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Analysts to examine why seniors enroll in MA-PD plans
The Medicare Payment Advisory Commission (Medpac) is conducting a survey to find out what factors have prompted Medicare beneficiaries to join or not join a Medicare drug plan. The aim is to learn more about what information and educational strategies are most useful in choosing a specific plan—including what may influence the selection of a stand-alone prescription drug plan (PDP) or a Medicare Advantage plan (MA-PD).
WASHINGTON, D.C.-The Medicare Payment Advisory Commission (Medpac) is conducting a survey to find out what factors have prompted Medicare beneficiaries to join or not join a Medicare drug plan. The aim is to learn more about what information and educational strategies are most useful in choosing a specific plan-including what may influence the selection of a stand-alone prescription drug plan (PDP) or a Medicare Advantage plan (MA-PD).
Medpac staffers plan to conduct a national telephone survey this spring to assess how well seniors are aware of the drug benefit, what are their sources of information and whether the Medicare phone information system and online Plan Finder program are useful.
This survey will be supplemented by longer interviews with staffers at state assistance programs, senior centers and beneficiary advocacy organizations about their experience educating dual eligibles and others with special needs about their drug coverage options. Medpac also plans to form focus groups of seniors who have and have not yet enrolled in plans. The groups will cover areas of both high-and low-MA-PD penetration. Dual eligibles also will be included.
A Conversation With Greg Baker, RPh, CEO of AffirmedRx
March 31st 2024Greg Baker, CEO of AffirmedRx, describes his early career, shares some of his critical opinions about the pharmacy benefit management (PBM) industry and how, in his view, his company is offering a better alternative.
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David Calabrese of OptumRx Talks New Role, Market Insulin Prices and Other Topics 'On His Mind'
April 13th 2023In this month’s episode of the "What's On Your Mind podcast," Peter Wehrwein, managing editor of MHE connects with the now Chief Clinical Officer of OptumRx Integrated Pharmacies, David Calabrese. In this conversation, David touches on his transition in January as OptumRx’s former chief pharmacy officer and market president of health plans and PBMs to his new role as Chief Clinical Officer where he now focuses more on things such as specialty pharmacy to home delivery — with an overall goal of creating whole-patient care. Throughout the conversation, Calabrese also touched on the market’s hot topic of insulin prices and behavioral health services within the OptumRx community, among other topics.
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Florida Gets the OK. But Will Drug Importation from Canada Actually Happen?
March 5th 2024Canadian health officials warn that maintaining a drug supply for Canadians is their priority. The staunch opposition of the U.S. pharmaceutical industry may also be an obstacle to imports from north of the border.
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Briana Contreras, editor of Managed Healthcare Executive, spoke with Nancy Lurker, CEO and president of EyePoint Pharmaceuticals. Nancy shared a bit about EyePoint and how the organization’s innovative therapies are addressing patient needs through eye care, and most importantly, she addressed C-Suite positions like the CEO role. Nancy shared advice for those seeking to reach the CEO level, especially toward women in healthcare and other roles, and what it takes to run a biopharma company.
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What Payers Need to Know As Retail Pharmacies Move Into Primary Care
September 6th 2023Healthcare beyond the doors of the doctor’s office has the potential to offer more care to more people. But payers need to think about how to ensure that care is consistent. Regardless of the setting, care decisions must be based on evidence-based content and supported with strong patient education.
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