DateTime Object ( [date] => 2022-08-09 16:37:15.889922 [timezone_type] => 3 [timezone] => UTC )
  • Georgia State Representative David Knight & GPhA Greg Reybold | PBM Reform Podcast Series

    Georgia Gov. Brian Kemp (R) has signed three innovative PBM reform bills into law. HB 946 and SB 313 require the reporting of drugs paid 10 percent above and 10 percent below National Average Drug Acquisition Cost every four months, prohibit PBMs from tying a pharmacy’s drug reimbursement to a patient’s health outcomes, and require PBMs to offer drug coverage plans that do not include spread pricing and plans that allow plan sponsors to receive 100 percent of rebates negotiated by PBMs.  HB 918 strengthens existing anti-steering provisions and the Pharmacy Audit Bill of Rights. Congratulations to the Georgia Pharmacy Association and all pharmacy advocates for these wins which will protect pharmacies, patients, and payers.  Guests: Georgia State Representative David Knight Greg Reybold Vice President of Public Policy and Association Counsel Hosted by Lauren (Colee) Young  Sponsored by The Georgia Pharmacy Association & Pharmacists United for Truth and Transparency (PUTT)    http://www.gpha.org/membership/  See omnystudio.com/listener for privacy information.

    DateTime Object ( [date] => 2022-08-09 16:37:17.624681 [timezone_type] => 3 [timezone] => UTC )
    Array ( [id] => c699bace-09e6-11ed-8a82-e315dbe64840 [createdAt] => 2022-07-22T12:50:29.674-05:00 [updatedAt] => 2022-07-22T12:56:57.527-05:00 [title] => Congressman Buddy Carter and General Counsel of NCPA Matthew Seiler on PBM Reform [pubdate] => 2022-07-22T12:49:58.000-05:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/c699bace-09e6-11ed-8a82-e315dbe64840/image/PBM_Reform__2_.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => [episodeNumber] => [subtitle] => [summary] =>

    Congressman Buddy Carter and General Counsel of NCPA Matthew Seiler on PBM Reform. On this episode of the 'PBM Reform Podcast' we discuss the Pharmacy Benefit Manager (PBM) Transparency Act of 2022 (the Act) was recently proposed in the U.S. Senate and intends to incentivize “fair and transparent” PBM practices, prohibit spread pricing and claw backs of payments to pharmacies, and empower the Federal Trade Commission (FTC) and state attorneys general in enforcement actions to stop “unfair and deceptive” PBM business practices.

    The Act was introduced by Senators Maria Cantwell Chuck Grassley on May 24, 2022, and was approved by the Commerce Committee with bipartisan support (19-9) on June 22, 2022. This summary provides a high-level overview of the Act’s key measures.

    Prohibition on Unfair or Deceptive Prescription Drug Pricing Practices

    The Act would make it illegal for PBMs to:

    • Engage in “spread pricing,” which is described as charging a health plan or payer a different amount for a prescription drug’s ingredient cost or dispensing fee than the amount the PBM reimburses a pharmacy for the prescription drug’s ingredient cost or dispensing fee where the PBM retains the amount of any such difference;
    • Arbitrarily, unfairly, or deceptively reduce or rescind (a.k.a. “claw back”) any portion of the reimbursement payment to a pharmacist or pharmacy for a prescription drug’s ingredient cost of dispensing fee; or
    • Arbitrarily, unfairly, or deceptively increase or lower fees and reimbursements to a pharmacy to offset reimbursement changes under any federally funded health plan.


    The Act would incentivize transparency by stating that a PBM shall not be in violation of the Act if the PBM passes through 100% of price concessions to a health plan or payer and provides complete disclosure of:

    • The cost, price, and reimbursement of prescription drugs to each health plan, payer, and pharmacy;
    • All fees, markups, and discounts the PBM charges or imposes on each health plan, payer, and pharmacy; and
    • The aggregate remuneration PBM receives from drug manufacturers, including nay rebate, discount, administration fee, and any other payment or credit obtained or retained by PBM.


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  • Congressman Buddy Carter and General Counsel of NCPA Matthew Seiler...
  • Array ( [id] => 05fe2c30-f183-11ec-9dd0-63a6b5ebf843 [createdAt] => 2022-06-21T11:55:58.449-05:00 [updatedAt] => 2022-07-08T16:44:55.546-05:00 [title] => What's the Impact of the Pharmacy Benefit Manager Transparency Act of 2022 | PBM Reform Podcast [pubdate] => 2022-06-21T23:00:00.000-05:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/05fe2c30-f183-11ec-9dd0-63a6b5ebf843/image/PBM_Reform__3_.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => [episodeNumber] => [subtitle] => [summary] =>

    Senator Chuck Grassley (R-Iowa) and Maria Cantwell (D-Wash.) introduced the Pharmacy Benefit Manager Transparency Act of 2022 on May 24, which would make it illegal for PBMs to engage in “spread pricing.” Spread pricing occurs when PBMs charge health plans and payers more for a prescription drug than what they reimburse to the pharmacy — and then keep the difference. For example, when a pharmacist fills a prescription, a PBM handles the process, informing the pharmacy it will be reimbursed $90. 


    The PBM then charges the health insurance plan $100 for processing the same prescription. The spread of $10 is pocketed by the PBMs. Related: New PBM players banking on drug pricing transparency for success The bipartisan legislation would empower the Federal Trade Commission (FTC) to increase drug pricing transparency and hold pharmacy benefit managers (PBMs) accountable for unfair and deceptive practices that drive up the costs of prescription drugs at the expense of consumers. 


    It also would prohibit arbitrary clawbacks of payments made to pharmacies and require PBMs to report to the FTC how much money they make through spread pricing and pharmacy fees.


    SCPC, CEO, Alan Rosenbloom & Senior Director, Regulatory Policy at APhA, Michael Baxter join Todd Eury with the Pharmacy Podcast Network to discuss the impact of the Pharmacy Benefit Manager Transparency Act of 2022 on the Pharmacy Profession.

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  • Senator Chuck Grassley (R-Iowa) and Maria Cantwell (D-Wash.) introduced the...
  • Array ( [id] => 27fec00c-a538-11ec-b5d3-9f58e2d72253 [createdAt] => 2022-03-16T09:48:34.869-05:00 [updatedAt] => 2022-07-08T16:44:57.324-05:00 [title] => Pennsylvanians Suffer while Pharmacy Middlemen Profit | PBM Reform Podcast Series [pubdate] => 2022-03-31T23:01:00.000-05:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/27fec00c-a538-11ec-b5d3-9f58e2d72253/image/Podcast_Donna_RxIcons_.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => [episodeNumber] => [subtitle] => [summary] =>

    Pennsylvanians suffer while pharmacy middlemen profit

    By Suzanna Masartis

    Pennsylvanians are getting crushed by the costs they face at their neighborhood pharmacy counter. The situation has grown so bad that a shocking one in five Keystone State residents report they are unable to take their medications as prescribed due to the cost burden.[1]

    As a lawmaker and an advocate who speaks to patients in Pennsylvania every day with liver disease, diabetes and other chronic conditions, I am convinced more strongly than ever that we need to reform the prescription drug supply chain.

    To understand how we got here we need to understand what’s driving increasing costs. A new report found that, in 2020, manufacturers of brand-name and generic medications received only 37 cents of each dollar of the more than $680 billion spent on medications. If you look exclusively at manufacturers of brand-name medications, the drug makers are taking in just under 50 cents on the dollar. So where is the money going? Turns out that it’s little-known middlemen corporations, Pharmacy Benefit Managers (PBMs), that are taking a bigger and bigger share of the pie.[2]

    PBMs were created to negotiate with insurers and drug manufacturers and establish which prescription drugs are covered by a health plan. In reality, they demand steep discounts from drug makers off of the original list price as a condition to include those drugs on the approved list of medications – and then keep the savings for themselves. But here's the real rip-off: Patients at the pharmacy counter still face co-insurance charges based on the list price -- not the discounted price insurers actually pay. In other words, PBMs are enriching themselves while hiking prices for the rest of us. {3}

    Worse still, PBMs manipulate their powerful market position to reduce the availability of prescription medications by excluding them from formularies. PBMs make their money when they demand exorbitant rebates from drugmakers and charge patients full cost, meaning they prefer to include drugs with higher list prices on their formulary over an equally effective drug with a lower list price. As a result, a number of drugs are excluded from formularies because PBMs can’t make as much money from them. In 2020, the three largest PBMs excluded 846 FDA-approved drugs, denying patients access to more medications than ever before.

    This market manipulation has disastrous results for patients. A study published last year found that these practices, called “drug utilization management,” can lead patients to abandon their prescribed medications and delay treatment. Approximately 20% of prescriptions in the U.S. are never filled, according to the study.[4] This outcome is simply unacceptable, and our leaders need to take action.

    Congress needs to ensure that any attempt to rein in out-of-pocket prescription drug costs includes taking a close and hard look at PBMs. Doing so would go a long way toward ensuring every patient and healthcare consumer in our state can access and afford to take their medications as prescribed by their doctor.

    Suzanna Masartis of Pittsburgh is the CEO of the Community Liver Alliance.

    [1]https://www.healthcarevaluehub.org/advocate-resources/publications/pennsylvania-residents-worried-about-high-drug-costs-support-range-government-solutions

    [2]https://ecommunications.thinkbrg.com/44/2328/uploads/brg-pharmaceutical-supply-chain-2022.pdf?intIaContactId=24HydQaSTYqd85tTztTDcQ%3d%3d&intExternalSystemId=1

    [3] https://www.fiercehealthcare.com/payer/study-drug-utilization-costs-health-industry-93b-a-year-patients-bearing-most-cost

    [4] https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2021.00036

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  • Pennsylvanians suffer while pharmacy middlemen profitBy Suzanna MasartisPennsylvanians are getting...
  • Array ( [id] => 3ce53c0c-aaac-11ec-aac9-97d430637b17 [createdAt] => 2022-03-23T08:22:07.386-05:00 [updatedAt] => 2022-07-08T16:44:59.314-05:00 [title] => Therapeutic Alternatives, Reimbursements, and the Economic Impact of ActiveRADAR | PBM Reform Podcast Series [pubdate] => 2022-03-23T08:22:53.000-05:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/3ce53c0c-aaac-11ec-aac9-97d430637b17/image/ActiveRADAR_PBM_Reform_Podcast.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => [episodeNumber] => [subtitle] => [summary] =>

    Dave Teckman, Executive Chairman at ActiveRADAR joins the PBM Reform Podcast series about the impact of therapeutic interchange technologies on PBM pricing & the powerful data at the pharmacist's fingertips with ActiveRADAR.

