FDA Law Blog

MAY 31, 2021

Manufacturers provide patient savings programs at the pharmacy counter to defray the patient’s out-of-pocket costs such as co-pays and deductibles. CMS views accumulator programs as a way for PBMs and insurers to siphon off the benefit of manufacturer assistance so that it does not reach the patients for whom it is intended.

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FDA Law Blog

JUNE 27, 2024

50,372 , 50,377 (June 13, 2024). Alternating Between Cash and Insurance According to the government’s expert, patients paying for prescriptions with insurance and for others with cash is a red flag for those paid with cash. paid cash for oxycodone at Coconut Grove while using insurance for alprazolam at a different pharmacy.

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FDA Law Blog

MARCH 29, 2023

While many states have had standing orders that allow for the dispensing of naloxone without an individual prescription, “harm reduction programs” that provide products and services to at-risk individuals still faced logistical difficulties in acquiring naloxone due to its prescription-only status which I discussed in this October 2022 blog post.

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The Physicians Foundation

SEPTEMBER 17, 2024

Urgent Need for Solutions to Improve State of Current and Future Physician Wellbeing BOSTON, September 17, 2024 – The Physicians Foundation issued data today showing that the state of wellbeing remains critically low for physicians, with healthcare consolidation exacerbating the issue. In 2024, the survey was conducted online among U.S.

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ABIM

JUNE 4, 2025

In 2024, 77% of eligible ABIM Board Certified endocrinologists who chose an assessment opted for the LKA over the traditional, 10-year MOC exam. Special Consideration IMG Pilot Pathway* In August 2024 , the ABIM Council proposed a pilot model for exceptionally qualified IMGs pursuing accredited subspecialty fellowship in the U.S.

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ABIM

JUNE 24, 2025

In 2024, 78% of hematologists who were due for an assessment and chose to enroll in one chose the LKA over the traditional, 10-year MOC exam, which is on par with the average across specialties. Advanced Practice Providers in the Hematology-Oncology Workforce* Guinevere Z. ASH has engaged in lobbying efforts in Washington, D.C.

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GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. So usually they’ll make recommendations, maybe some medication adjustments or something like that, and then the provider that’s caring for them in house will take over from there. Eric 13:49 Right.

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GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. ABIM MOC credit will be offered to subscribers in November, 2024. And Katie, as an advanced practice provider, is much better than I am at explaining how this works.

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New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

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Maine Academy of Family Physicians

JUNE 21, 2024

Pat Connolly reported on the 2024 Maine Legislative Session: It was a short but busy session in Augusta this year. Providers of abortion and gender affirming care in Maine are effectively shielded from laws in other states by the passage of protection by the legislature. Here in Maine the "shorter" Legislative Session was quite full!

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Medical Xpress

JUNE 7, 2025

Many people still face stigma or lack insurance coverage, which can limit access. Most current PrEP users have commercial insurance, but Medicaid will be key for expanding access to lower-income communities. The content is provided for information purposes only. Gilead says reaching underserved groups is a top goal.

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GeriPal

AUGUST 1, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Eric: Okay.

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GeriPal

AUGUST 22, 2024

Insurance companies. Healthcare provide. They’re often the ones who are most directly in touch with a grieving family or may have their own concerns about the care that’s being provided and the worth or value of what they’re showing up and doing every day. Healthcare companies. Icus for beds. Alex 11:53 Great.

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Physician's Weekly

JUNE 12, 2025

An “improper” payment refers to payments made erroneously to beneficiaries and their providers or without sufficient documentation. In a 2024 report covering the years 2022, 2023, and 2024, Medicaid’s parent agency — the Centers for Medicare & Medicaid Services — said the rate was about 5.1%.

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GeriPal

SEPTEMBER 14, 2023

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. And the treatments are different than what hospice might provide in the home setting. And in the omnibus bill that was last passed, the waiver was extended through the end of 2024.

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FDA Law Blog

SEPTEMBER 14, 2021

PART 1: MAXIMUM FAIR PRICE PAYMENT LIMITATION UNDER MEDICARE PARTS B AND D AND THE COMMERCIAL INSURANCE MARKET. Under all of these programs, patient co-insurance would be calculated based on the MFP so that patients receive the benefit of that price. The four parts of Subtitle E are summarized in turn below. 8126 with a lower MFP.

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Physician's Weekly

JUNE 17, 2025

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. Health insurers issue millions of denials every year. “They’re, like, not accountable to anyone.” Senate report.

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Physician's Weekly

JUNE 12, 2025

States that run their own Obamacare marketplaces and the National Association of Insurance Commissioners have also raised concerns about added costs and reduced access. More than 90% of ACA enrollees receive tax credits to defray monthly premiums for their coverage. There are two key provisions for them to watch. Having a Baby?

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