Category: Uncategorized
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What’s driving U.S. drug prices so high?
A new analysis by Petersen-KFF raises a critical question: Are countries like Germany, the U.K., and Australia paying less because they’ve negotiated better deals, or is it the presence of generics and biosimilars driving prices down through competition? What’s happening? What could be driving the difference? The drugs that Centers for Medicare & Medicaid Services… Read more
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Yes, Virginia, there is a Santa Claus. 🎅🏽
Congress is including some real PBM reform in the 1,547 page Continuing Resolution that must pass this week to keep the government running. Here’s some of the employer plan highlights: 💯 PBM Rebates Fully Passed ThroughPharmacy Benefit Managers (PBMs) must remit 100% of rebates, fees, and discounts directly to the plan.(Lower costs for employers and… Read more
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What’s up(coding)?
What’s up(coding)? Let’s talk about a common practice that needs to end. After you leave the doctor’s office, what happens to your chart? It goes to a billing office, where someone trained in medical billing maximizes the revenue for that visit by ensuring the services performed are properly coded. But many times they also: But… Read more