What is the 340B Drug Pricing Program?

The 340B Drug Pricing Program allows for some healthcare facilities to acquire drug products from manufacturers at a substantially lower cost. This program stretches federal resources to expand access to communities. The discount drug products will provide therapy to patients who cannot afford them.  According to the Health Resources and Services Administration (HRSA), enrolled facilities […]

The Impact of Non-Medical Switching

Non-medical switching is a discussion that happens every day for some physicians. Insurance companies and P&T committees change formularies resulting in therapy changes. Patients have to endure these changes or pay the difference.  We are approaching that time of year when we begin to see more of these formulary changes. Patients purchased their insurance plans […]

What is White Bagging?

White bagging is a process for providers to receive medication from a specialty pharmacy directly. This is in lieu of buy and bill or brown bagging practices. Previously, we discuss Buy and Bill and brown bagging in a physician practice. In the blog we go over what the benefits and challenges of Buy and Bill […]

What is Brown Bagging?

Typically, we think of brown bags when we think of school lunches. As kids, we would go to school with our brown bags with what our mothers may have made for us. Depending on the time and location of your primary education, the brown bag lunch is a daily practice of pride or shame. Especially […]

What is Buy and Bill?

Buy-and-bill is a process for physician offices to acquire medications that providers can administer in the office. The “buy” part refers to providers who are responsible for ordering and purchasing the drug. The “bill” part refers to providers billing directly to third-party payers for reimbursement.  In addition, through this system, the provider also takes on […]

4 Lessons Learned in Access & Reimbursement

Patient access and reimbursement is a unique role as it functions between patients, providers, and payers. Being able to navigate the payer policies and get patients access to much needed therapy comes with valuable knowledge.  As reimbursement and patient access does right by patients, there are lessons to be learned and shared with the rest […]

Field Reimbursement Manager: A Day in the Life with Deena

A field reimbursement team is an extension of a provider team, advocates, and navigators. With skills and experience in coverage and access support, field reimbursement professionals can provide additional knowledge and support with healthcare offices daily.

Telehealth and You: The Future of Healthcare

Since the inception of the COVID-19 pandemic, telehealth has been a huge topic of discussion. We see surveys and data on telehealth regularly as the industry forges ahead with technology. Some say that the implementation of virtual engagement at this scale was expected in the next ten years. But the change happened in a few […]

5 Challenges for Patient Access in 2021

Patient access is at the forefront of healthcare policy and mainstream media as the pandemic and vaccination distribution continues.  In 2020, we saw vast attention on prior authorization, patient access, and related-issues making appearances in healthcare policy. We saw time spent on Step Therapy, Copay Accumulators, Prior Authorizations, and Out-of-Pocket Costs at the local and […]

What is a Managed Care Pharmacist?

Managed care is a method for optimizing patient health using evidence-based medication strategies. The purpose is to enhance the quality of healthcare for all patient populations while reducing the cost. Managed care is beneficial for patients and the health care system when used appropriately. Although certain aspects may be tedious and limiting, managed care plays […]