    Through rigorous clinical evaluation of all drugs in over 112 therapeutic categories, ActiveRADAR first establishes which drugs are clinically equivalent and therefore therapeutic alternatives to one another. This creates our Clinical Catalog of over 26,000+ therapeutically equivalent “perfect pairs”. Then ActiveRADAR determines the economic value using plan specific data to value each drug within its respective therapeutic class and sets pricing and reimbursement accordingly. This type of program has historically been called “reference pricing”, however ActiveRADAR takes it a step further by establishing both THE CLINICAL AND ECONOMIC VALUE OF EACH AND EVERY DRUG IN EACH THERAPEUTIC DRUG CLASS.

    About ActiveRadar:

    ActiveRADAR, formerly RxTE Health, is a healthcare analytics and patient education company providing unique data-driven, cost-saving customized prescription options. Using proprietary technology, ActiveRADAR identifies the lowest cost prescription options.

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  • Dave Teckman, Executive Chairman at ActiveRADAR joins the PBM Reform...
  • Array ( [id] => a8a6cad6-6273-11ec-8cc1-afde341fc5eb [createdAt] => 2021-12-21T09:35:43.073-06:00 [updatedAt] => 2022-07-08T16:45:02.317-05:00 [title] => The Public Deserves the Truth about Pharmacy Benefit Managers with Madelaine A. Feldman, MD, FACR [pubdate] => 2022-02-28T10:11:01.000-06:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/a8a6cad6-6273-11ec-8cc1-afde341fc5eb/image/Madelaine_A._Feldman__MD__FACR_Red.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => [episodeNumber] => [subtitle] => [summary] =>

    Madelaine A. Feldman, MD, FACR

    Dr. Madelaine Feldman is a rheumatologist in private practice with The Rheumatology Group in New Orleans, LA. She is President of the Coalition of State Rheumatology Organizations, Chair of the Alliance for Safe Biologic Medicines and past member of the American College of Rheumatology insurance subcommittee.

    Dr. Feldman is a Clinical Assistant Professor of Medicine at Tulane University School of Medicine, and lectures extensively to patients, physicians, regulators, and legislators both locally and nationally, speaking before the Health subcommittee of Energy and Commerce in 2019.  She has spoken and written on the drug supply channel, particularly the effect that formulary construction and utilization management tools have on pricing and access to drugs (availability & affordability).

    Dr. Feldman is honored to be the recipient of the American College of Rheumatology's 2021 Innovation in Clinical Care award. She received the Distinguished Service Award for Tulane Medical School, was named one of the Top Women in New Orleans by City Business in 2017 and is the former radio talk show host of “Driving with Dr. Mattie.”

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  • Madelaine A. Feldman, MD, FACRDr. Madelaine Feldman is a rheumatologist...
  • Array ( [id] => 6536e594-1faa-11ec-9fdb-a73b86230e29 [createdAt] => 2021-09-27T10:48:44.359-05:00 [updatedAt] => 2022-07-08T16:45:00.930-05:00 [title] => Leaders in Pharmacy & Medical Communities Speak Out Against Damaging PBM Practices | PBM Reform [pubdate] => 2021-10-07T13:05:12.000-05:00 [link] => [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/6536e594-1faa-11ec-9fdb-a73b86230e29/image/PBM_Reform_Podcast_Mel_Brodsky.png?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1439 [subtitle] => [summary] =>

    Speaking to the Pharmacy Podcast Network, Dr. Marion Mass, a pediatrician, patient advocate and founding member of the Practicing Physicians of America, spoke about the original intent of PBMs, which started in 1968, and what they’ve become today.

    “PBMs were created with the vision that they would act like giant drug-buying networks, with their buying power cutting health care costs and consumers realizing the savings in the end. However, through consolidation, three companies now control 90 percent of the market,” she said.

    Dr. Mass further explained, “This unhealthy market share has led to an unhealthy control over formularies,” which can cause life-and-death situations for her young patients. “Patients are at risk of death or harm when drugs such as chemotherapies, antibiotics, epinephrine and anesthetics are not available.”

    Pharm D Mel Brodsky, executive director of the Philadelphia Association of Retail Druggists and former CEO of the Keystone Purchasing Alliance, explained, “This outsized market share takes advantage of drug manufacturers, pharmacists and, most importantly, patients. The result is a net negative for all parties except for the large PBMs.”

    In his estimation, the net result of this imbalance “has led to an erosion of the doctor-patient relationship and a decimation of Main Street pharmacists throughout the nation.”

    “With the current system in place, independent pharmacists are being squeezed to the point that many jump when the large groups offer to buy them out. With the depletion of community pharmacists comes the loss of personal touch and a watered-down version of health care to patients,” Brodsky said. 

    Both participants agreed that action must be taken on the federal level, citing Pennsylvania Sens. Bob Casey and Pat Toomey’s abilities to rein in the large PBM market imbalance

    Our Guests: 


    Dr. Marion Mass. Dr. Mass is a pediatrician in the Philadelphia suburbs. She received her medical degree from Duke University School of Medicine and has been in practice for more than 20 years. She is the co-founder of Practicing Physicians of America - and leadership in the Free2Care coalition-a consortium of grassroots physician advocacy groups that believe that the key to good care starts with the relationship between a patient and their doctor. She sits on the editorial board of the Bucks County Courier, Times and is a member of the Bucks County Health Improvement Partnership.


    Mr. Mel Brodsky is the Executive Director of the Philadelphia Association of Retail Druggists (PARD), an association of community pharmacies representing 250 independently owned pharmacies in Southeast Pennsylvania. PARD works closely with State Associations like the Pennsylvania Pharmacists Association (PPA). Mr. Brodsky is also CEO of the Keystone Pharmacy Purchasing Alliance, headquartered in Philadelphia with 400 member stores in 5 States. Mel has an amazing understanding of how PBMs impact the effectiveness and growth of vital healthcare service providers like Community Pharmacies.  

