Pharmacy Direct and Indirect Remuneration (DIR) Value-based Pharmacy Reimbursement Reduces Drug Costs for Medicare Beneficiaries, Lowers Spending. Pharmacy direct and indirect remuneration, or Pharmacy DIR, is a form of value-based contracting in Medicare Part D. Pharmacy DIR increases the quality
Mail-Service Pharmacy Many Americans rely on the mail service pharmacies operated by pharmacy benefit managers (PBMs). Mail-Service Pharmacies provide a convenient, reliable and affordable option for patients to safely access prescription drugs. How does mail-service pharmacy work? Patients may first
A recent blog (“Payers and PBMs Profit from Obscure Pharmacy Fees, While Seniors See No Relief in Prescription Costs”) suggests performance-based price concessions are retained by PBMs, restrict the growth of independent pharmacies, and inflate Medicare Part D enrollee’s out-of-pocket costs—unfounded
The Independent Pharmacy Marketplace Is Stable Over the last ten years, the number of independent retail pharmacies nationwide increased by 1,719 stores, or 8%. Over the last five years, the marketplace for independent pharmacies has experienced small fluctuations from year-to-year,
In case you missed it, an expert witness who testified before the U.S. House Committee on Oversight and Accountability during a hearing yesterday on pharmacy benefit companies underscored that misguided policies targeting pharmacy benefits will lead to higher prescription drug
A World Without Pharmacy Benefit Companies… …Means Employers Would Have to Go it Alone Pharmacy benefit companies play an important and unique role in the drug supply and payment chain. While they are best known for lowering drug costs through
In case you missed it, the National Institute for Public Employee Health Care Policy recently released a report, “How Public Sector Health Care Purchasers Are Addressing Rising Drug Costs.” According to the report, “Through pooled purchasing organizations, employers in the
President, PerformRx Jim Gartner is President of PerformRx, one of the nation’s leading pharmacy benefit management organizations. PerformRx offers comprehensive pharmacy benefit management services to improve health outcomes and lower overall health care costs for clients and their members. In
The Value of Pharmacy Benefit Management PBMs Create $145 Billion in Value Annually Groundbreaking research by University of Chicago Economics Professor Casey Mulligan describes the services that pharmacy benefit managers (PBMs) provide in the healthcare marketplace to patients, health plans,
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