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A significant part of the Healthesystems vision is to create a more integrated experience for our customers

Regulatory Tag: Cost Containment

November 4, 2024
Mississippi Requests Stakeholder Input for 2025 Fee Schedule

No deadline for feedback has been given, but the Commission will consider feedback for fee schedule changes for 2025.

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October 21, 2024
California P&T Meeting Reviews Pharmacy Fee Schedule and Formulary Updates

Public comments for the proposed changes to the fee schedule will be accepted until October 23rd.

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October 14, 2024
CWCI: Are Migraine Drugs Becoming a New WC Cost Driver?

Drug payments increased eight-fold since 2018.

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October 14, 2024
California P&T Committee to Discuss Pharmacy Fee Schedule

The meeting takes place October 16th to discuss the fee schedule and other matters.

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September 30, 2024
Texas Releases 2025 Audit Plan

Audits will focus on timely and accurate reimbursement, bill reporting, and delivery of benefits.

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September 16, 2024
Oregon to Hold Rulemaking Advisory Committee Meeting

A November 5th meeting will review fee schedule revisions and certain reimbursement rules.

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September 13, 2024
Florida Proposes Prior Auth Requirements for Packs and Kits

Requiring prior authorization would likely reduce utilization, and by extension reduce spend.

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September 13, 2024
Ohio Issues Draft Rules for Outpatient Drug Payments

The AWP discount could go from a fixed 15% to a variable rate set by the BWC, with an annual review.

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