Policy & Medicine

CCO MATE ACT DEA Resource Center Includes, Courses, Frequently Asked Questions…

Thomas Sullivan Jun 5, 2023 0

In December 2022, congress passed the MATE Act which starting June 27, 2023 will require all DEA certificate holders to have completed eight (8) hours of education on the diagnosis, management and treatment of patients with opioid and other substance abuse disorders in order to register for their DEA certificates. In an effort to assist…

Policy and Medicine Compliance Update May 2023 Issue…

Thomas Sullivan May 13, 2023 0

Policy and Medicine Compliance Update April 2023 Issue…

Thomas Sullivan Apr 15, 2023 0

CCO MATE ACT DEA Resource Center Includes, Courses, Frequently…

In December 2022, congress passed the MATE Act which starting June 27, 2023 will require all DEA certificate holders to have completed eight (8) hours of education on the diagnosis, management and…

OPDP: No More Untitled Letters?

Today marks one year since the Food and Drug Administration (FDA) Office of Prescription Drug Promotion (OPDP) issued an Untitled Letter. That letter, issued on June 2, 2022, to Althera…

PhRMA Releases Report on Global Prescription Drug Access

The Pharmaceutical Research and Manufacturers of America (PhRMA) recently published a new report that analyzes the share of new medicines available in more than 70 countries and how long patients…

The Impact of COVID-19 Years on the ACO REACH Model

The impact of the COVID-19 pandemic on accountable care organizations (ACOs) has yet to be determined, but according to the National Association of ACOs (NAACOS) and based on preliminary analysis from…

PhRMA Focuses on Other Important Health Care System Improvements

The Pharmaceutical Research and Manufacturers of America (PhRMA) recently published a new page on their website covering the Cost and Value of Medicines. PhRMA notes that while changes might be…

Pioneer Institute Issues White Paper on Impact of PBMs and Copay…

The Pioneer Institute recently released a white paper that examines the impact of pharmacy benefit managers (PBMs) and copay accumulator and maximizer programs have on the ability of patients living…

AMA Survey Finds that Prior Authorization Harms Patient Care

A recent physician survey found that the prior authorization process exceeds the benefit of the process to patients, according to a physician survey conducted by the American Medical Association.…

HHS OIG Releases Telehealth HHS OIG Toolkit

HHS OIG has said that during 2020, the use of telehealth services increased dramatically, with Medicare beneficiaries using 88 times more telehealth services in that year than the year prior.…

CMS Outlines Medicare Drug Price Negotiation Program for 2026

On March 15, 2023, CMS released initial guidance detailing the requirements and parameters on key elements of the new Medicare Drug Price Negotiation Program for 2026, which is the first year that…

CMS Releases 2024 MA Capitation Rates and Part C and D Payment…

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2024 Medicare Advantage Capitation Rates and Part C and Part D Payment Policies (Rate…

Ongoing Litigation Over ACA Provisions that Mandate Health…

On March 30, 2023, the U.S. District Court for the Northern District of Texas vacated actions taken by HHS to implement provisions of the Affordable Care Act (ACA) that require health insurance plans…

Medical Societies Support Legislation Aimed at Updating Medicare

The American Medical Association (AMA) led a coalition of more than 120 state medical societies and medical specialties in submitting a supporting letter on H.R. 2474, Strengthening Medicare for…