    [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/6536e594-1faa-11ec-9fdb-a73b86230e29/stripped_1631a5fb37344b82dd3995244b5e76e3.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN3025112282.mp3 [size] => 87299134 [duration] => 2728.1 [uid] => CSN3025112282 [originalUrl] => [bitrate] => 256 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/6536e594-1faa-11ec-9fdb-a73b86230e29/id3/362e65fa0ad10c4ed5399d90a3973cad.mp3 [id3FileProcessing] => [id3FileSize] => 115797 [parentId] => [guid] => [pubdateTimezone] => Eastern Time (US & Canada) [originalFilename] => Mel | PBM Reform.mp3 [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-10-07T11:08:27.034-05:00 [draft] => [externalId] => [cleanTitle] => [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( [0] => Business ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Speaking to the Pharmacy Podcast Network, Dr. Marion Mass, a...
  • Array ( [id] => f89ea5c0-e895-11eb-9005-7b2daa18cb1c [createdAt] => 2021-07-19T08:33:58.332-05:00 [updatedAt] => 2021-07-19T08:50:23.425-05:00 [title] => Never Pay the First Bill | PBM Reform Podcast Series [pubdate] => 2021-06-17T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/never-pay-the-first-bill-pbm-reform-podcast-series [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/f89ea5c0-e895-11eb-9005-7b2daa18cb1c/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1354 [subtitle] => Special interview w/  award-winning ProPublica reporter Marshall Allen, a primer for anyone who wants to fight the predatory health care system--and win. We welcome back two patriots in PBM Reform on the interview w/ Marshall.  Monique Whitney - CEO of Pharmacists United for Truth & Transparency and PUTT President and Pharmacy Owner Scott Newman.   Every year, millions of Americans are overcharged and underserved while the health care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. At least, this is what the health care power players want you to think. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair, and shows how you can, too. He reveals the industry's pressure points and how companies and individuals have fought overbilling, price gouging, insurance denials, and more to get the care they deserve. Laying out a practical plan for protecting yourself against the system's predatory practices, Allen offers the inspiration you need and tried-and-true strategies such as: Analyze and contest your medical bills, so you don't pay more than you should Obtain the billing codes for a procedure in advance Write in an appropriate treatment clause before signing financial documents Get your way by suing in small claims court Few politicians and CEOs have been willing to stand up to the medical industry. It is up to the American people to equip ourselves to fight back for the sake of our families--and everyone else. See omnystudio.com/listener for privacy information. [summary] => Special interview w/  award-winning ProPublica reporter Marshall Allen, a primer for anyone who wants to fight the predatory health care system--and win. We welcome back two patriots in PBM Reform on the interview w/ Marshall.  Monique Whitney - CEO of Pharmacists United for Truth & Transparency and PUTT President and Pharmacy Owner Scott Newman.   Every year, millions of Americans are overcharged and underserved while the health care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. At least, this is what the health care power players want you to think. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair, and shows how you can, too. He reveals the industry's pressure points and how companies and individuals have fought overbilling, price gouging, insurance denials, and more to get the care they deserve. Laying out a practical plan for protecting yourself against the system's predatory practices, Allen offers the inspiration you need and tried-and-true strategies such as: Analyze and contest your medical bills, so you don't pay more than you should Obtain the billing codes for a procedure in advance Write in an appropriate treatment clause before signing financial documents Get your way by suing in small claims court Few politicians and CEOs have been willing to stand up to the medical industry. It is up to the American people to equip ourselves to fight back for the sake of our families--and everyone else. See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f89ea5c0-e895-11eb-9005-7b2daa18cb1c/stripped_34774585ea666482c52276611080de29.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN6193225139.mp3 [size] => 49506011 [duration] => 3094.13 [uid] => CSN6193225139 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/f00f439f-857a-4e08-9173-ad4900f3494c/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f89ea5c0-e895-11eb-9005-7b2daa18cb1c/id3/b0e3efbb02bfe238db1fed0a89e0f3b8.mp3 [id3FileProcessing] => [id3FileSize] => 57414 [parentId] => [guid] => f00f439f-857a-4e08-9173-ad4900f3494c [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:20.880-05:00 [draft] => [externalId] => [cleanTitle] => Never Pay the First Bill | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Special interview w/  award-winning ProPublica reporter Marshall Allen, a primer for...
  • Array ( [id] => f8d0aef8-e895-11eb-9005-dbb9348001b4 [createdAt] => 2021-07-19T08:33:58.658-05:00 [updatedAt] => 2021-07-19T08:50:21.942-05:00 [title] => Study Finds Potential for Billions in Prescription Drug Savings with Transparent Pricing Practices | PBM Reform Podcast [pubdate] => 2021-05-30T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/capital-rx-and-3-axis-advisors-study-finds-potenti [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/f8d0aef8-e895-11eb-9005-dbb9348001b4/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1332 [subtitle] => Capital Rx and 3 Axis Advisors Study Finds Potential for Billions in Prescription Drug Savings With Transparent Pricing Practices Mandatory NADAC responses by pharmacies for 1,600 unique oral solid products could create additional savings of $1.5 billion over 10 years Comparing generic drug costs with NADAC and Alabama actual acquisition cost, study finds $937 million in potential annual savings across Medicaid Implementing and improving transparency in pricing practices can restore public trust in U.S. drug pricing system, results suggest CMS proposes delaying drugmaker rule days after PhRMA suesThe lawsuit also casts blame on health plans and pharmacy benefit managers that allegedly "siphon the benefits" meant for consumers. Today's guests:  Antonio Ciaccia 3 Axis Advisors www.3axisadvisors.com  A. J. Loiacono CEO at Capital Rx https://www.healthcarefinancenews.com/news/cms-proposes-delaying-drugmaker-rule-days-after-phrma-sues This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy.,  Learn more about the UltiGuard Safe Pack:  https://www.ulticare.com/ultiguard-safe-pack/podcast See omnystudio.com/listener for privacy information. [summary] => Capital Rx and 3 Axis Advisors Study Finds Potential for Billions in Prescription Drug Savings With Transparent Pricing Practices Mandatory NADAC responses by pharmacies for 1,600 unique oral solid products could create additional savings of $1.5 billion over 10 years Comparing generic drug costs with NADAC and Alabama actual acquisition cost, study finds $937 million in potential annual savings across Medicaid Implementing and improving transparency in pricing practices can restore public trust in U.S. drug pricing system, results suggest CMS proposes delaying drugmaker rule days after PhRMA suesThe lawsuit also casts blame on health plans and pharmacy benefit managers that allegedly "siphon the benefits" meant for consumers. Today's guests:  Antonio Ciaccia 3 Axis Advisors www.3axisadvisors.com  A. J. Loiacono CEO at Capital Rx https://www.healthcarefinancenews.com/news/cms-proposes-delaying-drugmaker-rule-days-after-phrma-sues This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy.,  Learn more about the UltiGuard Safe Pack:  https://www.ulticare.com/ultiguard-safe-pack/podcast See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f8d0aef8-e895-11eb-9005-dbb9348001b4/stripped_77156ff0f49530980f770ab8924e83e1.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN5918255683.mp3 [size] => 43009671 [duration] => 2688.1 [uid] => CSN5918255683 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/377f5a3d-58fe-4360-8679-ad36011b0417/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f8d0aef8-e895-11eb-9005-dbb9348001b4/id3/5717b5b1df761244b3c3ce2318eadad9.mp3 [id3FileProcessing] => [id3FileSize] => 55668 [parentId] => [guid] => 377f5a3d-58fe-4360-8679-ad36011b0417 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:21.489-05:00 [draft] => [externalId] => [cleanTitle] => Study Finds Potential for Billions in Prescription Drug Savings with Transparent Pricing Practices | PBM Reform Podcast [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Capital Rx and 3 Axis Advisors Study Finds Potential for...
  • Array ( [id] => f90e5f6e-e895-11eb-9005-b7045c087a94 [createdAt] => 2021-07-19T08:33:59.065-05:00 [updatedAt] => 2021-07-19T08:50:17.650-05:00 [title] => Express Scripts Fails to Defeat Louisiana Prescription Fee Suit | PBM Reform Podcast Series [pubdate] => 2021-04-15T12:21:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/express-scripts-fails-to-defeat-louisiana-prescrip [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/f90e5f6e-e895-11eb-9005-b7045c087a94/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1280 [subtitle] => LIPA v ESI: Fight for the Right to Be Paid  What happens when a state implements provider fee statutes that are officially approved by CMS but one of the big 3 PBMs still claims exemption? Join guest host Monique Whitney with special guests Randal Johnson, JR Whaley, and MJ Terrebonne as they discuss Louisiana's legal battle with ESI over 10 cents per claim, and the ramifications this could have on state Medicaid programs nationwide. Host:  Monique Whitney, Executive Director, Pharmacists United for Truth & Transparency  Guests:   Randal Johnson, CEO, Louisiana Independent Pharmacies Association  JR Whaley, Legal Counsel, Louisiana Independent Pharmacies Association  MJ Terrebonne, Health Policy Expert & retired Director of Pharmacy, Louisiana Medicaid See omnystudio.com/listener for privacy information. [summary] => LIPA v ESI: Fight for the Right to Be Paid  What happens when a state implements provider fee statutes that are officially approved by CMS but one of the big 3 PBMs still claims exemption? Join guest host Monique Whitney with special guests Randal Johnson, JR Whaley, and MJ Terrebonne as they discuss Louisiana's legal battle with ESI over 10 cents per claim, and the ramifications this could have on state Medicaid programs nationwide. Host:  Monique Whitney, Executive Director, Pharmacists United for Truth & Transparency  Guests:   Randal Johnson, CEO, Louisiana Independent Pharmacies Association  JR Whaley, Legal Counsel, Louisiana Independent Pharmacies Association  MJ Terrebonne, Health Policy Expert & retired Director of Pharmacy, Louisiana Medicaid See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f90e5f6e-e895-11eb-9005-b7045c087a94/stripped_e8137f403c5b3c20ced55456b2530688.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN7734967401.mp3 [size] => 48706037 [duration] => 3044.13 [uid] => CSN7734967401 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/fb65bdf3-7771-49bf-8718-ad0b011cfb9a/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/f90e5f6e-e895-11eb-9005-b7045c087a94/id3/fe600d6a49f99de523ce5bab6ead872a.mp3 [id3FileProcessing] => [id3FileSize] => 53504 [parentId] => [guid] => fb65bdf3-7771-49bf-8718-ad0b011cfb9a [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:22.001-05:00 [draft] => [externalId] => [cleanTitle] => Express Scripts Fails to Defeat Louisiana Prescription Fee Suit | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • LIPA v ESI: Fight for the Right to Be Paid ...
