Step Therapy for Part B Drugs

Step Therapy for Part B Drugs By Yvonne Tso In May 2018, the Trump administration announced four key strategies to tackle the rising costs of drugs for payors and consumers who have copays or other cost shares for prescription drugs. In an effort to operationalize the...

Combating Fraud, Waste and Abuse – Are You Compliant?

Combating Fraud, Waste and Abuse – Are You Compliant?Fraud and abuse cost our nation billions in wasteful payments. 1 They drain resources from care for the needy (e.g., elderly and indigent beneficiaries of government programs), contribute to rising health care...

Managing Drug Costs the Analytical Way

Managing Drug Costs the Analytical Way By Yvonne Tso, PharmD, MBA The revised annual percentage increase for Part D reported by the Centers for Medicare & Medicaid Services shows a reversal in 2015, after six consecutive years of decline between 2007 and 2013 and...