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…

SCPC Praises CMS Guidance Relaxing Face to Face Signature Requirement for LTC Pharmacy Medication Delivery to Nursing Homes

National Long-Term Care Pharmacy Advocacy Group Reports Compliance by CVS Caremark, Optum, ExpressScripts Washington, DC –The Senior Care Pharmacy Coalition (SCPC) today thanked the Centers for Medicare and Medicaid Services (CMS) for its March 19 guidance to prescription drug plans and pharmacy benefit managers (PDPs/PBMs) urging relaxation of face to face signature requirements for long-term 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…

National LTC Pharmacy Advocacy Group: Explosion of PBM DIR Fees Squeezes Elderly Patients and LTC Pharmacies Who Serve Them

FOR IMMEDIATE RELEASE February 19, 2020 Washington, DC – The Senior Care Pharmacy Coalition (SCPC) today said a new analysis from XIL Consulting finding post-point-of-sale direct and indirect remuneration (DIR) transaction fees paid by pharmacies to pharmacy benefit managers (PBMs) and prescription drug plans (PDPs) rose by 1600% since 2013 helps renew attention on a read more…

To boost transparency, amend bills to require PBM disclosure data related to seniors residing in long-term care facilities

McKnight’s Long–Term Care News – February 10, 2020 By Alan G. Rosenbloom To better ensure consumers and the Centers for Medicare & Medicaid Services (CMS) have access to drug pricing information relevant to seniors residing in long term care facilities, we believe the Senate Finance Committee-introduced Prescription Drug Pricing Reduction Act (PDPRA) and the Lower read more…

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