Opioid Management Initiatives for 2019

Opioid Management Initiatives for 2019 By Yvonne Tso, Vice President   We are entering the second week of the new contract year. Has your CMS Account Manager (AM) scheduled a strategic conversation with you yet? The first topic on the agenda would most likely...

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...