Medicare drug pricing order could have ‘significant ramifications’ on LTC pharmacies in long-run: expert

McKnight’s Long-Term Care News  By Danielle Brown – September 16, 2020 Long-term care pharmacies could soon be facing “significant ramifications in the long run” following an executive order signed by President Trump on Sunday. That directive states that the Medicare program should not pay more for Part D prescription drugs than the lowest price. More read more…

Long-term care pharmacy leaders call for COVID-19 relief from Congress

McKnight’s Senior Living Kimberly Bonvissuto– July 14, 2020 Leaders from 12 of the nation’s largest long-term care pharmacies sent a letter to leaders in Congress on Friday asking for $350 million in financial relief to meet challenges presented by the COVID-19 pandemic. Members of the Senior Care Pharmacy Coalition, which represents 75% of the long-term care pharmacy read more…

Foresight and flexibility the keys to COVID-19 survival, top exec says

McKnight’s Long-Term Care News | May 4, 2020 By James M. Berklan As long-term care providers continue to struggle with the deadly implications of COVID-19, hesitation could be their biggest threat, says one of the profession’s top leaders. With clinical, regulatory and financial conditions shifting almost day-to-day, providers must be confident enough to devise a well-educated read more…

SCPC Responds to CMS Proposed Part D Rule

Prioritize Independent Metrics for Prescription Drug Plans (PDPs) to Determine Long-Term Care (LTC) Pharmacy Payments and Appropriate Implementation of Opioid Crisis Response Washington, DC – Commenting today on a recently-released Centers for Medicare and Medicaid Services (CMS) Proposed Rule regarding regulatory changes to key Medicare Part D provisions, the Senior Care Pharmacy Coalition (SCPC) offered read more…

Senior Care Pharmacy Coalition (SCPC) to CMS: Development of Long Term Care (LTC)-Specific Quality Metrics Essential to Accurate Star Ratings Assessment of LTC Patient Care

Washington, DC – Commenting in detail regarding the Centers for Medicare and Medicaid Services’ (CMS) recently Proposed Rule (“Advance Notice of Methodological Changes for Calendar Year (CY) 2021 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies – Part II”), the Senior Care Pharmacy Coalition (SCPC) says developing long-term care read more…

SCPC Member Alert: Recent FDA Requirements on Dispensing Create Conflict with Department of Justice Fraud Concerns and Payer Practices

As you may know, many Part D Plans/PBMs and other government payers (Medicare, Medicaid and TRICARE) recently began seeking audit recoupments from pharmacies that do not dispense insulin pens in multi-dose packaging as provided by manufacturers.  SCPC understands that this payment policy change is causing confusion in the marketplace and could be disruptive to effective read more…

Senior Care Pharmacy Coalition (SCPC) Suggests Two PBM Transparency Refinements to Senate Finance Committee Drug Pricing Bill

Washington, DC – In previously noting that capping Medicare beneficiaries’ out-of-pocket costs as low as possible is a primary long-term care (LTC) pharmacy advocacy priority as Congress debates drug pricing reform legislation, the Senior Care Pharmacy Coalition (SCPC) also recommended two pharmacy benefit manager (PBM) transparency provisions be included in the pending Prescription Drug Pricing read more…

To Protect Seniors, Modernize Regulations by Passing LTC Pharmacy Definition

Morning Consult | February 28, 2020 By Alan G. Rosenbloom  When it comes to the “alphabet soup” of three- and four-letter federal agencies, one’s eyes can glaze over in confusion about what they do, why they do it and how average citizens benefit from their federally funded oversight. In the realm of health policy and our read more…

National LTC Pharmacy Advocacy Group: Capping Seniors’ Out of Pocket Costs as Low as Possible Remains Key Drug Pricing Reform Objective

Washington, DC – With media attention increasingly focused upon the “inflationary rebate” facet of the Senate Finance Committee’s Prescription Drug Pricing Reduction Act of 2019 (S. 2543), the Senior Care Pharmacy Coalition (SCPC) today said capping Medicare beneficiaries’ out-of-pocket costs as low as possible remains a top long-term care (LTC) pharmacy advocacy priority. “Capping Medicare read more…

Bill to eliminate third-party pharmacy benefit managers could save state millions

Fox 25 Oklahoma – January 24, 2020 By Destiny Washington OKLAHOMA CITY (KOKH) — Oklahoma could soon join the growing number of states backing away from using Pharmacy Benefit Managers (PBM’s) to administer prescription-drug programs. A PBM is a third-party administrator of prescription drug programs for state and federal government employee plans, self-insured employer plans, commercial read more…

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