From Specialty Pharmacy News - Although health insurance exchanges have been live for just a little more than a month, one association has heard from oncologists and cancer patients alike that there has been some disruption of care. In response, the Community Oncology Alliance (COA) has formed a working group to try to determine the extent of the issues and then disseminate information about them to providers. Soon after the start of exchanges, an early trend was that with “insurers making networks very narrow, we’re seeing practices left out of networks,” says Ted Okon, executive director of COA. Read more
From Drug Benefit News - Audits and market checks are two tools that plan sponsors can use to ensure that they’re not overpaying for certain elements of their pharmacy benefit. Moreover, plans may be able to achieve greater savings in future contracts with that PBM, which in turn benefits by maintaining long-term partnerships. Read more
From Drug Benefit News - Insurers, PBMs and pharmacies have myriad ways to make sure patients physically obtain their medications, from monitoring patients at the point of sale to automatic mail-order refills. But how can anyone be sure what happens once the patient is at home with that medication? “That’s the piece that has always been missing in medication adherence,” observes Mesfin Tegenu, R.Ph., president of PerformRx, LLC, a wholly owned subsidiary of the AmeriHealth Caritas… Read more
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