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Pharmacy
The Rise in Formulary Exclusions
May 19, 2021
PBMs say exclusions are important for negotiating lower prices on behalf of health plans and members. Some payer and provider groups say they interfere with patient access to medicines.
How ‘White Bagging’ Affects Patients, Physicians and 340B Funding
February 18, 2021
Having specialty pharmacies fill prescriptions may lower costs, but critics of the practice see safety issues and other drawbacks.
COVID-19 Response in Japan, Sweden and the United States
February 01, 2021
Opinion piece by MHE's Editorial Advisory Board Member and CEO of The Pharmacy Group, Perry Cohen. Perry discusses the response differences and vague similarities between the countries and addresses the continuous question, "What is the new normal?"
Sumit Dutta of OptumRx on how the PBM Responded to Pandemic
December 23, 2020
In this week's episode, MHE's Senior Editor Peter Wehrwein spoke with Sumit Dutta, Optum Rx chief medical officer. The two spoke about COVID-19 vaccines and how the pharmacy benefit market responded to the pandemic.
Accumulator, Maximizer Regulation Picks up at the State Level
December 12, 2020
The five states have moved to prohibit accumulators and maximizers as the federal government takes a hands-off approach, according to John “Jack” S. Linehan, a lawyer at Epstein Becker Green, who is featured in this second part of a two-part video series.
New Transparency Rules Mean Health Plans, PBMs Must Disclose Their Accumulators, Maximizer Programs
December 09, 2020
John “Jack” S. Linehan, a lawyer at Epstein Becker Green, is featured in the first part of a two-part video series on copay accumulators and maximizers.
Insurers Take up Mantle to Ensure Immunizations
November 23, 2020
Health plans build strategies to ensure their beneficiaries have easy access to and receive vital immunizations.
McKesson’s Paula Bickley on Maintaining Patient Centeredness
October 15, 2020
Featured speaker at the 4th Annual PBMI Specialty Rx Forum on October 16 discusses theme of the meeting.
Wolters Kluwer's Denise Basow Shares the Importance of Uniting Prescribers, Pharmacists at the Point of Care
October 07, 2020
In this week’s episode of Tuning Into the C-Suite, MHE's Briana Contreras spoke with Denise Basow, president and CEO of Clinical Effectiveness at Wolters Kluwer. Briana and Basow discussed the importance of uniting prescribers and pharmacists at the point of care and how this form of care can create more efficient and effective operations within health systems.
Real-World Evidence: A Reality Check
September 29, 2020
Can data mined from EHRs match that from the gold standard, randomized clinical trials?