When We Incentivize Treatment Over Outcomes, People Suffer

By Gil Bashe Medika Life Long-Term Care Pharmacy Elevates Quality of Life + Quality of Care Our health ecosystem is vast and siloed. Payers, providers, product innovators, and policymakers should be rallying to the needs of patients, but the reality is quite different. Policies and economics drive decisions, and sometimes the result is that our […]

Representatives Kurt Schrader and Markwayne Mullin Introduce Long-Term Care Pharmacy Definition Act of 2021

The Senior Care Pharmacy Coalition Applauds This Crucial Step for Long-Term Care Pharmacies; Enabling Better Care for Vulnerable Populations Washington, DC – Representative Kurt Schrader (D-OR-05) and Representative Markwayne Mullin (R-OK-02) have introduced the bipartisan Long-Term Care Pharmacy Definition Act of 2021, which will improve prescription access from long-term care (LTC) pharmacies for older adults […]

Inside Health Policy: LTC Pharmacies To HHS: Remove Us From Provider Relief Cap

By Dorothy Mills-Gregg Inside Health Policy Long-term care pharmacies are asking HHS to separate them from retail pharmacies when calculating Phase 4 provider relief distributions, calling the 10% cap on annual patient care revenue arbitrary and unfair when long-term care pharmacies’ average patient care revenues are 30% to 35% of their total revenues. Long-term care […]

Unfair and Arbitrary Provider Relief Fund Rules Leave Long-Term Care Pharmacies and Their Senior Patients Behind

New Provider Relief Fund Distributions Overlook the Unique Patient Care Services of Long-Term Care Pharmacies Washington, DC – The Senior Care Pharmacy Coalition (SCPC), representing the nation’s Long-term care (LTC) pharmacies, today decried the latest announcement from the Health Services and Resources Administration (HRSA) about the Provider Relief Fund. In April 2021, HRSA, a branch […]

CMS to Relax Medicare Billing Rules to Speed COVID-19 Vaccine Distribution in Nursing Homes

Skilled Nursing News By Alex Spanko | October 16, 2020 The federal government on Friday announced its intention to relax restrictions around billing Medicare for immunization in nursing homes, with the stated goal of speeding the eventual distribution of a COVID-19 vaccine. Skilled nursing facilities are typically required to bill Medicare directly for immunizations under […]

SCPC Praises Bipartisan House Passage of PBM Rebate Transparency Bills

Washington, DC –The Senior Care Pharmacy Coalition (SCPC) today praised bipartisan passage of two bills in the U.S. House of Representatives to expand data disclosure from pharmacy benefit manager (PBM) middlemen as the national long term care (LTC) pharmacy advocacy group pursues one of its key goals of enhancing transparency and accountability across the entire […]

New Video Details Long Term Care (LTC) Pharmacies’ Clinical Value to Seniors’ Care

Washington, DC – The Senior Care Pharmacy Coalition (SCPC) today released a new video to illustrate key clinical benefits LTC pharmacies provide to seniors as well as clinical, operational, and regulatory differences from retail and mail-order pharmacies.

Medicaid programs willing to boot out drug pricing middlemen

Axios — By Bob Herman, October 8, 2019 Michigan’s Medicaid program is proposing to fire the pharmacy benefit managers that handle its prescription drug claims and negotiate prices. The state would manage drug coverage itself, starting Dec. 1. The big picture: More state Medicaid agencies have determined that outsourcing all negotiations and operations of prescription drugs to PBMs has […]

Part D, Rebate-Sharing Rules Slated To Be Proposed This Month