New Avalere Health Study Reveals Substantial Variation in PDP/PBM Reimbursements for Most Commonly Prescribed Drugs in Long Term Care Settings

Washington, DC – Amid growing scrutiny of Pharmacy Benefit Manager (PBM) pricing practices, along with increasing concern from Congress, regulators and consumer groups about the rapid pace and broader implications of U.S. health sector mergers and consolidations, the Senior Care Pharmacy Coalition (SCPC) today released a new analysis of long term care (LTC) pharmacy transaction data…Read More

New Avalere Health Study Details Stark Differences Between LTC and Retail Pharmacies

Washington, DC – Continuing its focus on America’s growing long term care (LTC) pharmacy sector as detailed by a new Avalere Health study, “Long-Term Care Pharmacy: The Evolving Marketplace and Emerging Policy Issues,” the Senior Care Pharmacy Coalition (SCPC) today spotlighted the major differences between LTC pharmacies and more commonly known retail pharmacies…Read More

Proposed CMS Rule Must Change to Take Into Account Interests and Concerns of America’s Independent Long Term Care (LTC) Pharmacies

In the interest of protecting the concerns of America’s independent Long Term Care (LTC) pharmacies, the Senior Care Pharmacy Coalition (SCPC) has submitted formal comments and proposed revisions to the Centers for Medicare and Medicaid Services’ (CMS) “Medicare and Medicaid Conditions of Participation for Long Term Care Facilities” Proposed Rule, 80 Fed. Reg. 42168 (July 16, 2015)…Read More

Comment Letter on CMS Medicare & Medicaid Conditions of Participation for LTC Facilities Proposed Rule

The Senior Care Pharmacy Coalition (“SCPC”) appreciates the opportunity to address the Center for Medicare and Medicaid Services (“CMS”) “Medicare and Medicaid Conditions of Participation for Long Term Care Facilities” Proposed Rule, 80 Fed. Reg. 42168 (July 16, 2015) (the “Proposed Rule”1). The SCPC is the national association representing independent long term care (“LTC”) pharmacies. read more…

New Avalere Health Study: Long Term Care (LTC) Pharmacy Sector Plays Key, Growing Role in U.S. Seniors’ Care as New Payment, Delivery Models Gain Prevalence

Major Structural, Regulatory and Legal Differences Between LTC and Retail Pharmacies Detailed; More Transparent Drug Pricing Can Help LTC Pharmacies Sustain High Quality SNF, ALF Patient Care Washington, DC – A new Avalere Health study of the nation’s growing long term care (LTC) pharmacy sector – the most detailed analysis since Medicare Part D was implemented read more…

Arkansas PBM Reform Law Targeting Generic Drug Pricing Abuses Good Model for Other States

Continuing the discussion surrounding the growing number of bipartisan state-based laws to reform secretive, opaque pricing policies practiced by the pharmacy benefit manager (PBM) industry, the Senior Care Pharmacy Coalition (SCPC) today praised Arkansas Gov. Asa Hutchinson (R-AR) for signing Act 900 into law earlier this year — ending PBMs’ ability to reimburse independent long-term care (LTC) pharmacies and others dramatically less than the actual cost of acquiring and dispensing generic drugs…Read More

CA Gov Jerry Brown Praised by National Long Term Care (LTC) Pharmacy Group for Signing MAC Transparency Bill Into Law

Saying there is growing bipartisan momentum at the state level to reform the longstanding secretive and opaque Pharmacy Benefit Manager (PBM) drug pricing policies antithetical to the interests of patients and taxpayers, the Senior Care Pharmacy Coalition (SCPC) today praised California Governor Jerry Brown (D-CA) for signing into law AB 627, which brings badly-needed reforms to abusive Pharmacy Benefit Manager (PBM) pricing and reimbursement practices…Read More

SCPC Praises Broad Bipartisan Support in U.S. House for 21st Century Cures Act

The Senior Care Pharmacy Coalition (SCPC) today praised House passage of the 21st Century Cures Act, and thanked lawmakers for both recognizing the unique challenges facing long-term care (LTC) pharmacy patients and providers, and for including bill language exempting Part D beneficiaries in skilled nursing facilities and other settings from a previously proposed medication management “lock-in” provision…Read More

National LTC Pharmacy Leader Praises Kasich Effort to Bring Transparency to PBM Drug Pricing

Noting the need to step up federal scrutiny of “secretive and opaque” pricing policies currently practiced by the rapidly consolidating pharmacy benefit manager (PBM) industry, the Senior Care Pharmacy Coalition (SCPC) today praised Ohio Governor John Kasich (R-OH) for signing into law a new state effort to help pull back the curtain on PBM drug pricing and reimbursement practices… Read More

SCPC Applauds Unanimous House Panel Passage of 21st Century Cures Bill Recognizing Unique Challenges Facing Long Term Care (LTC) Pharmacy Patients, Providers

In praising today’s unanimous passage of 21st Century Cures legislation by the House Energy and Commerce Committee, the Senior Care Pharmacy Coalition (SCPC) thanked the Committee for recognizing the unique challenges facing long-term care (LTC) pharmacy patients and providers, and for including bill language exempting Part D beneficiaries in skilled nursing facilities and other settings from a proposed medication management “lock-in” provision…Read More

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