Pharmacy Toolkit
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Featured Toolkits
ACA Risk Adjustment | Care Management | Customer Journey Mapping | Medicare Advantage | Member Experience | Pharmacy | Reference-Based Pricing | Star Ratings | Value-Based Care and Programs
- 5/20/2019
- Prescription Drugs Trends Analysis: Medicare Part D and Medicare
- The Menges Group provides a 5-slide analysis of volume and expenditure trends in the prescription drugs industry for Medicare Part D and Medicaid. Included also is data about Specialty prescriptions.
- 5/17/2019
- Specialty Pharmacy Industry Outlook: What's Next
- A comprehensive overview of the Specialty pharmacy market including key trends, public policy, pricing and persceptives from Wall Street.
- 5/17/2019
- PBM Payer Mergers and Integrations
- In this April, 2019 presentation, Cleveland Research provides an in-depth overview of PBM payer mergers and integrations.
- 5/7/2019
- Presentation: What Your PBM Doesn't Want You To Know - Delivering Savings and Better Care with Financial and Performance Transparency
- Truveris pharmacy benefit experts Rahul Singal, MD and Ryan Hanes, MBA demonstrate how to create transparency throughout every stage of your PBM contract life-cycle, as well as align your internal management team to focus on a few key metrics and benchmarks.
- 4/22/2019
- Alternative Models for Pharmaceutical Rebates
- The combination of rising drug costs at the health system level and increasing financial stress for individual patients has triggered intense national concern. One target has come under particular scrutiny: rebates. This white paper provides policy perspectives on alternative models for pharmaceutical rebates.
- 12/11/2018
- 2018 Alliance Pharmacy Benefits Survey
- Results of the 2018 survey of Alliance member pharmacy leaders covering pharmacy operations, vendors used, challenges, prioritiies, and topics desired for future Alliance programming.
- 12/7/2018
- Opiod Education Member Letter
- SelectHealth shares a member communication summarizing Medicare changes to opioid prescriptions, effective January 1, 2019.
- 12/6/2018
- Member Education Letter for Opioid Prescription Changes
- Scott and Whilte Health Plan shares a member letter summarizing the Medicare changes for opioid prescriptions, effective January 1, 2019.
- 11/2/2018
- Presentation: Changes coming that will impact pharmacy costs - MA Part D focus
- Milliman expert Katie Holcomb discusses the types of changes that could be coming in the near future and what their potential impacts on pharmacy costs could be, with a particular focus on the Medicare Part D market. In recent years, pharmacy costs have received increasing attention, among insurers as well as legislators and the general public. CMS, MedPAC, HHS, and President Trump have all commented on potential ways to lower drug prices, reduce patient out-of-pocket costs, and improve care.
- 11/2/2018
- Recording: Changes coming that will impact pharmacy costs - MA Part D focus
- Milliman expert Katie Holcomb discusses the types of changes that could be coming in the near future and what their potential impacts could be, with a particular focus on the Medicare Part D market.
- 10/30/2018
- Recording: Specialty Drugs Trends and Issues Affecting Self-Funded Plans
- The Phia Group's legal team discusses the latest trends and issues relating to specialty drugs including plan design, international sourcing, copay programs, and more.
- 10/30/2018
- Article: Civica Rx: Not-for profit generic drug firm
- The not-for-profit generic drug firm that aims to prevent drug shortages and cut prices for patients now has a name and a boss. The effort will be called Civica Rx, and it will be run by chief executive Martin VanTrieste, the former chief quality officer for Amgen.
- 10/17/2018
- Brochure: The Complete Prescription Management Platform
- At RxRevu, we believe in improving the value of healthcare through informed, cost-effective, consistent prescribing decisions. We deliver real-time, patient-specific cost information, electronic prior authorization, and therapeutic alternatives at the point of care within our next generation Prescription Decision Support platform. By doing so, we enable shared decisions between providers and patients, help patients get the right medication the first time, and remove friction from the point of care to fulfillment.
- 10/11/2018
- Presentation: Increasing Value through Pharmacy
- Community Health Options and Rx Savings Solutions share the mechanics of their partnership and improved member outcomes and plan results. Transparency tools, savings identification, and formulary management all combine for greater savings for member and plan alike while contributing to increased access and adherence. Presented at the Fall Leadership Forum in Boston, October 10-12, 2018.
- 5/17/2018
- Presentation: Specialty Drug Management
- Health Alliance Plan discusses specialty drug management at the Pharmacy networking meeting in Dallas, May 2018.