Managed Care News

Pharmacy Groups Urge CMS to Reimburse for Medical at Home Services

July 07, 2020

A group of pharmacies and pharmacy organizations urged the Centers for Medicare & Medicaid Services to formally recognize and promote medical at home pharmacy services for long-term care.

Poll Identifies Concerns About Rising Costs of Drugs, Health Care Amid Pandemic

June 23, 2020

A new poll by Gallup and West Health found that a majority of Americans have expressed numerous health care system-related concerns, including rising costs of drugs, insurance premiums, and health care in response to COVID-19.

Generics and Biosimilars Facing Formulary Difficulties

September 11, 2019

New changes are making it more difficult for generics and biosimilars to compete on formularies.

How to Raise Diabetes Drug Adherence

June 16, 2017

New study shows that a Universal Medication Schedule could help diabetes patients.

Adding biosimilars to formularies: The pharmacist's role

August 10, 2016

Pharmacists on P&T committees are going to face issues that range from biosimilar naming systems to challenges in dispensing and costs.

Coming regs expand pharmacist role in LTC

August 10, 2016

“Basically, everything we know will be gutted over the next three years.”

Patients, payers, and manufacturers’ drug coupons

June 10, 2016

According to PBMs, those drug coupons are something else.

Pharmacists seek fairness in generics reimbursement

May 31, 2016

PBMs have dodged state-mandated requirements for transparency in generics drug pricing, so many states are rewriting their laws.

Generic treatment for chronic myeloid leukemia could save millions

May 03, 2016

Five years of imatinib treatment for CML = >$100,000 saved per patient.

Cost vs. value: Healthcare shifts its focus

July 10, 2015

Value-based care is transforming the world of healthcare. Simple cost management must give way to utilization management, and alignment of stakeholder services is inevitable.