November 15, 2019 |
Value Based Care is the future of the United States healthcare system and the Office of the Inspector General (OIG) for the US Department of Health and Human Services is in full agreement. The OIG recently issued a Notice of Proposed Rulemaking that introduced updates to the Anti-Kickback Statute (AKS), significantly modernizing the regulatory landscape and encouraging the transition from fee-for-service reimbursement to a value-based model. The Proposed Rule aims...
October 15, 2019 |
Specialty pharmacies and physician dispensers will experience a drastic reduction in Medicare net reimbursement rates from Express Scripts, Inc. (ESI) beginning in the plan year 2020. ESI has implemented a DIR Fee program in certain Medicare Part D networks, likely including Cigna following its purchase of ESI. ESI has followed the lead of other major PBMs. Declining net reimbursement rates are the number one Provider concern nationally. Here are the...
October 07, 2019 |
https://www.youtube.com/watch?v=QlfuFNe3wYA&feature=youtu.be In this video, attorneys Jonathan E. Levitt, Esq. and Lucas W. Morgan, Esq. discuss what pharmacies should be aware of when appearing in front of a State Board of Pharmacy. Contact Frier Levitt today to speak to an attorney.
September 23, 2019 |
https://youtu.be/KqjA7M3yoH0 Attorneys Jonathan E. Levitt, Esq. and Lucas W. Morgan, Esq. discuss why pharmacies should be aware of when it comes to PBMs and Maximum Allowable Cost (MAC) laws, including: What is a MAC law? [0:01] Challenging MAC law/MAC appeals [2:12] Contact Frier Levitt today to speak to an attorney about Maximum Allowable Cost (MAC) laws.
May 23, 2019 |