  • Array ( [id] => f94bd204-e895-11eb-9005-ef914c0abe97 [createdAt] => 2021-07-19T08:33:59.457-05:00 [updatedAt] => 2021-07-19T08:50:16.585-05:00 [title] => Tennessee Senator Shane Reeves | PBM Reform Podcast Series [pubdate] => 2021-04-13T23:02:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/tennessee-senator-shane-reeves-pbm-reform-podcast [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/f94bd204-e895-11eb-9005-ef914c0abe97/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1275 [subtitle] => Tennessee Gov. Bill Lee signed HB 786, a comprehensive PBM reform bill that strengthens existing fair pharmacy audit laws, limits PBM adjudication fees, and prohibits a PBM from reimbursing a pharmacy less than it reimburses a PBM-affiliated pharmacy.May 30, 2019 Tennessee SB650 Present law defines "pharmacy benefits manager" (PBM) to mean a person, business, or other entity and any wholly or partially owned subsidiary of the entity, that administers the medication and/or device portion of pharmacy benefits coverage provided by a health insurance plan, subject to certain exceptions. Present law provides detailed requirements for the conduct of an audit of records of a pharmacist or pharmacy by a health insurance plan, a PBM, the state or its political subdivisions, or any other entity representing the same. One such audit requirement is that a clerical or recordkeeping error regarding a required document or record may not, in and of itself, constitute fraud; however, the claims may be subject to recoupment. This bill instead provides that a clerical or recordkeeping error identified during an audit is not prima facie evidence of fraud or intentional misrepresentation and must not be the basis of a recoupment unless the error results in an actual overpayment to the pharmacy or the wrong medication being dispensed to the patient. As under present law, a clerical error will not be subject to criminal penalties without proof of intent to commit fraud.  Shane Reeves is an American businessman, pharmacist and politician who is the State Senator for the 14th District of Tennessee, which is composed of Bedford County, Moore County, Lincoln County, Marshall County, and part of Rutherford County. As a seventh-generation Tennessean, Senator Shane Reeves has spent his life raising a family and opening businesses in middle Tennessee. He understands the importance of family, character, and conservative values to the people in this community. See omnystudio.com/listener for privacy information. [summary] => Tennessee Gov. Bill Lee signed HB 786, a comprehensive PBM reform bill that strengthens existing fair pharmacy audit laws, limits PBM adjudication fees, and prohibits a PBM from reimbursing a pharmacy less than it reimburses a PBM-affiliated pharmacy.May 30, 2019 Tennessee SB650 Present law defines "pharmacy benefits manager" (PBM) to mean a person, business, or other entity and any wholly or partially owned subsidiary of the entity, that administers the medication and/or device portion of pharmacy benefits coverage provided by a health insurance plan, subject to certain exceptions. Present law provides detailed requirements for the conduct of an audit of records of a pharmacist or pharmacy by a health insurance plan, a PBM, the state or its political subdivisions, or any other entity representing the same. One such audit requirement is that a clerical or recordkeeping error regarding a required document or record may not, in and of itself, constitute fraud; however, the claims may be subject to recoupment. This bill instead provides that a clerical or recordkeeping error identified during an audit is not prima facie evidence of fraud or intentional misrepresentation and must not be the basis of a recoupment unless the error results in an actual overpayment to the pharmacy or the wrong medication being dispensed to the patient. As under present law, a clerical error will not be subject to criminal penalties without proof of intent to commit fraud.  Shane Reeves is an American businessman, pharmacist and politician who is the State Senator for the 14th District of Tennessee, which is composed of Bedford County, Moore County, Lincoln County, Marshall County, and part of Rutherford County. As a seventh-generation Tennessean, Senator Shane Reeves has spent his life raising a family and opening businesses in middle Tennessee. He understands the importance of family, character, and conservative values to the people in this community. See omnystudio.com/listener for privacy information. 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  • Tennessee Gov. Bill Lee signed HB 786, a comprehensive PBM reform bill that...
  • Array ( [id] => fa1090e4-e895-11eb-9005-937dc382e454 [createdAt] => 2021-07-19T08:34:00.756-05:00 [updatedAt] => 2021-07-19T08:50:18.015-05:00 [title] => Outcomes of Transparent PBMs V.S. the Status Quo | PBM Reform Podcast Series [pubdate] => 2021-03-10T10:51:29.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/outcomes-of-transparent-pbms-v-s-the-status-quo-pb [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fa1090e4-e895-11eb-9005-937dc382e454/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 12 [episodeNumber] => 1243 [subtitle] => What's the expected outcomes of a transparent PBM? How does a fiduciary driven pharmacy benefit management company compare to the 3 largest PBMs in the country processing more than 76% of all the prescriptions per year in the United States.  The PBM market is dominated by three major players, who together handled about 76 percent of all prescription claims in 2018, according to Drug Channels Institute.   A breakdown of PBM market share, by total equivalent prescription claims managed in 2018:   Caremark (CVS Health) / Aetna: 30 percent Express Scripts: 23 percent   OptumRx (UnitedHealth): 23 percent   Humana Pharmacy Solutions: 7 percent   MedImpact Healthcare Systems: 6 percent   Prime Therapeutics: 6 percent   All other PBMs + cash pay: 4 percent  TrueScriptsmission is to build lasting relationships. They provide prescription benefit management expertise at a personal and customized level to ensure optimum value at the lowest possible cost. The TrueScripts team of nurses, pharmacists, legal experts, data scientists, and care specialists work together as one to bring prescription benefit expertise and a level of service that far exceeds that of any industry standard.  Today's guest is Nathan Gabhart RPh Founder & CEO of TrueScripts.  See omnystudio.com/listener for privacy information. [summary] => What's the expected outcomes of a transparent PBM? How does a fiduciary driven pharmacy benefit management company compare to the 3 largest PBMs in the country processing more than 76% of all the prescriptions per year in the United States.  The PBM market is dominated by three major players, who together handled about 76 percent of all prescription claims in 2018, according to Drug Channels Institute.   A breakdown of PBM market share, by total equivalent prescription claims managed in 2018:   Caremark (CVS Health) / Aetna: 30 percent Express Scripts: 23 percent   OptumRx (UnitedHealth): 23 percent   Humana Pharmacy Solutions: 7 percent   MedImpact Healthcare Systems: 6 percent   Prime Therapeutics: 6 percent   All other PBMs + cash pay: 4 percent  TrueScriptsmission is to build lasting relationships. They provide prescription benefit management expertise at a personal and customized level to ensure optimum value at the lowest possible cost. The TrueScripts team of nurses, pharmacists, legal experts, data scientists, and care specialists work together as one to bring prescription benefit expertise and a level of service that far exceeds that of any industry standard.  Today's guest is Nathan Gabhart RPh Founder & CEO of TrueScripts.  See omnystudio.com/listener for privacy information. 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  • What's the expected outcomes of a transparent PBM? How does...
  • Array ( [id] => facf0402-e895-11eb-9005-3bfd1fb558b8 [createdAt] => 2021-07-19T08:34:02.005-05:00 [updatedAt] => 2021-07-19T08:50:17.608-05:00 [title] => The Implications of Rutledge v. PCMA | PBM Reform Podcast Series [pubdate] => 2021-02-24T08:45:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/the-implications-of-rutledge-v-pcma-pbm-reform-pod [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/facf0402-e895-11eb-9005-3bfd1fb558b8/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1231 [subtitle] => We talk with Community Pharmacy owner Dr. Steve Moore, PharmD about the Implications of the Rutledge versus PCMA Supreme Court decision on Independent Pharmacy.  About Condo Pharmacy:  Condo Pharmacy is an independently owned and operated pharmacy dedicated to meeting the unique healthcare needs of each individual patient. In addition to providing both traditional and specialty pharmacy services, Condo Pharmacy is proud to be a part of the CPESN USA network of pharmacies and offer enhanced pharmacy services and care management protocols. Special guest: Steve Moore, PharmD See omnystudio.com/listener for privacy information. [summary] => We talk with Community Pharmacy owner Dr. Steve Moore, PharmD about the Implications of the Rutledge versus PCMA Supreme Court decision on Independent Pharmacy.  About Condo Pharmacy:  Condo Pharmacy is an independently owned and operated pharmacy dedicated to meeting the unique healthcare needs of each individual patient. In addition to providing both traditional and specialty pharmacy services, Condo Pharmacy is proud to be a part of the CPESN USA network of pharmacies and offer enhanced pharmacy services and care management protocols. Special guest: Steve Moore, PharmD See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/facf0402-e895-11eb-9005-3bfd1fb558b8/stripped_b5ea3c1656b3611188214944e43d2fe9.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN2126183158.mp3 [size] => 32322037 [duration] => 2020.13 [uid] => CSN2126183158 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/48e5b781-7d6a-46b5-9430-acd900f21721/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1614177939 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/facf0402-e895-11eb-9005-3bfd1fb558b8/id3/593f8a67d205f8b74916f81a1aade0d1.mp3 [id3FileProcessing] => [id3FileSize] => 52674 [parentId] => [guid] => 48e5b781-7d6a-46b5-9430-acd900f21721 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:24.018-05:00 [draft] => [externalId] => [cleanTitle] => The Implications of Rutledge v. PCMA | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • We talk with Community Pharmacy owner Dr. Steve Moore, PharmD...
  • Array ( [id] => fb9e8e5c-e895-11eb-9005-d353ea439766 [createdAt] => 2021-07-19T08:34:03.367-05:00 [updatedAt] => 2021-07-19T08:50:18.530-05:00 [title] => What You Need to Know about U.S. Supreme Court Rutledge vs PCMA | PBM Reform Podcast Series [pubdate] => 2020-09-13T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/what-you-need-to-know-about-u-s-supreme-court-rutl [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fb9e8e5c-e895-11eb-9005-d353ea439766/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1108 [subtitle] => Georgia House of Representatives Earl L. “Buddy” Carter joins CEO of RxSafe Bill Holmes to summarize the The Supreme Court of The United States (SCOTUS) has rescheduled the Rutledge v. The Pharmaceutical Care Management Association (PCMA) hearing for October 6, 2020.1 The initial April hearing date had been postponed due to the coronavirus disease 2019 pandemic (COVID-19) Rutledge v. PCMA revolves around whether states have the right to regulate pharmacy benefit managers (PBMS). Arkansas Attorney General Leslie Rutledge has petitioned the court to overturn the US Court of Appeals for the Eight District’s earlier decision to maintain Arkansas’ statute regulating PBMs’ drug reimbursement rates. In a legal brief filed in February 2020, however, Rutledge argues the statute is preempted by the Employee Retirement Income Security Act of 1974.3 At least 4 pharmacy groups, The American Pharmacists Association, The Arkansas Pharmacist Association, The National Alliance of State Pharmacy Associations, and the National Community Pharmacists Association have publicly expressed their support for states’ rights to regulate PBMs.3 According to an earlier report, these 4 groups have jointly argued that unregulated PBM business practices limits access to pharmacists care and prevents the optimal use of medications.3 In April 2020, the Academy of Managed Care Pharmacy (AMCP) filed an amicus brief in support of the Eighth District’s decision.4 The brief argues that ruling in favor of Rutledge will drive up health care costs, and also will have a big effect on patients too by limiting their ability to access affordable medications, hindering health outcomes.4 The AMCP brief also argues that ruling in favor of Rutledge can lead to issues at the administrative level, and can lead to varying and possibly contradictory state laws as well.4 Supreme Court to hear Rutledge v. PCMA Oct. 6 The US Supreme Court has released its October 2020 oral argument calendar, with Rutledge v. PCMA now scheduled to be heard on Tuesday, Oct. 6. The case was originally scheduled to be argued in April but was postponed due to the coronavirus pandemic. Rutledge v. PCMA is a landmark case on whether states can adopt meaningful regulations on pharmacy benefit managers. If you would like to contribute to the NCPA Legislative/Legal Defense Fund, your support would be much appreciated. Resources Brief