Medicaid reimbursement rates Archives | Frier Levitt - Attorneys at Law
↓ Skip to Main Content

The Government has a fund to help COVID-19 victims’ families. Click here for more information.

Healthcare
Life Sciences & Pharmacy

Main Navigation

  • Home
  • About
    • About Us
    • Meet Our Attorneys
    • Our Staff
    • News & Press
  • What we do
    • Healthcare
      • Medical Practice Mergers & Supergroups
      • Telemedicine & Telehealth
      • Healthcare Practice Compliance
      • HIPAA Compliance
      • Hospital/Physician Negotiations and Joint Ventures
      • Healthcare Litigation
      • Medicare, Medicaid, and Other Commercial Payor Audits & Appeals
      • Out-of-Network Provider Issues
      • Medical Practice Representation
      • Pain Management Compliance
      • Professional Board Actions
      • In-house Counsel Legal Support Services
      • Administrative and Insurance Defense Law
      • Ambulatory Care Facility Formation & Representation
      • Antitrust
      • Data Transactions
      • Employment Matters
      • Federal and State Fraud and Abuse Counseling
      • Private Equity Investing
      • Managed Care Negotiations and Strategies
      • Physician Dispensing
      • Value Based Care
      • Clinical Trials / Human Subjects Research
      • White Collar Defense and Government Investigations
      • Intellectual Property Services
    • Life Sciences & Pharmacy
      • Defending Pharmacies in PBM Audits
      • DIR Fees
      • Payor Network Access and Defense of Network Terminations
      • MAC Pricing & Appeals
      • Medicare Audit Appeals
      • Plan Sponsor PBM Contract Services
      • Antitrust Tools Available to Combat PBM Abuse of Pharmacies
      • Telehealth & Telemedicine
      • 340B Covered Entity and Contract Pharmacy Regulatory and Contract Support
      • Intellectual Property Services
      • Review of Promotional and Advertising Materials
      • Physician Dispensing
      • Private Equity Investing in Specialty Pharmacy & Pharmaceutical Companies
      • White Collar Defense and Government Investigations
      • Value Based Care
      • Federal & State Fraud and Abuse Counseling
      • Employment Matters
      • Pharmacy Transactions
      • National Board of Pharmacy Matters
      • Risk Assessment Mitigation Strategy
      • Medicare Advantage Risk Adjustment Litigation
      • PBM Qui Tam Lawsuits
  • Who we serve
    • Healthcare
      • Physicians and All Types of Single and Multi-Specialty Practice Groups
      • Hospitals and Healthcare Systems
      • Clinically Integrated Networks
      • Ambulatory Care Facilities/Ambulatory Surgery Centers (ASCs)
      • Medical Spas and Cosmetic Services
      • Dental Practices
      • Laboratories
      • Skilled Nursing Facilities and Long-Term Care
      • Value Based Care Organizations: ACOs, IPAs and CINs
      • Urologists
      • Private Equity Investing
      • Dispensing Physician Practices and Dispensing Physicians
    • Life Sciences & Pharmacy
      • Specialty Pharmacies
      • Community, Retail Pharmacies
      • Chain Pharmacies
      • Fertility Pharmacies
      • Long-Term Care Pharmacies
      • Supermarket Pharmacies
      • Compounding Pharmacies (503A)
      • Clinically Integrated Networks (“CINs”)
      • Home Infusion Providers
      • Integrated Delivery Network
      • Pharmaceutical Manufacturers
      • Pharmaceutical Wholesalers
      • Outsourcing Facilities (503B)
      • State & National Pharmacy Association
      • Veterinary Compounders
      • Biotechnology Companies
      • Urologists
      • Dispensing Physician Practices and Dispensing Physicians
  • Insights
    • Blogs & Articles
    • Videos
    • Download Tools
    • Upcoming Events
    • Recent Results
    • Webinars
    • COVID-19 Resources
  • Join our team
    • Careers
  • Contact
Frier Levitt – Attorneys at Law
Surprise Cuts in Medicaid Reimbursements and the Impact on Independent Pharmacies
Home › Medicaid reimbursement rates
Home › Posts tagged Medicaid reimbursement rates

Tag: Medicaid reimbursement rates

Surprise Cuts in Medicaid Reimbursements and the Impact on Independent Pharmacies

Dae Y. Lee, Esq., Pharm.D CPBS and Jesse C. Dresser, Esq. June 17, 2019
Pharmacy Benefit Managers (PBMs) use many different tactics to increase their revenue, and spread pricing has long been a common way to generate incremental revenue from each transaction. This has become a state-wide problem in Kentucky, especially... Read More
Pharmacy Law

The End of Chevron Deference Could Foretell the Beginning of Equal Access to Care Under Medicaid

A.J. Barbarito, Esq. and Todd Mizeski, Esq. May 3, 2019
One cannot move in legal circles without hearing at least some discussion of the SCOTUS' position on the administrative state. With a now-entrenched conservative majority and at least two or three of those justices expressing doggedly... Read More
Pharmacy Law

Kentucky Proposes Legislation Aimed at Increasing Medicaid Reimbursement Rates and PBM Oversight

Todd Mizeski, Esq. and Robert R. Granzen, Esq. April 12, 2018
Throughout the nation, independent pharmacies are facing lower and lower Medicaid reimbursement rates. These rates are making it harder for pharmacies to make ends meet as the rates often result in pharmacies being reimbursed at or less than their... Read More
Pharmacy Law

NADAC Pricing Leads to Unreasonably Low Medicaid Reimbursement: What Can a Pharmacy Do?

