who buy insurance on the Affordable Care Act marketplaces that Congress put in place last year to help confront the covid-19 pandemic. “It’s historic.

Medicare 95

Medicare Medicare Prescription Drug Pricing Health Insurance 95

Kaiser Health News

MARCH 15, 2023

“We had a massive opioid problem that needed to be rectified,” said Antonio Ciaccia, president of 3 Axis Advisors , a consulting firm that analyzes prescription drug pricing. “But the federal crackdowns and guidelines have created collateral damage: patients left high and dry.”

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Doctors Prescription Drug Pricing FDA COVID-19 99

Kaiser Health News

JULY 21, 2022

But work continues, particularly on a Senate bill that could, for the first time, allow Medicare to negotiate prescription drug prices and cap seniors’ out-of-pocket medication costs.

Medicare 63

Medicare Medicare Prescription Drug Pricing COVID-19 63

Health Populi

APRIL 30, 2021

As such, the debate on prescription drug pricing in the U.S. is heating up, with President Biden mentioning the scenario of Medicare negotiating drug prices with pharmaceutical manufacturers in his latest speech measuring progress at 100 days in the White House.

COVID-19 62

COVID-19 Prescription Drug Pricing Medicare Medicare 62

Health Populi

AUGUST 28, 2019

In fact, Democrats’ keen concern for several health care issues — at the top of that list, prescription drug prices, guaranteed coverage for pre-existing conditions, and women’s health care access — drove many voters to the polls in the 2018 mid-term elections.

Medicare 94

Medicare Medicare ACA Prescription Drug Pricing 94

Health Populi

JUNE 28, 2018

Another unifying health care issue is prescription drug prices, which KFF has tracked for several years. Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs.

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Prescription Drug Pricing Health Insurance ACA Governance 74

Health Populi

FEBRUARY 4, 2020

voters’ priorities, across political party – prescription drug prices. voters in 2020 quite like supporting Medicare’s ability to negotiate drug prices with pharmaceutical companies, shown by the October 2019 Kaiser Family Foundation Health Tracking Poll. Few issues unite U.S.

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Prescription Drug Pricing Medicare Medicare Health Insurance 77

HIT Consultant

NOVEMBER 8, 2022

Designed to shed light on the true cost of drugs and to ensure that consumers and insurers aren’t being gouged, drug pricing transparency laws seek to level the playing field by delivering greater visibility into drug costs.

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Prescription Drug Pricing Compliance Governance 52

Health Populi

OCTOBER 22, 2019

This latter point was emphasized in the survey noting that 71% of Americans said that drug prices were too high; 78% of people agreed that the government should be permitted to negotiate/regulate prescription drug prices.

Health Insurance 52

Health Insurance Prescription Drug Pricing Doctors Governance 52

Health Populi

OCTOBER 24, 2022

The XY supply demand curve shown above from Trilliant’s analysis illustrates a government price ceiling shock to health care pricing.

Health Insurance 52

Health Insurance COVID-19 Prescription Drug Pricing Health Care Reform 52

Kaiser Health News

MARCH 15, 2023

“We had a massive opioid problem that needed to be rectified,” said Antonio Ciaccia, president of 3 Axis Advisors , a consulting firm that analyzes prescription drug pricing. “But the federal crackdowns and guidelines have created collateral damage: patients left high and dry.”

Doctors 52

Doctors Prescription Drug Pricing FDA COVID-19 52

Health Populi

OCTOBER 28, 2019

When asked what factors contribute to rising health care costs in America, most consumers cite the cost of prescription drugs. Taken together, these two data points demonstrate the potent political import of prescription drug prices as the U.S. approaches the 2020 Presidential election.

Hospitals 54

Hospitals Prescription Drug Pricing Medical Billing Pharmaceutical Industry 54

Health Populi

JULY 2, 2018

Credit scores, payment plans for hospital stays and specialty drugs, and the expanding financial risk due to high-deductibles all play into the patient-as-payor and trust. These financial and trust-risks impact Republicans and Democrats alike.

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Prescription Drug Pricing Hospitals 48

Health Populi

APRIL 24, 2019

This data point gives further impetus to prescription drug price hearings in Congress and various proposals promulgated on Capitol Hill to address the cost of medicines. ” Cost continues to be top-of-mind for healthcare consumers, who largely blame pharma first in the Edelman research.

Health Insurance 82

Health Insurance Prescription Drug Pricing Hospitals Governance 82

Health Law Advisor

MAY 22, 2023

1339) reflects the overarching legislative push by members from both sides of the aisle and chambers of Congress to address drug pricing issues through federal fixes to the PBM framework. 2] While it is still relatively early in the legislative process, enactment of provisions in the current iteration of S.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

JANUARY 18, 2019

The top four health care issues consumers want Congress to prioritize in 2019 all deal with health care costs and access , for large majorities across political party ID: to lower prescription drug prices, to make sure insurers provide coverage for people with pre-existing conditions, to ensure Medicare benefits aren’t cut, and to lower the overall (..)

Health Insurance 64

Health Insurance Prescription Drug Pricing Medicare Medicare 64

Healthcare Law Blog

FEBRUARY 22, 2023

All rebate payments will be deposited into the Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Populi

APRIL 10, 2019

In typical markets, as products mature and get mass adoption, prices fall. But then prescription drug pricing doesn’t conform with how typical markets work in theory. Know that one of these insulin products, Lilly’s Humalog, came onto the market in 1996.

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Prescription Drug Pricing Medicare Medicare Governance 119