CMS Rule on Pharma Patient-Assistance Programs Could Cut Back on Aid

A rule slated to take effect January 1, 2023 would reverse CMS' long held position that manufacturer-provided assistance given to patients is excluded from best price and average manufacturer price calculation for prescription drugs. The rule change could potentially result in increased patient out-of-pocket costs for drugs and pharma companies being on the hook for ensuring they know exactly where their assistance is going.

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CMS Rule on Pharma Patient-Assistance Programs Could Cut Back on Aid2022-05-17T10:28:40-04:00

CMS Targets Patient-Assistance Programs; Rule Could Curtail Aid

CMS’s stance has long been that manufacturer-provided assistance given to patients is excluded from best price and average manufacturer price calculation for prescription drugs. However, the rise of copayment accumulators and maximizers and health insurers’ subsequent taking of this assistance rather than allowing it to count toward patients’ deductibles and out-of-pocket maximums have caused the agency to rethink its position.

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CMS Targets Patient-Assistance Programs; Rule Could Curtail Aid2022-04-18T14:15:18-04:00

The Patient and Consumer Experience—The Core and Progress Duality for Successful and Sustainable Transformation

Over the last decade, healthcare costs have continued to rise in the United States while outcomes have been stagnant and, in some cases, declined. Implementation of strategies around patient- or consumer-driven care has been a struggle as stakeholders try to define, measure, and improve the patient experience.

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The Patient and Consumer Experience—The Core and Progress Duality for Successful and Sustainable Transformation2022-03-22T11:02:24-04:00

Removal of the Medicaid Rebate Cap: Sensible or Nonsense?

The American Rescue Plan of 2021 introduced a provision to remove the Medicaid Rebate Cap of 100%, effective January 2024. This legislation may turn profits upside down for a pharmaceutical company with a significant presence. Precision's Cynthia Miller discusses what it would mean to remove the Medicaid Rebate Cap, how it would affect pharmaceutical companies, and strategies for moving forward.

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Removal of the Medicaid Rebate Cap: Sensible or Nonsense?2022-03-09T13:19:27-05:00

‘Alexa, I want to talk to a doctor’: Amazon, Teladoc partner on virtual care

In the most recent Big Tech foray into digital healthcare, Amazon and Teladoc Health announced they will be partnering on a program to provide virtual medical care. Users of Amazon’s Alexa-enabled devices will now be able to contact a doctor via voice command about non-emergency conditions on a 24/7 basis. Precision's Cynthia Miller weighs in on the benefits and shortfalls, including access problems in marginalized communities and rural areas.

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‘Alexa, I want to talk to a doctor’: Amazon, Teladoc partner on virtual care2022-03-07T12:53:45-05:00

Bringing Social Determinants of Health to Life to Optimize Health Outcomes in Patients With Chronic Conditions

As the United States and the world have seen firsthand how social determinants of health (SDOH) impact the mortality and morbidity of patients contracting the COVID-19 virus, addressing SDOH has become a national priority in health care. Organizations nationwide are increasingly looking to integrate SDOH and health equity into value-based strategies. 

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Bringing Social Determinants of Health to Life to Optimize Health Outcomes in Patients With Chronic Conditions2022-02-23T10:42:50-05:00

Within Innovative Oncology Space, Companies Need to Address Oncologists’ Needs

The oncology space is undergoing a tremendous amount of innovation, as novel new products and practices become available. But those treatments can do only so much good if oncologists aren’t using them. Precision's Christy Banach and Janet Serluco weigh in on the opportunity biopharma companies have to differentiate themselves from their competitors by addressing oncologists’ specific needs.

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Within Innovative Oncology Space, Companies Need to Address Oncologists’ Needs2022-02-22T09:36:48-05:00