Steven L. Bennet, Esq. and Robert R. Granzen, Esq. September 7, 2017
There has been perhaps nothing more detrimental to pharmacy margins in the Medicaid arena than the implementation of the National Average Drug Acquisition Cost (NADAC) pricing benchmark. Indeed, many pharmacies conducting business in states that... Read More
Pharmacy Law

Search

Filter by Industry

Filter by Service

Contact





    Value Based Care insights

    COVID-19 Compensation for Victims- CICP ProgramFebruary 24, 2021

    Watch Video

    Videos

    How Will the Recently Promulgated CMS and OIG Final Rules Affect My Practice? – Part IDecember 21, 2020

    Read More

    Value Based Care | Articles

    Upcoming Events

    Benefits of Working with a Fiduciary-Model PBMMarch 17, 2021

    Learn More

    Events

      Let us help you find solutions.

      I'm interested in:
      Pharmacy LawHealthcare Law

      84 Bloomfield Avenue
      Pine Brook, NJ 07058
      973.618.1660

      101 Greenwich Street, Suite 8B
      New York, NY 10006
      646.970.2711

      626 RXR Plaza West Tower, 6th Floor
      Uniondale, NY 11556
      516.755.7916

        Sign up for our newsletter

        I'm interested in:
        Pharmacy LawHealthcare Law

        The contents of this website may contain attorney advertising under the laws of various states. Prior results do not guarantee a similar outcome.

        Terms of Use | Privacy Policy

        © 2021
        • Home
        • About
          • About Us
          • Meet Our Attorneys
          • Our Staff
          • News & Press
        • What we do
          • Healthcare
            • Medical Practice Mergers & Supergroups
            • Telemedicine & Telehealth
            • Healthcare Practice Compliance
            • HIPAA Compliance
            • Hospital/Physician Negotiations and Joint Ventures
            • Healthcare Litigation
            • Medicare, Medicaid, and Other Commercial Payor Audits & Appeals
            • Out-of-Network Provider Issues
            • Medical Practice Representation
            • Pain Management Compliance
            • Professional Board Actions
            • In-house Counsel Legal Support Services
            • Administrative and Insurance Defense Law
            • Ambulatory Care Facility Formation & Representation
            • Antitrust
            • Data Transactions
            • Employment Matters
            • Federal and State Fraud and Abuse Counseling
            • Private Equity Investing
            • Managed Care Negotiations and Strategies
            • Physician Dispensing
            • Value Based Care
            • Clinical Trials / Human Subjects Research
            • White Collar Defense and Government Investigations
            • Intellectual Property Services
          • Life Sciences & Pharmacy
            • Defending Pharmacies in PBM Audits
            • DIR Fees
            • Payor Network Access and Defense of Network Terminations
            • MAC Pricing & Appeals
            • Medicare Audit Appeals
            • Plan Sponsor PBM Contract Services
            • Antitrust Tools Available to Combat PBM Abuse of Pharmacies
            • Telehealth & Telemedicine
            • 340B Covered Entity and Contract Pharmacy Regulatory and Contract Support
            • Intellectual Property Services
            • Review of Promotional and Advertising Materials
            • Physician Dispensing
            • Private Equity Investing in Specialty Pharmacy & Pharmaceutical Companies
            • White Collar Defense and Government Investigations
            • Value Based Care
            • Federal & State Fraud and Abuse Counseling
            • Employment Matters
            • Pharmacy Transactions
            • National Board of Pharmacy Matters
            • Risk Assessment Mitigation Strategy
            • Medicare Advantage Risk Adjustment Litigation
            • PBM Qui Tam Lawsuits
        • Who we serve
          • Healthcare
            • Physicians and All Types of Single and Multi-Specialty Practice Groups
            • Hospitals and Healthcare Systems
            • Clinically Integrated Networks
            • Ambulatory Care Facilities/Ambulatory Surgery Centers (ASCs)
            • Medical Spas and Cosmetic Services
            • Dental Practices
            • Laboratories
            • Skilled Nursing Facilities and Long-Term Care
            • Value Based Care Organizations: ACOs, IPAs and CINs
            • Urologists
            • Private Equity Investing
            • Dispensing Physician Practices and Dispensing Physicians
          • Life Sciences & Pharmacy
            • Specialty Pharmacies
            • Community, Retail Pharmacies
            • Chain Pharmacies
            • Fertility Pharmacies
            • Long-Term Care Pharmacies
            • Supermarket Pharmacies
            • Compounding Pharmacies (503A)
            • Clinically Integrated Networks (“CINs”)
            • Home Infusion Providers
            • Integrated Delivery Network
            • Pharmaceutical Manufacturers
            • Pharmaceutical Wholesalers
            • Outsourcing Facilities (503B)
            • State & National Pharmacy Association
            • Veterinary Compounders
            • Biotechnology Companies
            • Urologists
            • Dispensing Physician Practices and Dispensing Physicians
        • Insights
          • Blogs & Articles
          • Videos
          • Download Tools
          • Upcoming Events
          • Recent Results
          • Webinars
          • COVID-19 Resources
        • Join our team
          • Careers
        • Contact