of Arkansas Pharmacists Association, National Community Pharmacists Association, American Pharmacists Association, National Alliance Of State Pharmacy Associations, and Fifty-One Other Pharmacist Associations As Amici Curiae Supporting Petitioner Latest Information on Rutledge v. PCMA NCPA Analysis of Rutledge v. PCMA Rutledge v. PCMA: 15 Years in the Making See omnystudio.com/listener for privacy information. [summary] => Georgia House of Representatives Earl L. “Buddy” Carter joins CEO of RxSafe Bill Holmes to summarize the The Supreme Court of The United States (SCOTUS) has rescheduled the Rutledge v. The Pharmaceutical Care Management Association (PCMA) hearing for October 6, 2020.1 The initial April hearing date had been postponed due to the coronavirus disease 2019 pandemic (COVID-19) Rutledge v. PCMA revolves around whether states have the right to regulate pharmacy benefit managers (PBMS). Arkansas Attorney General Leslie Rutledge has petitioned the court to overturn the US Court of Appeals for the Eight District’s earlier decision to maintain Arkansas’ statute regulating PBMs’ drug reimbursement rates. In a legal brief filed in February 2020, however, Rutledge argues the statute is preempted by the Employee Retirement Income Security Act of 1974.3 At least 4 pharmacy groups, The American Pharmacists Association, The Arkansas Pharmacist Association, The National Alliance of State Pharmacy Associations, and the National Community Pharmacists Association have publicly expressed their support for states’ rights to regulate PBMs.3 According to an earlier report, these 4 groups have jointly argued that unregulated PBM business practices limits access to pharmacists care and prevents the optimal use of medications.3 In April 2020, the Academy of Managed Care Pharmacy (AMCP) filed an amicus brief in support of the Eighth District’s decision.4 The brief argues that ruling in favor of Rutledge will drive up health care costs, and also will have a big effect on patients too by limiting their ability to access affordable medications, hindering health outcomes.4 The AMCP brief also argues that ruling in favor of Rutledge can lead to issues at the administrative level, and can lead to varying and possibly contradictory state laws as well.4 Supreme Court to hear Rutledge v. PCMA Oct. 6 The US Supreme Court has released its October 2020 oral argument calendar, with Rutledge v. PCMA now scheduled to be heard on Tuesday, Oct. 6. The case was originally scheduled to be argued in April but was postponed due to the coronavirus pandemic. Rutledge v. PCMA is a landmark case on whether states can adopt meaningful regulations on pharmacy benefit managers. If you would like to contribute to the NCPA Legislative/Legal Defense Fund, your support would be much appreciated. Resources Brief of Arkansas Pharmacists Association, National Community Pharmacists Association, American Pharmacists Association, National Alliance Of State Pharmacy Associations, and Fifty-One Other Pharmacist Associations As Amici Curiae Supporting Petitioner Latest Information on Rutledge v. PCMA NCPA Analysis of Rutledge v. PCMA Rutledge v. PCMA: 15 Years in the Making See omnystudio.com/listener for privacy information. 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  • Georgia House of Representatives Earl L. “Buddy” Carter joins CEO...
  • Array ( [id] => fc6f67de-e895-11eb-9005-7fee4f0c2fa9 [createdAt] => 2021-07-19T08:34:04.732-05:00 [updatedAt] => 2021-07-19T08:50:20.673-05:00 [title] => Creative Strategies to fight the PBMs | Anthony Reznik w/ IPA [pubdate] => 2020-08-19T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/creative-strategies-to-fight-the-pbms-anthony-rezn [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fc6f67de-e895-11eb-9005-7fee4f0c2fa9/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1089 [subtitle] => Director of Government and Public Affairs for Independent Pharmacy Alliance (IPA) Anthony Reznik joins us on the PBM Reform Podcast Series to discuss strategies Pharmacy can implement to fight the PBMs while we wait for legal reform at the state & federal levels.  Independent Pharmacy Alliance, est. 1988, is a trade group and retail pharmacy buying cooperative representing over 3,100 independent pharmacies in New Jersey, New York, Connecticut and Pennsylvania.  IPA represents its members for the purpose of combined purchasing to lower a pharmacy’s “cost of goods and services” as well as to provide them with comprehensive legislative advocacy, third party resolution support and free continuing education. Additionally, IPA offers a Generic Source Program and competitive co-op contract pricing on such items as vitamins/nutritional supplements, diabetic supplies, greeting cards, managed care network, credit card processing, pharmaceutical returns, prescription vials and many other products/services. Philly Inquirer: When insurers drop medications for cheap alternatives, the effects can be devastating for some patients https://www.inquirer.com/philly/health/health-costs/step-therapy-formulary-changes-affect-patients-20180718.html-2 NYT: How Insurers are shifting high costs to the sick https://www.nytimes.com/2014/09/18/upshot/how-insurers-are-finding-ways-to-shift-costs-to-the-sick.html   Anthony Reznik Director of Government and Public Affairs Independent Pharmacy Alliance 3 Cedar Brook Drive Cranbury, NJ  08512 800-575-2667 Toll Free Web:  www.ipa-rx.org Twitter: @IPAPharmacies See omnystudio.com/listener for privacy information. [summary] => Director of Government and Public Affairs for Independent Pharmacy Alliance (IPA) Anthony Reznik joins us on the PBM Reform Podcast Series to discuss strategies Pharmacy can implement to fight the PBMs while we wait for legal reform at the state & federal levels.  Independent Pharmacy Alliance, est. 1988, is a trade group and retail pharmacy buying cooperative representing over 3,100 independent pharmacies in New Jersey, New York, Connecticut and Pennsylvania.  IPA represents its members for the purpose of combined purchasing to lower a pharmacy’s “cost of goods and services” as well as to provide them with comprehensive legislative advocacy, third party resolution support and free continuing education. Additionally, IPA offers a Generic Source Program and competitive co-op contract pricing on such items as vitamins/nutritional supplements, diabetic supplies, greeting cards, managed care network, credit card processing, pharmaceutical returns, prescription vials and many other products/services. Philly Inquirer: When insurers drop medications for cheap alternatives, the effects can be devastating for some patients https://www.inquirer.com/philly/health/health-costs/step-therapy-formulary-changes-affect-patients-20180718.html-2 NYT: How Insurers are shifting high costs to the sick https://www.nytimes.com/2014/09/18/upshot/how-insurers-are-finding-ways-to-shift-costs-to-the-sick.html   Anthony Reznik Director of Government and Public Affairs Independent Pharmacy Alliance 3 Cedar Brook Drive Cranbury, NJ  08512 800-575-2667 Toll Free Web:  www.ipa-rx.org Twitter: @IPAPharmacies See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fc6f67de-e895-11eb-9005-7fee4f0c2fa9/stripped_dec0757390c5d02111d3a08c54f68261.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN6124587222.mp3 [size] => 35201776 [duration] => 2200.11 [uid] => CSN6124587222 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/468df9eb-c88c-45ef-8284-ac1c0154aa65/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1597934816 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fc6f67de-e895-11eb-9005-7fee4f0c2fa9/id3/7273beda3684be63a03eeefd45a7a36f.mp3 [id3FileProcessing] => [id3FileSize] => 56820 [parentId] => [guid] => 468df9eb-c88c-45ef-8284-ac1c0154aa65 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:25.124-05:00 [draft] => [externalId] => [cleanTitle] => Creative Strategies to fight the PBMs | Anthony Reznik w/ IPA [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Director of Government and Public Affairs for Independent Pharmacy Alliance...
  • Array ( [id] => fd415730-e895-11eb-9005-67bc7ea1a064 [createdAt] => 2021-07-19T08:34:06.110-05:00 [updatedAt] => 2021-07-19T08:50:19.053-05:00 [title] => Georgia State Representative David Knight & GPhA Greg Reybold | PBM Reform Podcast Series [pubdate] => 2020-08-10T11:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/georgia-state-representative-david-knight-gpha-gre [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fd415730-e895-11eb-9005-67bc7ea1a064/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1081 [subtitle] => Georgia Gov. Brian Kemp (R) has signed three innovative PBM reform bills into law. HB 946 and SB 313 require the reporting of drugs paid 10 percent above and 10 percent below National Average Drug Acquisition Cost every four months, prohibit PBMs from tying a pharmacy’s drug reimbursement to a patient’s health outcomes, and require PBMs to offer drug coverage plans that do not include spread pricing and plans that allow plan sponsors to receive 100 percent of rebates negotiated by PBMs.  HB 918 strengthens existing anti-steering provisions and the Pharmacy Audit Bill of Rights. Congratulations to the Georgia Pharmacy Association and all pharmacy advocates for these wins which will protect pharmacies, patients, and payers.  Guests: Georgia State Representative David Knight Greg Reybold Vice President of Public Policy and Association Counsel Hosted by Lauren (Colee) Young  Sponsored by The Georgia Pharmacy Association & Pharmacists United for Truth and Transparency (PUTT)    http://www.gpha.org/membership/  See omnystudio.com/listener for privacy information. [summary] => Georgia Gov. Brian Kemp (R) has signed three innovative PBM reform bills into law. HB 946 and SB 313 require the reporting of drugs paid 10 percent above and 10 percent below National Average Drug Acquisition Cost every four months, prohibit PBMs from tying a pharmacy’s drug reimbursement to a patient’s health outcomes, and require PBMs to offer drug coverage plans that do not include spread pricing and plans that allow plan sponsors to receive 100 percent of rebates negotiated by PBMs.  HB 918 strengthens existing anti-steering provisions and the Pharmacy Audit Bill of Rights. Congratulations to the Georgia Pharmacy Association and all pharmacy advocates for these wins which will protect pharmacies, patients, and payers.  Guests: Georgia State Representative David Knight Greg Reybold Vice President of Public Policy and Association Counsel Hosted by Lauren (Colee) Young  Sponsored by The Georgia Pharmacy Association & Pharmacists United for Truth and Transparency (PUTT)    http://www.gpha.org/membership/  See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fd415730-e895-11eb-9005-67bc7ea1a064/stripped_405c605ff2276e524721b1a63177d479.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN6770087805.mp3 [size] => 47841697 [duration] => 2990.11 [uid] => CSN6770087805 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/2428d4bf-3588-49ad-a509-ac130106c8e5/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1597075272 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fd415730-e895-11eb-9005-67bc7ea1a064/id3/795eadbaf60375f8b6428191ea356f93.mp3 [id3FileProcessing] => [id3FileSize] => 54516 [parentId] => [guid] => 2428d4bf-3588-49ad-a509-ac130106c8e5 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:25.618-05:00 [draft] => [externalId] => [cleanTitle] => Georgia State Representative David Knight & GPhA Greg Reybold | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Georgia Gov. Brian Kemp (R) has signed three innovative PBM...
