Managed Care Pharmacy Issues

Stay updated on the latest managed care pharmacy issues with our comprehensive resources. Explore key topics, current challenges, and expert insights to enhance your practice and advocate for better health care solutions. Learn more about our advocacy with our pharmacy practice positions.

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Alternative Funding Plan Slammed as a Risky Model for Patient Care

When a 34-year-old patient being treated for stage IV colorectal cancer at Vanderbilt University Medical Center, in Nashville, Tennessee, was notified that his medication was no longer covered by his insurer, he contacted Vanderbilt Specialty Pharmacy. Pharmacists there immediately submitted a prior authorization that was denied, and they were told there was no appeal option.
Managed Care Practice Issues, Drug Pricing, Prior Authorization/Electronic Prior Authorization (ePA), Payment Systems
susan standing

Conversations with Perry and Friends: Susan A. Cantrell, CEO of AMCP

The role of the pharmacist, managed care pharmacist job satisfaction and artificial intelligence were among the topics that Susan A. Cantrell, CEO of the Academy of Managed Care Pharmacy, discussed with Perry Cohen, Pharm.D., in this episode of "Conversations with Perry and Friends."
Managed Care Practice Issues, Care Coordination, Drug Pricing, Legislation & Regulation
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HHS, CDC Announce First Pharmacist Appointment to ACIP: Hillary F. Blackburn Named Voting Member

Yesterday, the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) confirmed the appointment of Hillary F. Blackburn, PharmD, MBA, of Franklin, Tennessee, as a voting member of the Advisory Committee on Immunization Practices (ACIP). This historic appointment marks the first time a pharmacist has been confirmed as a voting member of ACIP.
Managed Care Practice Issues
Unscripted - The AMCP Podcast

Unscripted - The AMCP Podcast: Inside GoodRx Community Link: A New Program for Independent Pharmacies

In this episode, we talk with Aaron Crittenden, President of Rx Marketplace at GoodRx, about Community Link, a new program from GoodRx that empowers independent pharmacies through direct contracting, predictable pricing, and access to over 90 brand medication deals. Aaron explains how Community Link helps pharmacies stay competitive, provide affordable prescriptions for patients, and build more sustainable economics in today’s challenging marketplace.
Unscripted - The AMCP Podcast

Unscripted - The AMCP Podcast: Understanding Psoriasis, Treatment Options and Patient Impact

In this episode of Unscripted, AMCP speaks with Dr. Harrison Nguyen, a double board-certified dermatologist and health economist, about the true scope of psoriasis. From overlooked symptoms and high-impact areas to the systemic nature of the disease, Dr. Nguyen explains why a personalized treatment strategy is essential. He also explores the economic case for early intervention and access to advanced therapies.
Unscripted - The AMCP Podcast

Unscripted - The AMCP Podcast: Vitiligo, Awareness, and the Role of Managed Care

In this episode of Unscripted – The AMCP Podcast, Tonja Johnson – founder of the Beautifully Unblemished Vitiligo Support Group – shares her personal journey with vitiligo, from diagnosis and frustration to advocacy and empowerment. In recognition of World Vitiligo Day, this conversation explores the physical, emotional, and social challenges of living with the condition, the ongoing stigma and mental health impact, and the urgent need for health plans to treat vitiligo as more than cosmetic. This episode highlights how community, awareness, and managed care can come together to improve the lives of those affected.