PatientEngagementHIT

Prescription drug spending

Using Patient-Provider Communication for Antibiotic Stewardship

December 5, 2018 - As the healthcare industry continues to explore the meaning of quality in healthcare, an examination of antibiotic stewardship may come to the forefront. But as antibiotic prescriptions are shown to correlate with patient satisfaction, providers will need to lean on their patient-provider communication skills to address over-prescribing. Over-prescribing is prevalent in all areas of...


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Part D Drug Price Proposal Could Limit Patient Access to Care

by Sara Heath

Utilization management strategies such as formulary tiers and copayments serve as significant barriers to Medicare Part D drugs for many patients managing serious illness, according to a new report conducted by Avalere Health on behalf of...

CMS Drug Price Proposal Aims to Cut Out-of-Pocket Patient Spending

by Sara Heath

CMS has proposed a new drug price model for Medicare Parts C and D that will ideally reduce out-of-pocket patient spending. The policies, which if approved would go into effect in 2020, would impact Medicare Advantage and Medicare Parts C...

Health Payer Incentive Program Supports Patient Drug Price Shopping

by Sara Heath

UnitedHealthcare has announced plans to offer a rewards program for patients who seek out lower-cost drug options. This comes as part of the health plan’s efforts to put a cap on prescription drug spending and empower patients to...

HHS Drug Payment Proposal May Cut Out-of-Pocket Patient Costs

by Sara Heath

HHS has unveiled the International Pricing Index (IPI), a proposed payment model that would allow Medicare to set drug prices at rates closer to those in other developed nations. This move has the potential to reduce out-of-pocket patient...

Breaking Down HHS Drug Advertisement, Price Transparency Proposal

by Sara Heath

A storm is brewing between the Department of Health & Human Services and the pharmaceutical industry, as experts on both sides debate drug advertisements and requirements for consumer-centered price transparency. Causing the debate is...

Gag Clause Bills Signed into Law, Improves Healthcare Transparency

by Sara Heath

President Trump has signed into law two bills that prohibit pharmacy gag clauses, or the practice of prohibiting pharmacy and healthcare transparency. The laws – one targeted at Medicare plans and one for private and...

Patients Say US Drug Prices “Unreasonable,” Need Gov’t Attention

by Sara Heath

Seventy-seven percent of patients believe US drug prices are “unreasonable,” but most don’t approve of current government solutions to combat high drug costs, according to a recent survey conducted by NORC at the...

How to Improve PBM Practices to Boost Patient Access to Care

by Sara Heath

Pharmacy benefit manager (PBM) companies need to retool their strategies to improve cancer patient access to care, according to a recent position paper published by the American Society of Clinical Oncology (ASCO). The paper, published on...

Senate Moves Toward Drug Price Transparency in Consumer Ads

by Sara Heath

Better drug price transparency in direct-to-consumer marketing plays a key role in a funding package that has recently passed in the Senate. In a bipartisan amendment funding both the Health, Education, Labor, and Pensions (HELP) and...

How Medication Overutilization Drives Out-of-Pocket Healthcare Costs

by Sara Heath

Medication overutilization is costing patients thousands of dollars in out-of-pocket healthcare costs, according to a recent report from the AARP. Specifically, unnecessarily prolonged prescription of dementia medications is running up a...

Retail Chain Deals to Improve Patient Care Access, Care Coordination

by Sara Heath

A new partnership between healthcare payer Anthem and Walmart will improve patient care and more affordable access to over-the-counter (OTC) medications. The program, set to launch in January 2019, will allow beneficiaries of...

Patient Groups Advocate Patient Access to Care in Drug Blueprint

by Sara Heath

The Department of Health & Human Services’ drug pricing blueprint presents numerous opportunities to lower drug prices, but the agency should be wary of changes that would restrict patient access to care, the American Cancer...

CMS Proposed Rule to Let Patients Access Care at Preferred Sites

by Sara Heath

CMS has proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) to create site-neutral payments, thus allowing senior patients to access the care they need in their preferred care site. Creating site-neutral...

Patient Advocates Call for Drug Price Transparency in HHS Blueprint

by Sara Heath

The Department of Health & Human Services’ plans to reduce out-of-pocket patient costs and address rising drug costs is on the right track, but requires some fixes to better guide patients when purchasing their medications,...

Patients Support Efforts to Cut Out-of-Pocket Drug Costs for Seniors

by Sara Heath

Patients largely support legislative measures that would stabilize the Medicare Part D program, stating that such measures could reduce rising patient financial responsibility and out-of-pocket drug costs, according to a Morning Consult...

Generic Prescription Drug Prices, Patient Cost-Sharing Increase

by Sara Heath

Medicare Part D beneficiaries are paying more for generic prescription drugs, despite the fact that the market price for those drugs has remained unchanged, according to an analysis from Avalere. This trend is likely due to the tier these...

Clinician Org Says Trump Drug Price Plan Harms Patient Care Access

by Sara Heath

Physicians are harboring concerns that the Trump Administration’s recently-announced plans to revamp prescription drug pricing will harm patient care access, increase patient costs, and reduce overall care quality, according to a...

Trump Calls for Drug Price Transparency to Lower Patient Health Costs

by Sara Heath

Drug price transparency and reducing out-of-pocket patient costs were at the forefront of President Donald Trump’s remarks on drug pricing today. “One of my greatest priorities is to reduce the price of prescription drugs. In...

CVS Health Hosts Tool Cutting Out-of-Pocket Patient Costs for Meds

by Sara Heath

CVS Health and its pharmacy benefits manager (PBM) CVS Caremark has launched a new tool that will help patients, payers, and providers connect patients with medications at the lowest possible cost, ideally reducing out-of-pocket patient...

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