  • Array ( [id] => fdff0c9e-e895-11eb-9005-4fb71d84d71a [createdAt] => 2021-07-19T08:34:07.353-05:00 [updatedAt] => 2021-07-19T08:50:24.894-05:00 [title] => Antonio Ciaccia | PBM Reform Podcast [pubdate] => 2020-07-14T06:40:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/antonio-ciaccia-pbm-reform-podcast [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fdff0c9e-e895-11eb-9005-4fb71d84d71a/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1052 [subtitle] => Antonio Ciaccia was born and raised in pharmacy, Antonio has been crawling around pharmacies his entire life.  After three years as a pharmacy technician and two years of pre-pharmacy curriculum, Antonio diverted course, graduating from The Ohio State University in 2007 with dual degrees in communications and political science before moving into the world of association management.   Thinking that pharmacy would be in his rear-view mirror forever, he ended up making his way back to his pharmacy home, heading up government affairs for the Ohio Pharmacists Association, a trade organization with a strong track record of advocating for drug pricing transparency. After years of studying the pharmacy marketplace, Antonio became increasingly perplexed and concerned as he saw drug costs spiking while payouts to pharmacies were declining. Knowing something was being lost somewhere in the middle of an ever-growing transaction, Antonio has spent years working to crack the drug pricing code and pull the rug out from what he believes is one of the most dysfunctional marketplaces in the world. Sunshine in the Black Box of Pharmacy Benefits Management: Florida Medicaid Pharmacy Claims Analysis https://www.3axisadvisors.com/projects/2020/1/29/sunshine-in-the-black-box-of-pharmacy-benefits-management  This podcast episode was sponsored by P.U.T.T.  https://www.truthrx.org/about.html  See omnystudio.com/listener for privacy information. [summary] => Antonio Ciaccia was born and raised in pharmacy, Antonio has been crawling around pharmacies his entire life.  After three years as a pharmacy technician and two years of pre-pharmacy curriculum, Antonio diverted course, graduating from The Ohio State University in 2007 with dual degrees in communications and political science before moving into the world of association management.   Thinking that pharmacy would be in his rear-view mirror forever, he ended up making his way back to his pharmacy home, heading up government affairs for the Ohio Pharmacists Association, a trade organization with a strong track record of advocating for drug pricing transparency. After years of studying the pharmacy marketplace, Antonio became increasingly perplexed and concerned as he saw drug costs spiking while payouts to pharmacies were declining. Knowing something was being lost somewhere in the middle of an ever-growing transaction, Antonio has spent years working to crack the drug pricing code and pull the rug out from what he believes is one of the most dysfunctional marketplaces in the world. Sunshine in the Black Box of Pharmacy Benefits Management: Florida Medicaid Pharmacy Claims Analysis https://www.3axisadvisors.com/projects/2020/1/29/sunshine-in-the-black-box-of-pharmacy-benefits-management  This podcast episode was sponsored by P.U.T.T.  https://www.truthrx.org/about.html  See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fdff0c9e-e895-11eb-9005-4fb71d84d71a/stripped_212ca856c1ad23880fc73cd484821d5b.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN1346497961.mp3 [size] => 43905776 [duration] => 2744.11 [uid] => CSN1346497961 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/b6eab394-b740-46fa-b895-abf800bf2360/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1594726880 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fdff0c9e-e895-11eb-9005-4fb71d84d71a/id3/94a36ae289ad894ed600b7aea6853a56.mp3 [id3FileProcessing] => [id3FileSize] => 55874 [parentId] => [guid] => b6eab394-b740-46fa-b895-abf800bf2360 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:26.418-05:00 [draft] => [externalId] => [cleanTitle] => Antonio Ciaccia | PBM Reform Podcast [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Antonio Ciaccia was born and raised in pharmacy, Antonio has...
  • Array ( [id] => fec780e8-e895-11eb-9005-a78bde517552 [createdAt] => 2021-07-19T08:34:08.666-05:00 [updatedAt] => 2021-07-19T08:50:21.582-05:00 [title] => The Managed Care PBM Option | PBM Reform Podcast Series [pubdate] => 2020-07-06T13:48:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/the-managed-care-pbm-option-pbm-reform-podcast-ser [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fec780e8-e895-11eb-9005-a78bde517552/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1049 [subtitle] => A PROPOSAL FOR SMALL TOWN INDEPENDENT PHARMACISTS A new trend has independent pharmacist = working directly with the businesses that are right there in the same community. While the small town environment is by its nature a concise marketplace, too often those local businesses get themselves into situations that does not make logical or financial success. Big insurance companies get involved, and suddenly money is going all over the country when it should be staying in your community.  When we set up our managed care pharmacy programs, the pharmacist is no longer competing with mail order houses, and the locals are no longer paying up to 40 percent more for these prescriptions than you need to. The money is being kept in the community. Another big advantage is you take a system that has been depersonalized over the years and personalize it once again. Imagine – getting better care at a better price from your local pharmacist who is also your neighbor. For more information contact: Publisher@PharmacyPodcast.com  Call (412) 585-4001  Sponsored by UltiGuard Safe Pack The UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy. Learn more UltiGuard Safe Pack https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. [summary] => A PROPOSAL FOR SMALL TOWN INDEPENDENT PHARMACISTS A new trend has independent pharmacist = working directly with the businesses that are right there in the same community. While the small town environment is by its nature a concise marketplace, too often those local businesses get themselves into situations that does not make logical or financial success. Big insurance companies get involved, and suddenly money is going all over the country when it should be staying in your community.  When we set up our managed care pharmacy programs, the pharmacist is no longer competing with mail order houses, and the locals are no longer paying up to 40 percent more for these prescriptions than you need to. The money is being kept in the community. Another big advantage is you take a system that has been depersonalized over the years and personalize it once again. Imagine – getting better care at a better price from your local pharmacist who is also your neighbor. For more information contact: Publisher@PharmacyPodcast.com  Call (412) 585-4001  Sponsored by UltiGuard Safe Pack The UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy. Learn more UltiGuard Safe Pack https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. 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  • A PROPOSAL FOR SMALL TOWN INDEPENDENT PHARMACISTS A new trend...
  • Array ( [id] => ff4999fc-e895-11eb-9005-0b410342e8da [createdAt] => 2021-07-19T08:34:09.520-05:00 [updatedAt] => 2021-07-19T08:50:19.383-05:00 [title] => FL State Representative Jackie Toledo & Putt President Scott Newman | PBM Reform Podcast Series [pubdate] => 2020-05-31T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/congress-woman-jackie-toledo-putt-president-scott [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/ff4999fc-e895-11eb-9005-0b410342e8da/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 1021 [subtitle] => Special Guest: Jackie Toledo - Florida State House of Representatives 60th District  A product of Tampa’s public schools, Jackie graduated from Gaither High School and was awarded an academic engineering scholarship to the University of South Florida from the Latino Scholarship program. In 2000, she received her degree in Civil Engineering from USF and wanted to stay in Tampa so she could help give back to our community that has given her so much. In 2011, she became the first scholarship recipient to establish a scholarship at USF to help and mentor a Latino student. After graduating, Jackie became a Licensed Professional Engineer and worked on several transportation plans in the Tampa Bay area, including master plans for the University of South Florida and Hillsborough Community College, as well as Hillsborough County’s Long Range Transportation Plan, the Florida Aviation Systems, and the 2012 Olympic bid process. Recognized professionally as a Professional Traffic Operations Engineer (PTOE) and the recipient of the 2002 Florida State Institute of Transportation Engineer of the Year, she has made great strides in her field and has a unique perspective on solving Tampa’s infrastructure and transportation challenges. Today, she works at NUE Urban Concepts. Jackie has worked tirelessly for the people of Hillsborough County, advocating for common sense solutions for our community. She has served as the Deputy Majority Whip, Co-Chair of the Women’s Caucus, the State Director of the National Foundation for Women Legislators and on numerous legislative committees. Sponsored by UltiGuard Safe Pack Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy.  https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. [summary] => Special Guest: Jackie Toledo - Florida State House of Representatives 60th District  A product of Tampa’s public schools, Jackie graduated from Gaither High School and was awarded an academic engineering scholarship to the University of South Florida from the Latino Scholarship program. In 2000, she received her degree in Civil Engineering from USF and wanted to stay in Tampa so she could help give back to our community that has given her so much. In 2011, she became the first scholarship recipient to establish a scholarship at USF to help and mentor a Latino student. After graduating, Jackie became a Licensed Professional Engineer and worked on several transportation plans in the Tampa Bay area, including master plans for the University of South Florida and Hillsborough Community College, as well as Hillsborough County’s Long Range Transportation Plan, the Florida Aviation Systems, and the 2012 Olympic bid process. Recognized professionally as a Professional Traffic Operations Engineer (PTOE) and the recipient of the 2002 Florida State Institute of Transportation Engineer of the Year, she has made great strides in her field and has a unique perspective on solving Tampa’s infrastructure and transportation challenges. Today, she works at NUE Urban Concepts. Jackie has worked tirelessly for the people of Hillsborough County, advocating for common sense solutions for our community. She has served as the Deputy Majority Whip, Co-Chair of the Women’s Caucus, the State Director of the National Foundation for Women Legislators and on numerous legislative committees. Sponsored by UltiGuard Safe Pack Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy.  https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. 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  • Special Guest: Jackie Toledo - Florida State House of Representatives...
  • Array ( [id] => fff09afe-e895-11eb-9005-1fda102df5fc [createdAt] => 2021-07-19T08:34:10.615-05:00 [updatedAt] => 2021-07-19T08:50:29.109-05:00 [title] => Pharmacy Reimbursements Impact on Public Health | PBM Reform Podcast Series [pubdate] => 2020-04-22T09:18:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/pharmacy-reimbursements-impact-on-public-health-pp [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/fff09afe-e895-11eb-9005-1fda102df5fc/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 990 [subtitle] => The seventh episode in the PBM Reform Podcast Series features guest host Monique Whitney, the Excutive Director of Pharmacists United for Truth and Transparency (PUTT) interviewing pharmacy owners, Oliver's Express Pharmacy Oliver Lackey, PharmD and Main Street Pharmacy Owner, Jeremy Counts, PharmD.  Two major trends are driving decreasing reimbursement to pharmacies: DIR fees and copay clawbacks. Direct and indirect remuneration (DIR) fees imposed on community pharmacies, sometimes weeks or months after a medication is dispensed, can eat up the pharmacy’s profit on a prescription transaction, and sometimes even lead to a loss. According to a survey by the National Community Pharmacists Association (NCPA), 53 percent of pharmacists said DIR fees are assessed quarterly; 67 percent of those surveyed said no information is given as to how much and when DIR fees will be collected or assessed. DIR fees began when Medicare Part D was established, but they now appear in many commercial health insurance plans as well. Episode & Summary sponsored by RxSafe https://rxsafe.com/declining-reimbursement-the-facts/  Sponsored by the UltiGuard Safe Pack  https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. [summary] => The seventh episode in the PBM Reform Podcast Series features guest host Monique Whitney, the Excutive Director of Pharmacists United for Truth and Transparency (PUTT) interviewing pharmacy owners, Oliver's Express Pharmacy Oliver Lackey, PharmD and Main Street Pharmacy Owner, Jeremy Counts, PharmD.  Two major trends are driving decreasing reimbursement to pharmacies: DIR fees and copay clawbacks. Direct and indirect remuneration (DIR) fees imposed on community pharmacies, sometimes weeks or months after a medication is dispensed, can eat up the pharmacy’s profit on a prescription transaction, and sometimes even lead to a loss. According to a survey by the National Community Pharmacists Association (NCPA), 53 percent of pharmacists said DIR fees are assessed quarterly; 67 percent of those surveyed said no information is given as to how much and when DIR fees will be collected or assessed. DIR fees began when Medicare Part D was established, but they now appear in many commercial health insurance plans as well. Episode & Summary sponsored by RxSafe https://rxsafe.com/declining-reimbursement-the-facts/  Sponsored by the UltiGuard Safe Pack  https://www.ulticare.com/ultiguard-safe-pack/podcast  See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fff09afe-e895-11eb-9005-1fda102df5fc/stripped_7bec6b6e2bc40a76462afafa6b8f6e68.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN9441692611.mp3 [size] => 56289906 [duration] => 3518.12 [uid] => CSN9441692611 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/bd8dd93f-34ff-4751-bc92-aba500e938c1/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1594061727 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/fff09afe-e895-11eb-9005-1fda102df5fc/id3/65c928f6d98b131c5c5e5d006953de21.mp3 [id3FileProcessing] => [id3FileSize] => 55244 [parentId] => [guid] => bd8dd93f-34ff-4751-bc92-aba500e938c1 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:27.514-05:00 [draft] => [externalId] => [cleanTitle] => Pharmacy Reimbursements Impact on Public Health | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • The seventh episode in the PBM Reform Podcast Series features...
