COA Advocates Assemble on Capitol Hill to Keep Middlemen Out of Health Care

Medicare and the U.S. health care system are overwhelmed by middlemen such as pharmacy benefit managers (PBMs) and insurers. These entities prioritize profits over patient care by restricting access to treatments and delaying care for cancer and other serious diseases. This leads to increased health care spending, poor patient outcomes, and burnout among providers.

Letters: Insurance middlemen harm those with chronic illness

For people living with chronic and complex illnesses, consistent treatment access is critical to stay healthy. However, burdensome practices from insurance industry middlemen are creating unnecessary barriers to care for patients and providers alike.

By |2024-05-08T13:27:39-04:00May 8th, 2024|Latest News|0 Comments

A 340B Compromise at Last? Draft Federal Legislation May Provide a Clear Path Forward

It continues to be an eventful and tumultuous time in the 340B Drug Pricing Program space, with little indication that the current environment will change any time soon. Numerous drug manufacturers continue to impose restrictive 340B pricing policies available via 340B contract pharmacy arrangements in contravention of the Health Resources and Services Administration's (HRSA) applicable 340B Program rules and guidance.

By |2024-05-08T13:25:46-04:00May 8th, 2024|Latest News|0 Comments

House panel eyes PBM reform to pay for telehealth extensions

A new bill set to be considered on Wednesday by the House Ways & Means Committee would extend for two years telehealth flexibilities for Medicare enrollees that were adopted during the Covid-19 pandemic, and look to reform drug industry middlemen to pay for it.

By |2024-05-08T13:24:40-04:00May 8th, 2024|Latest News|0 Comments

Navarro Announces Completion of First Pharmacy Benefit Manager Exams

Following the unanimous passage of legislation in 2021, the Delaware Department of Insurance was given regulatory authority over Pharmacy Benefit Managers (PBMs) and has been building an investigation and enforcement program in order to address the multi-billion-dollar industry that has played a key role in increasing total cost of care and consolidating the pharmacy market.

By |2024-05-08T13:23:44-04:00May 8th, 2024|Latest News|0 Comments

Access Denied: CMS’ Action Hurts Patients With Cancer in Rural America

In 2020, cancer claimed more than 600,000 lives in the US. Cancer is an unyielding public health crisis. Cancer treatments typically involve multidisciplinary approaches, including surgery, radiation therapy, chemotherapy, and oral medications. For patients, especially those in rural areas, obtaining multiple oral medications can be inconvenient.

By |2024-05-07T12:54:12-04:00May 7th, 2024|Latest News|0 Comments

Medicare and Social Security go-broke dates are pushed back in a ‘measure of good news’

WASHINGTON (AP) — The go-broke dates for Medicare and Social Security have been pushed back as an improving economy has contributed to changed projected depletion dates, according to the annual Social Security and Medicare trustees report Monday.

By |2024-05-07T12:45:08-04:00May 7th, 2024|Latest News|0 Comments

A 340B Compromise at Last? Draft Federal Legislation May Provide a Clear Path Forward

It continues to be an eventful and tumultuous time in the 340B Drug Pricing Program space, with little indication that the current environment will change any time soon. Numerous drug manufacturers continue to impose restrictive 340B pricing policies available via 340B contract pharmacy arrangements in contravention of the Health Resources and Services Administration's (HRSA) applicable 340B Program rules and guidance.

By |2024-05-07T12:43:30-04:00May 7th, 2024|Latest News|0 Comments