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R.I.P rebate rule: Centerpiece plucked from Trump’s drug pricing blueprint

July 17th, 2019 | Posted in Uncategorized

BY STEVEN PORTER  |   Health Leaders Media An ambitious proposal that threatened to kill the rebates pharmacy benefit managers (PBM) negotiate with drug manufacturers has instead been left for dead. President Donald Trump decided to withdraw the rebate rule after a thorough review, a White House spokesperson told The Wall Street Journal and other news outlets Thursday morning. While the PBMRead More

Did a health plan deny a client care? You can fight back

July 17th, 2019 | Posted in Uncategorized

By Bernard J. Wolfson | Kaiser Health News Have you (or a client) ever stepped up to the pharmacy cash register only to learn your new prescription will cost you hundreds of dollars — instead of your typical $25 copay — because insurance doesn’t cover it? Or received a painfully high bill for a medical testRead More

Analysis: Azar tries to calm concerns over proposal’s impact on HIV drugs

January 16th, 2019 | Posted in Uncategorized

BY Steven Porter  |  HealthLeaders Media Health and Human Services Secretary Alex Azar sought to quell concerns recently that a drug pricing proposal announced in November could result in restricted access to HIV treatment. Some patient advocates have warned the Medicare Part D proposal also could undermine efforts to expand treatment for other serious conditions, including cancer. Public commentRead More

Hospital patient advocates should review written policies on handling patient grievances

July 20th, 2018 | Posted in Uncategorized

If you are a patient advocate working for a hospital, become thoroughly knowledgeable about your organization’s policy for handling patient grievances and follow it, otherwise your facility could face a citation from a CMS surveyor. In February, a hospital in West Virginia was cited under a Medicare Condition of Participation (CoP) regarding patient rights toRead More

New SAMHSA rule reduces required consent for substance abuse records

February 21st, 2018 | Posted in Uncategorized

Appropriate sharing of records for patients with substance abuse disorders should be easier under a second final rule issued Jan. 3 by HHS and its Substance Abuse and Mental Health Services Administration (SAMHSA). But in some cases, the new rule adds some considerations that might mitigate the advantage. Rules for handling patient records that includeRead More

End-of-life advice: More than 500,000 chat on Medicare’s dime

August 15th, 2017 | Posted in Uncategorized

By JoNel Aleccia | Kaiser Health News The 90-year-old woman in the San Diego-area nursing home was quite clear, said Dr. Karl Steinberg. She didn’t want aggressive measures to prolong her life. If her heart stopped, she didn’t want CPR. But when Steinberg, a palliative care physician, relayed those wishes to the woman’s daughter, the younger womanRead More

Navigating Aging: Project creates playbook for managing problems in the last chapter of life

March 14th, 2017 | Posted in Consumer Focus, Long-Term Care, Patient Tools, Quality Care, Uncategorized

By Judith Graham | Kaiser Health News CHICAGO — At least once a day, Dr. Lee Ann Lindquist gets an urgent phone call. “Mom fell and is in the hospital,” a concerned middle-aged son might report. “Dad got lost with the car, and we need to stop him from driving,” a distraught middle-aged daughter may explain.Read More