  • Array ( [id] => 00dac4f8-e896-11eb-9005-2fcf2366b608 [createdAt] => 2021-07-19T08:34:11.901-05:00 [updatedAt] => 2021-07-19T08:50:22.746-05:00 [title] => The Unregulated PBM is a Danger to Public Health | PBM Reform Podcast Series [pubdate] => 2020-03-09T23:01:00.000-05:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/the-unregulated-pbm-is-a-danger-to-public-health-p [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/00dac4f8-e896-11eb-9005-2fcf2366b608/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 11 [episodeNumber] => 958 [subtitle] => Pharmacists are trapped in a system that threatens patient safety. Thomas E. Menighan, BSPharm, MBA, ScD (Hon), FAPhA APhA Executive Vice President and CEO writes: If you ask me what keeps me up at night, I’d say it’s the kinds of mistakes that Ellen Gabler described in her January 31 New York Times story, “How Chaos at Chain Pharmacies Is Putting Patients at Risk.”  During my time as a community pharmacist, I cherished the relationships I established with patients and understood the great responsibility that came with the trust they placed in me. Pharmacists take an oath to, among other things, “assure optimal outcomes” for patients. I can attest to the emphasis our profession places on patient safety. When it comes to medication-related errors, even one is too many.  Unfortunately, the current system sets pharmacists up to fail, and in turn, pharmacists are burning out at high rates. This is an issue that not only puts patients at risk but deprives pharmacists of the opportunity to provide the kind of patient care we all got into pharmacy to provide. You can see it in the desperate pleas for change to state boards of pharmacy Gabler highlighted in her story. And we’re seeing it in the responses to those who have taken our Well-being Index for Pharmacists: The weight of the potentially dire consequences of filling the wrong prescription or missing dangerous drug interactions is crushing too many pharmacists.  Special Guest: Mike Schwab Executive Vice President North Dakota Pharmacists Association See omnystudio.com/listener for privacy information. [summary] => Pharmacists are trapped in a system that threatens patient safety. Thomas E. Menighan, BSPharm, MBA, ScD (Hon), FAPhA APhA Executive Vice President and CEO writes: If you ask me what keeps me up at night, I’d say it’s the kinds of mistakes that Ellen Gabler described in her January 31 New York Times story, “How Chaos at Chain Pharmacies Is Putting Patients at Risk.”  During my time as a community pharmacist, I cherished the relationships I established with patients and understood the great responsibility that came with the trust they placed in me. Pharmacists take an oath to, among other things, “assure optimal outcomes” for patients. I can attest to the emphasis our profession places on patient safety. When it comes to medication-related errors, even one is too many.  Unfortunately, the current system sets pharmacists up to fail, and in turn, pharmacists are burning out at high rates. This is an issue that not only puts patients at risk but deprives pharmacists of the opportunity to provide the kind of patient care we all got into pharmacy to provide. You can see it in the desperate pleas for change to state boards of pharmacy Gabler highlighted in her story. And we’re seeing it in the responses to those who have taken our Well-being Index for Pharmacists: The weight of the potentially dire consequences of filling the wrong prescription or missing dangerous drug interactions is crushing too many pharmacists.  Special Guest: Mike Schwab Executive Vice President North Dakota Pharmacists Association See omnystudio.com/listener for privacy information. 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  • Pharmacists are trapped in a system that threatens patient safety....
  • Array ( [id] => 01e827dc-e896-11eb-9005-536c98544654 [createdAt] => 2021-07-19T08:34:13.913-05:00 [updatedAt] => 2021-07-19T08:50:23.207-05:00 [title] => A Pharmacy Owner's Perspective | PBM Reform Podcast Series [pubdate] => 2020-02-23T23:01:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/a-pharmacy-owners-perspective-pbm-reform-podcast-s [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/01e827dc-e896-11eb-9005-536c98544654/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 10 [episodeNumber] => 946 [subtitle] => On the 5th interview of the PBM Reform Podcast Series we talk with Scott Pace, Pharm.D., J.D. pharmacy owner and advocate for PBM Change.  Scott is a Partner at Impact Management Group where he focuses on the Government Relations and Public Affairs practice areas.   Scott joined IMG following more than 12 years with the Arkansas Pharmacists Association, most recently serving as the organization’s Executive Vice President and CEO.While at the APA, Pace successfully worked with the legislature to pass scope of practice legislation for pharmacists, legislation to amend the Arkansas Constitution to require a pharmacist consultant be a part of the Arkansas medical marijuana dispensaries, and most recently he worked with Governor Hutchinson and the legislature to pass legislation to license and oversee pharmacy benefits managers (PBMs) in Arkansas. Scott is a licensed pharmacist and attorney.  He holds a bachelor’s degree in biology from Arkansas State University, a Doctor of Pharmacy from the University of Arkansas for Medical Sciences and a Juris Doctorate with High Honors from the University of Arkansas at Little Rock William H. Bowen School of Law. He served as the consumer representative on the Arkansas State Medical Board from 2012-2015 and he serves on the Arkansas Prescription Drug Monitoring Program (PDMP) Advisory Panel. See omnystudio.com/listener for privacy information. [summary] => On the 5th interview of the PBM Reform Podcast Series we talk with Scott Pace, Pharm.D., J.D. pharmacy owner and advocate for PBM Change.  Scott is a Partner at Impact Management Group where he focuses on the Government Relations and Public Affairs practice areas.   Scott joined IMG following more than 12 years with the Arkansas Pharmacists Association, most recently serving as the organization’s Executive Vice President and CEO.While at the APA, Pace successfully worked with the legislature to pass scope of practice legislation for pharmacists, legislation to amend the Arkansas Constitution to require a pharmacist consultant be a part of the Arkansas medical marijuana dispensaries, and most recently he worked with Governor Hutchinson and the legislature to pass legislation to license and oversee pharmacy benefits managers (PBMs) in Arkansas. Scott is a licensed pharmacist and attorney.  He holds a bachelor’s degree in biology from Arkansas State University, a Doctor of Pharmacy from the University of Arkansas for Medical Sciences and a Juris Doctorate with High Honors from the University of Arkansas at Little Rock William H. Bowen School of Law. He served as the consumer representative on the Arkansas State Medical Board from 2012-2015 and he serves on the Arkansas Prescription Drug Monitoring Program (PDMP) Advisory Panel. See omnystudio.com/listener for privacy information. 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  • On the 5th interview of the PBM Reform Podcast Series...
  • Array ( [id] => 02b34426-e896-11eb-9005-e7c9aff95a15 [createdAt] => 2021-07-19T08:34:15.249-05:00 [updatedAt] => 2021-07-19T08:50:21.501-05:00 [title] => IN DATA WE TRUST: | PBM Reform Podcast Series [pubdate] => 2020-02-09T23:01:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/in-data-we-trust-pbm-reform-series-part-four-ppn-e [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/02b34426-e896-11eb-9005-e7c9aff95a15/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 10 [episodeNumber] => 935 [subtitle] => IN DATA WE TRUST Special Guest: ANTONIO CIACCIA with 3 Axis Advisors.  Born and raised in pharmacy, Antonio has been crawling around pharmacies his entire life.  After three years as a pharmacy technician and two years of pre-pharmacy curriculum, Antonio diverted course, graduating from The Ohio State University in 2007 with dual degrees in communications and political science before moving into the world of association management. Thinking that pharmacy would be in his rear-view mirror forever, he ended up making his way back to his pharmacy home, heading up government affairs for the Ohio Pharmacists Association, a trade organization with a strong track record of advocating for drug pricing transparency. After years of studying the pharmacy marketplace, Antonio became increasingly perplexed and concerned as he saw drug costs spiking while payouts to pharmacies were declining. Knowing something was being lost somewhere in the middle of an ever-growing transaction, Antonio has spent years working to crack the drug pricing code and pull the rug out from what he believes is one of the most dysfunctional marketplaces in the world. See omnystudio.com/listener for privacy information. [summary] => IN DATA WE TRUST Special Guest: ANTONIO CIACCIA with 3 Axis Advisors.  Born and raised in pharmacy, Antonio has been crawling around pharmacies his entire life.  After three years as a pharmacy technician and two years of pre-pharmacy curriculum, Antonio diverted course, graduating from The Ohio State University in 2007 with dual degrees in communications and political science before moving into the world of association management. Thinking that pharmacy would be in his rear-view mirror forever, he ended up making his way back to his pharmacy home, heading up government affairs for the Ohio Pharmacists Association, a trade organization with a strong track record of advocating for drug pricing transparency. After years of studying the pharmacy marketplace, Antonio became increasingly perplexed and concerned as he saw drug costs spiking while payouts to pharmacies were declining. Knowing something was being lost somewhere in the middle of an ever-growing transaction, Antonio has spent years working to crack the drug pricing code and pull the rug out from what he believes is one of the most dysfunctional marketplaces in the world. See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/02b34426-e896-11eb-9005-e7c9aff95a15/stripped_fea373b4a0054490d724f2903a97d6ff.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN7004887465.mp3 [size] => 34242977 [duration] => 2140.19 [uid] => CSN7004887465 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/21e58692-68b3-4f9b-abc5-ab5a0134c8fa/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1594062675 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/02b34426-e896-11eb-9005-e7c9aff95a15/id3/8c0446484fc4359b39dc9b62cd1df227.mp3 [id3FileProcessing] => [id3FileSize] => 54910 [parentId] => [guid] => 21e58692-68b3-4f9b-abc5-ab5a0134c8fa [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:28.270-05:00 [draft] => [externalId] => [cleanTitle] => IN DATA WE TRUST: | PBM Reform Podcast Series [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • IN DATA WE TRUST Special Guest: ANTONIO CIACCIA with 3...
