Real-Time Benefit Check

Diving Deeper into CMS’ Proposed Rule on Electronic Prior Authorization for Medicare Part D Drugs

By Jocelyn Keegan, Payer Practice Lead, and Ken Kleinberg, Innovative Technologies Practice Lead The Center for Medicare and Medicaid Services (CMS) recently announced a proposed rule that would require use …

CARIN Alliance Workgroup to Help Advance Real-Time Pharmacy Benefit Check for Patients

By Pooja Babbrah, Practice Lead, PBM Services  The CARIN Alliance—a large, multi-stakeholder coalition–has formed a workgroup aimed at advancing the consumer-facing, real-time pharmacy benefit check (RTPBC). The goal is to …

Urgent Need for Real-Time Pharmacy Benefit Check Confirmed in Senate Committee Hearings

By Pooja Babbrah, PBM Services Practice Lead In mid-March, I was invited to testify in front of the U.S. Senate Special Committee on Aging at a hearing they held focused …

Health IT Will Help Achieve the Value in Value-Based Care in 2019

By Tony Schueth, CEO & Managing Partner How we pay for health care is undergoing a disruptive, fundamental shift. We rapidly are moving away from the traditional fee-for-service, pay-for-volume approach …

POCP Responds to Proposed Regulation Requiring Adoption of Real-Time Pharmacy Benefit Check by Medicare Part D

By Tony Schueth, CEO and Managing Partner Medicare Part D could adopt the Real-Time Pharmacy Benefit Check (RTPBC) beginning as early as January 1, 2020. That is what’s proposed in …

Opportunities to Improve Drug Price Transparency at the Point of Prescribing

By Tony Schueth, CEO and Managing Partner A new revolution is coming to the point of care. It leverages electronic prescribing (ePrescribing) to provide accurate, patient-specific information on medication prices and …

New Benefit Check Solution Could Revolutionize e-Prescribing

By Michael Burger, Practice Lead, EHRs and EDI CoverMyMeds recently announced a new product, RxBenefit Clarity (RxBC), in conjunction with RelayHealth Pharmacy Solutions.  Both companies are part of McKesson Rx …