Presentations

Importance of copay assistance in patient affordability of prescription drugs

Importance of copay assistance in patient affordability of prescription drugs

Copay assistance provides a safety net to help patients afford and adhere to medically-necessary medications. But, the Centers for Medicare & Medicaid Services (CMS) Best Price Rule, finalized by the Trump administration in 2020, threatens patient access to these critical programs. If implemented, the final rule would allow insurers and pharmacy benefit managers (PBMs) to undermine copay assistance through copay accumulator adjustment programs that block patient assistance from counting towards a patient’s deductible and out-of-pocket cost-sharing requirements. Watch this¬†virtual briefing to learn about the value of patient copay assistance programs and how you can get engaged to protect communities from the unintended consequences of the CMS Best Price Rule.

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Reducing Barriers to PrEP Therapy

Reducing Barriers to PrEP Therapy

Carl Schmid discusses ideas on how to minimize barriers and increase overall use of PrEP therapy in episode 13 of Managed Healthcare Executive’s “Evaluating the Current and Future Opportunities for HIV PrEP.”

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Battling inequities in access to PrEP

Battling inequities in access to PrEP

Carl Schmid describes the steps that can be taken to reduce inequities in PrEP uptake, focusing on community and provider education in episode 14 of Managed Healthcare Executive’s “Evaluating the Current and Future Opportunities for HIV PrEP.”

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Promoting PrEP &  ensuring its  coverage & affordability

Promoting PrEP & ensuring its coverage & affordability

This worshop will educate attendees about efforts to create national programs to increase the promotion of PrEP to those communities that are most in need of it, along with their providers. Additionally, ways in which PrEP can be covered and made affordable now and in the future by various payers including private insurers, Medicaid, and Medicare will be discussed. Implementation barriers will be identified along with potential steps that can be taken to overcome them. Ideas on how to provide PrEP to the uninsured and underinsured will also be explored. Attendees will have an opportunity to provide input on the proposals presented and learn what advocacy is needed to ensure the goal of increasing the uptake of PrEP, particularly in the communities most impacted by HIV, will be achieved.

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