  • Array ( [id] => 036fb94e-e896-11eb-9005-97063d9090b5 [createdAt] => 2021-07-19T08:34:16.481-05:00 [updatedAt] => 2021-07-19T08:50:23.472-05:00 [title] => The Impact on Employers & the Pass-Thru PBM Option | PBM Reform Podcast Series [pubdate] => 2020-01-16T12:44:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/the-impact-on-employers-the-pass-thru-pbm-option-p [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/036fb94e-e896-11eb-9005-97063d9090b5/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 10 [episodeNumber] => 918 [subtitle] => On Part Three of the PBM Reform Podcast Series we talk with Mary Ellen S. Jones a PSEA UniServ Representative and Anthony J. Loiacono / Chief Executive Officer of Capital Rx, a pass-thru Pharmacy Benefit Management company.  PSEA is 181,000 members strong – a community of education professionals who make a difference in the lives of Pennsylvania’s students every day.   PSEA members are teachers, education support professionals, higher education staff, nurses in health care facilities, retired educators, and college students preparing to become teachers.  PSEA’s strength comes not only from our members, but from our beliefs, our values, and our passion. Every time we speak up for what we believe, we harness the power of collective action. Anthony J. Loiacono / AJ is a successful entrepreneur, with over 20 years of experience in pharmacy benefits, finance, and software development. As the CEO of Capital Rx, his mission is to change the way pharmacy benefits are priced and administrated in the US. Prior to Capital Rx, AJ was a co-founder of Truveris, where he served for eight years as CEO, Chief Innovation Officer, and Board Member, leading the company to record growth (Deloitte FAST 500 and Crain’s Fast50). Prior to Truveris, AJ co-founded SMS Partners, a joint venture with Realogy (RLGY), and in 2010 exited the partnership with a buyout. In his first venture, AJ started Victrix, a supply chain consultancy, and successfully sold the company to Chrysalis Solutions in 2007.  https://www.cap-rx.com/company#leadership-team  See omnystudio.com/listener for privacy information. [summary] => On Part Three of the PBM Reform Podcast Series we talk with Mary Ellen S. Jones a PSEA UniServ Representative and Anthony J. Loiacono / Chief Executive Officer of Capital Rx, a pass-thru Pharmacy Benefit Management company.  PSEA is 181,000 members strong – a community of education professionals who make a difference in the lives of Pennsylvania’s students every day.   PSEA members are teachers, education support professionals, higher education staff, nurses in health care facilities, retired educators, and college students preparing to become teachers.  PSEA’s strength comes not only from our members, but from our beliefs, our values, and our passion. Every time we speak up for what we believe, we harness the power of collective action. Anthony J. Loiacono / AJ is a successful entrepreneur, with over 20 years of experience in pharmacy benefits, finance, and software development. As the CEO of Capital Rx, his mission is to change the way pharmacy benefits are priced and administrated in the US. Prior to Capital Rx, AJ was a co-founder of Truveris, where he served for eight years as CEO, Chief Innovation Officer, and Board Member, leading the company to record growth (Deloitte FAST 500 and Crain’s Fast50). Prior to Truveris, AJ co-founded SMS Partners, a joint venture with Realogy (RLGY), and in 2010 exited the partnership with a buyout. In his first venture, AJ started Victrix, a supply chain consultancy, and successfully sold the company to Chrysalis Solutions in 2007.  https://www.cap-rx.com/company#leadership-team  See omnystudio.com/listener for privacy information. 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  • On Part Three of the PBM Reform Podcast Series we...
  • Array ( [id] => 042c681e-e896-11eb-9005-d3d6f50efcae [createdAt] => 2021-07-19T08:34:17.719-05:00 [updatedAt] => 2021-07-19T08:50:20.280-05:00 [title] => Pharmacists for Truth Transparency - PBM Reform Series Part Two - PPN Episode 906 [pubdate] => 2019-12-23T09:48:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/pharmacists-for-truth-transparency-pbm-reform-seri [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/042c681e-e896-11eb-9005-d3d6f50efcae/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 10 [episodeNumber] => 906 [subtitle] => Part Two of the PBM Reform Podcast Series features an interview with Monique Whitney, the Excutive Director of Pharmacists United for Truth and Transparency (PUTT).  Pharmacists United for Truth and Transparency (PUTT) is a non-profit advocacy organization founded by independent pharmacists and pharmacy owners devoted to exposing the truth about the anti-competitive tactics of pharmacy benefits managers (PBMs). Known to most Americans as their "prescription drug benefit plan" provider, PBMs are in reality a $300 billion industry - giant corporate middlemen driving up the cost of medications with huge mark ups and commissions on every prescription covered under their "benefits plan."  ​ Working with local and national traditional and digital media that includes The New York Times, USA Today, CBS News, Bloomberg, NBC Nightly News with Lester Holt and Business Insider, PUTT seeks to educate patients, lawmakers, health plan sponsors and the public about the deeply negative effects of the PBM industry on U.S. healthcare and the escalating price of prescription medications. PUTT serves as an industry watchdog, collecting evidence of PBM fraudulent practices and abuse and using this information to educate and inform consumers, taxpayers, employers and health plan sponsors of the truth about the unregulated, unmonitored PBM industry. Through PUTT's efforts, PBMs have begun to experience greater public awareness and scrutiny of their actions and come under fire for questionable practices including the use of gag clauses at the pharmacy counter, gross over-billing of health plans (called "spread pricing"), forcing patients to use PBM-owned pharmacies instead of allowing patients to choose their own pharmacies and interjecting unnecessary bureaucratic practices such as prior authorizations between patients and their doctors in the matter of prescription refills. Monique Whitney Pharmacists United for Truth and Transparency Monique@TruthRx.org m. (505) 480-4150 See omnystudio.com/listener for privacy information. [summary] => Part Two of the PBM Reform Podcast Series features an interview with Monique Whitney, the Excutive Director of Pharmacists United for Truth and Transparency (PUTT).  Pharmacists United for Truth and Transparency (PUTT) is a non-profit advocacy organization founded by independent pharmacists and pharmacy owners devoted to exposing the truth about the anti-competitive tactics of pharmacy benefits managers (PBMs). Known to most Americans as their "prescription drug benefit plan" provider, PBMs are in reality a $300 billion industry - giant corporate middlemen driving up the cost of medications with huge mark ups and commissions on every prescription covered under their "benefits plan."  ​ Working with local and national traditional and digital media that includes The New York Times, USA Today, CBS News, Bloomberg, NBC Nightly News with Lester Holt and Business Insider, PUTT seeks to educate patients, lawmakers, health plan sponsors and the public about the deeply negative effects of the PBM industry on U.S. healthcare and the escalating price of prescription medications. PUTT serves as an industry watchdog, collecting evidence of PBM fraudulent practices and abuse and using this information to educate and inform consumers, taxpayers, employers and health plan sponsors of the truth about the unregulated, unmonitored PBM industry. Through PUTT's efforts, PBMs have begun to experience greater public awareness and scrutiny of their actions and come under fire for questionable practices including the use of gag clauses at the pharmacy counter, gross over-billing of health plans (called "spread pricing"), forcing patients to use PBM-owned pharmacies instead of allowing patients to choose their own pharmacies and interjecting unnecessary bureaucratic practices such as prior authorizations between patients and their doctors in the matter of prescription refills. Monique Whitney Pharmacists United for Truth and Transparency Monique@TruthRx.org m. (505) 480-4150 See omnystudio.com/listener for privacy information. 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  • Part Two of the PBM Reform Podcast Series features an...
  • Array ( [id] => 04ddde64-e896-11eb-9005-c33489f7e9ec [createdAt] => 2021-07-19T08:34:18.880-05:00 [updatedAt] => 2021-07-19T08:50:16.282-05:00 [title] => PBM Reform Series Part One: NCPA INSIGHTS - PPN Episode 902 [pubdate] => 2019-12-15T23:01:00.000-06:00 [link] => https://omny.fm/shows/pharmacy-podcast-network/pbm-reform-series-part-one-ncpa-insights-ppn-episo [author] => Pharmacy Podcast Network [imageFile] => https://megaphone.imgix.net/podcasts/04ddde64-e896-11eb-9005-c33489f7e9ec/image/image.jpg?ixlib=rails-2.1.2 [explicit] => [episodeType] => full [seasonNumber] => 10 [episodeNumber] => 902 [subtitle] => Anne CassityVice President, Federal and State Government Affairs at National Community Pharmacists Association (NCPA) joins Todd Eury, CEO of the Pharmacy Podcast Network, on part one of the new series:  PBM Reform Podcast Series  Pharmacy benefit managers were created as middlemen to reduce administrative costs for insurers, validate a patient’s eligibility, administer plan benefits, and negotiate costs between pharmacies and health plans. Over time, PBMs have been allowed to operate virtually unchecked. A lack of transparency in PBM practices has led several states to implement licensure/registration, fair pharmacy audit, or generic drug pricing legislation to try to level the playing field for pharmacies and patients.  NCPA: https://www.ncpanet.org/advocacy/state-advocacy/pbm-reform  See omnystudio.com/listener for privacy information. [summary] => Anne CassityVice President, Federal and State Government Affairs at National Community Pharmacists Association (NCPA) joins Todd Eury, CEO of the Pharmacy Podcast Network, on part one of the new series:  PBM Reform Podcast Series  Pharmacy benefit managers were created as middlemen to reduce administrative costs for insurers, validate a patient’s eligibility, administer plan benefits, and negotiate costs between pharmacies and health plans. Over time, PBMs have been allowed to operate virtually unchecked. A lack of transparency in PBM practices has led several states to implement licensure/registration, fair pharmacy audit, or generic drug pricing legislation to try to level the playing field for pharmacies and patients.  NCPA: https://www.ncpanet.org/advocacy/state-advocacy/pbm-reform  See omnystudio.com/listener for privacy information. [audioFile] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/04ddde64-e896-11eb-9005-c33489f7e9ec/stripped_22908cdd5f6394a1f9ed90e2bf89e1a8.mp3 [downloadUrl] => https://traffic.megaphone.fm/CSN5285087605.mp3 [size] => 28321750 [duration] => 1770.11 [uid] => CSN5285087605 [originalUrl] => https://chrt.fm/track/9E721/traffic.omny.fm/d/clips/1eb5bacd-67ef-4d44-bf2a-a9f2000e0bb8/205ebaaa-1735-4516-9d9e-a9f8015d6a71/4bbd9041-bbb4-47ff-8f20-ab240137df94/audio.mp3?utm_source=Podcast&in_playlist=70463262-2a5f-4bff-9569-ab1901131da2&t=1576472581 [bitrate] => 128 [samplerate] => 44100 [channelMode] => stereo [vbr] => [audioFileProcessing] => [podcastId] => f1c920fe-e895-11eb-9f0d-53227e531154 [preCount] => 1 [postCount] => 1 [insertionPoints] => Array ( ) [id3File] => https://megaphone-prod.s3.amazonaws.com/podcasts/f1c920fe-e895-11eb-9f0d-53227e531154/episodes/04ddde64-e896-11eb-9005-c33489f7e9ec/id3/d71d7dfa5abbe2c98893097ea2640969.mp3 [id3FileProcessing] => [id3FileSize] => 53540 [parentId] => [guid] => 4bbd9041-bbb4-47ff-8f20-ab240137df94 [pubdateTimezone] => [originalFilename] => [preOffset] => 0.0 [postOffset] => 0.0 [spotifyIdentifier] => [expectedAdhash] => [audioFileUpdatedAt] => 2021-07-19T08:34:30.023-05:00 [draft] => [externalId] => [cleanTitle] => PBM Reform Series Part One: NCPA INSIGHTS - PPN Episode 902 [customFields] => [podcastTitle] => PBM Reform Podcast [networkId] => 350149ba-8137-11e8-b024-4351158a124b [podcastAuthor] => Pharmacy Podcast Network [podcastItunesCategories] => Array ( [0] => News [1] => Politics [2] => Business [3] => Government ) [advertisingTags] => Array ( ) [mainFeed] => 1 [adFree] => [audioFileStatus] => success [status] => published )
  • Anne CassityVice President, Federal and State Government Affairs at National...
PBM Reform Podcast

PBM Reform Podcast

Pharmacy benefit managers were created as middlemen to reduce administrative costs for insurers, validate a patient’s eligibility, administer plan benefits, and negotiate costs between pharmacies... Read More