Walgreens surpasses other major pharmacies with 340B locations

It's no surprise that one of the more notable changes in our Government Programs lies within the 340B Program. With recent reports of duplicate discounts, and the wrong patients receiving drugs, it's difficult to propose a specific course of action, without hurting the most important person involved; the patient. Some will also argue that the locations of establishments with 340B contracts are geographically undesirable. However, recent stats show that Walgreen's, one of the largest chains in the country, actually has the most 340B contracts.

Below are some stats from our media partners, Drug Channels:

View the full article here.

Want to learn more about 340B Programs? Join us this fall, at the 18th Annual Medicaid Drug Rebate Program. We've dedicated an entire symposium where we'll cover everything from entity compliance to manufacturer audits. To view our full program, download our agenda.

As a reader of this blog, mention code XP1858BLOG when you register to save 15% off of the standard rate. We look forward to seeing you September 9-11, in Chicago, IL!

Leverage Government, Commercial and Finance Synergies at IIR’s MDRP Summit

In the last few years, interconnectedness between government programs, commercial contracting and finance departments has become more evident, and more important. Transparency is integral to the company’s bottom line, and government pricing and contracting executives play a key role that financial executives are taking notice of.

IIR’s 18th Annual Medicaid Drug Rebate Program Summit historically has brought all these forces together in one place so that you can benefit learning from each other—tips, tricks, workarounds, solutions, and how-to’s. Because it’s hard stuff and you want to do it right and work across all the three functions as effectively and efficiently as possible. This year, the track Financial Implications to Government Pricing Programs will provide expert insights into the overarching financial implications to what you do each day.

Session highlights include:

• Gross-to-Net and Government Pricing Capturing the various data points to truly understand the net revenue of government purchases is a complicated process. This session discusses how government pricing programs such as MDRP and 340B affects GTN.

• Maintain Accurate Accruals and Forecasting With Government Pricing professionals having a key role in evaluating both external and internal events which may impact government program revenue deductions, this session explores a variety of challenges including the pitfalls of inaccurate forecasts and accruals and preparing for Medicaid Expansion from an accruals expansion.

• Clarify the Branded Drug Fee Calculation This annual fee based on product sales is a struggle for pharmaceutical manufacturers. Working with the IRS is often difficult and confusing. This session gets into the nitty-gritty of the program and how to navigate the murky waters.

Want to learn more? Download our brochure.

As a reader of this blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Sincerely,
The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
Follow Us on Twitter 

Session Spotlight: Contracting in 2020: The Transformational Journey

Within the next few years, the contracting landscape will be affected by trends such as outcomes based contracting, patient-specific programs, regulatory changes and the increased use of specialty drugs. The current processes and systems will need to be changed to adapt in order to deliver both the functionality and insight needed to address the new requirements. How should manufacturers make their contracting and reporting applications ready for 2020?

Session: Contracting in 2020: The Transformational Journey

Speakers: Carlos Moreira, Partner, PriceWaterhouseCoopers
Kevin Hallinan, Director, PriceWaterhouseCoopers
Oneil Rego, Managing Director, PriceWaterhouseCoopers

Want to hear more about how to make your contracting and reporting applications ready for 2020? Join us this September for the 18th Annual Medicaid Drug Rebate Program. To learn more, download our brochure.

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG register. We'll see in you September 9-11, in Chicago, IL!

Session Spotlight: Gross-to-Net and Government Pricing

The US Government is the largest healthcare provider to the American population, responsible for over 50 million lives. With Medicaid expansion, this will only increase. The effect the MDRP program – and the other government reimbursement programs - has on company operations and financials can be significant. As the largest healthcare provider to the American population, the US government has a significant impact on pharma company financials. What operational challenges arise that affect the overall GTN calculation? 

Session: Gross-to-Net and Government Pricing
Speakers: David Chan, IMS Health
Ari Ilan, Principal, IMS Health 

This session explores the Government pricing effect on the Gross-to-Net accounting done by finance executives both on a strategic and operational level. Want to learn more about how government pricing and contracting affects GTN? Join us this September for the 18th Annual Medicaid Drug Rebate Program. To learn more, download our brochure.

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG register. We'll see in you September 9-11, in Chicago, IL!

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL! - See more at: http://healthcareinsights.blogspot.com/#sthash.4GBrBW8d.dpuf

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL! - See more at: http://healthcareinsights.blogspot.com/#sthash.4GBrBW8d.dpuf

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL! - See more at: http://healthcareinsights.blogspot.com/#sthash.4GBrBW8d.dpuf

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL! - See more at: http://healthcareinsights.blogspot.com/#sthash.4GBrBW8d.dpuf

Obamacare provision delayed until 2015

The Obama Administration announced that businesses will be granted one more year before they are required to cover their employees under Obamacare. Most large employers already do cover their employees, and smaller businesses, with less than 50 employees were initially exempt from the rule. Because the reporting requirements are so elaborate, many businesses expressed concern regarding the ability execute them efficiently, today the administration announced that ACA employer mandate will be delayed for one year.
 
The move does not affect the individual mandate – the requirement that most Americans get insurance. And it doesn’t delay the new marketplaces where people and small businesses can sign up for coverage starting in October. 

Is a year enough time to simplify such complex reporting requirements?

Which Medicare topic areas are most important to you?

Over the past couple weeks, I've had research calls with dozens of your peers: some of which have attended the Medicare Congress, some who have spoken at the Medicare Congress, and some who didn't know what the Medicare Congress was until I told them about it. As always, some are feeling positive about the industry, some are feeling not-so-positive, and EVERYONE had insight into what matters most in the Medicare industry.

One of my favorite parts of being a conference producer is getting to translate all of this feedback into a tangible program that attracts high level, provocative speakers, which in turn attracts a larger audience. I’m just starting to put together a loose agenda, and although I'm not quite ready to show all of my cards, I can tell you that we’re planning on adding a few full day summits to the mix, in order to provide you with deeper insight into the areas that matter most (and are the most lucrative).

We'd love to hear from you! Which topic areas would you like us to cover for next year's event?

Session Spotlight: Managed Care, Exchanges and Best Price

As 2014 looms, insurers prepare to begin enrolling beneficiaries into Health Insurance Exchanges in the fall. However, recent news reports have indicated that this timeline might not happen. Manufacturers are looking at these new insurance portals and trying to determine the impact to government pricing, as many private insurers are asking for best price status. How are the Health Insurance Exchanges being implemented?  

Session: Managed Care, Exchanges, and Best Price

Speaker: Amy Van de Car, Senior Director, US Commercial Compliance & Government Programs, Compliance Implementation Services

Join Amy VandeCar of CIS at the 18th Annual Medicaid Drug Rebate Program as she discusses the ins and out of exchanges, their impact on Managed Medicaid and how manufacturers can get a broader picture of the lives covered in each state to help with their business. Want to learn more? Download our brochure.

As a reader of this blog, you'll receive 15% off the standard rate when you mention code XP1858BLOG to register. We'll see in you September 9-11, in Chicago, IL!

A Message from the IIR MDRP Summit 2013 Chairman

Doesn’t it feel like PPACA was passed a long time ago? In the three years since, we’ve gone through a lot in the Government Pricing and Reimbursement arena, and now we’re looking at 2014 and wondering what is to come.

We’re still thinking about Medicaid expansion and how many states will ultimately expand, thereby adding more weight to the Medicaid Drug Rebate Program. We’re also still waiting for CMS’ Final AMP Rule which will fundamentally change how we do our calculations.

The MDRP Chicago Summit has anticipated what manufacturers are dealing with on a day-to-day basis and provides essential content you won’t find anywhere else. It is THE place where industry, state and federal government professionals come to share information, get updated on regulatory issues, and have a good time doing it.

· The only event with four manufacturer-led case studies to update your operations processes

· Five pre-conference symposium including the all-new Commercial Impacts on Government Pricing and MDRP Fundamentals

· The Annual Update on 340B Program Regulations, Processes and Enforcement Answers from PHS presented by Cmdr. Krista Pedley, Director, HRSA, OPA

· The only event facilitating Dispute Resolution Meetings with at least 9 participating States

· The all-new Pharmaceutical VA Contracting and Compliance Summit where you will meet 8+ VA officials

Want to learn more? Download our brochure.

As a reader of this blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage:

Sincerely,

Edward J. McAdam, Sr.
Senior Director, Payer Marketing and Contract Strategy
Daiichi Sankyo, Inc.

Medicaid Drug Rebate Program Summit Webpage
Follow Us on Twitter

Hurry! There is still time left to register for the Gross-to-Net Accounting Forum taking place next week, June 17-18.

Are you ready? We’ve got a packed agenda including in-depth coverage on Chargebacks and the Impacts of Healthcare Reform on Medicaid Liability to ensure you leave with the complete GTN perspective. You will hear directly from experts at big and small pharma, and branded and generic companies on key areas such as:

• Accruals
• Wholesaler Returns
• New Product Launches
• Managed Care
• Chargebacks
• Medicaid Liability

Register today using code XP1811BLOG and receive 15% off the standard rate!

Want to learn more? Download our brochure. If you have any questions about the agenda or event, please contact Kate Devery at kdevery@iirusa.com or visit our webpage.

We look forward to seeing you next week!

Best,
The Pharmaceutical Accounting, Financial, & Reporting Team

Visit our homepage: http://bit.ly/10fsWay
Follow us on Twitter

Meet States at Exclusive Dispute Resolution Meetings

Working in the Medicaid Drug Rebate space is complicated. It’s not just a contract between you and CMS. You have to deal with fifty states, DC and perhaps soon, the territories. No matter the size of your organization, those are a lot of stakeholders to keep track of. And with Medicaid expansion, some of those relationships will change in the next year.

At the 18th Annual Medicaid Drug Rebate Program we know that a little information can go a long way, which is why we have our custom track, “Understand and Comply with State Processes, Operations and Requirements,” so that you can hear from the States themselves about how they deal with challenges including:

· Ensuring data accuracy through the scrubbing of validation data in the session, “Rub a Dub Dub, Time to Scrub….that Data”

· The potential need to develop and adopt an industry standard for claim level detail to improve MDR processing areas in the session, “How States are Currently Processing Rebates and Intend to Move Forward into 2014”

· Performing validation tests on Medicaid invoicing to identify questionable terms and avoid disputes in, “Develop Best Practices for Dispute Resolution”

EXCLUSIVE! Meet with State Representatives for Dispute Resolutions!

Balancing your books and ensuring your accounts are up to date is extremely important. We also know how difficult it can be to get the opportunity for face to face time with the states that you are in disagreement with. That is why, for the last 11 years, MDRP has been the ONLY EVENT to facilitate Dispute Resolution Meetings — so that pharmaceutical manufacturers and states can get up close and personal, and put an end to those disputes potentially worth millions of dollars.

· Oregon

· New Jersey

· Florida

· Montana

· Colorado

· Illinois

· Kansas

· Connecticut

· Oklahoma

Want to learn more? Download our brochure.

As a reader of the healthcare insights blog, you receive an exclusive discount of 15% off of the standard price by using priority code XP1858BLOG to register. Do you have any questions about the event? Feel free to contact Kate Devery at kdevery@iirusa.com or visit the webpage.

Cheers,

The Medicaid Drug Rebate Program Summit Team

Medicaid Drug Rebate Program Summit Webpage
Follow Us on Twitter