Payer Update, December 2023
Member and Community Relations Update Medicare Part B Update – Modifiers Required on All Medicare Part B Claims Starting January 1, 2024 by Ellen Riker, Artemis Policy Group, Hemophilia Alliance Advocacy Consultant As of January 1, 2024, CMS is requiring that all Medicare Part B claims submitted by HTCs for separately payable drugs purchased using […]
Payer Update, November 2023
Member and Community Relations Update From Frustration to Opportunity – Maximizing HANS as a Resource by Jeff Amond, Director Member & Community Relations Over the last few weeks, I attended two Regional Meetings. One big take home message from many of the attendees was the continued frustration of losing HTC pharmacy patients to commercial specialty […]
Payer Update, October 2023
Payer Update Know Your Patients and Their Insurance by Jeff Amond, Director Member & Community Relations Health Insurance Open Enrollment season has begun. Now is a great time to begin preparing and contacting your patients about their 2024 health insurance to determine if there will be changes that may impact the clinical and pharmacy services […]
Payer Update, September 2023
Payer Update In Good Times and in Trying Times by Jeff Amond, Director Member & Community Relations I was reminiscing a few weeks ago about my 6-year work anniversary with the Hemophilia Alliance and for whatever reason I started thinking about how my work on the Member and Community Relations Team was like a marriage. […]
Payer Update, August 2023
Payer Update Commercial Gene Therapy Options/Disrupters by Member & Community Relations Team It has been a very busy and interesting year in the Payer space. With the recent approval of gene therapies for Hemophilia A and B and a pipeline with several other novel therapies, we are seeing new market entrants offering networking and contracting […]
Payer Update, July 2023
Payer Update Hemophilia Alliance Welcomes Kollet Koulianos by Jeff Blake, Senior Vice President Member & Community Relations Because states do not have authority over ERISA plans, federal work is also being done in parallel to the state efforts. H.R. 830 The HELP Copays Act has been introduced by Representative Buddy Carter (R-GA) and currently has […]
Payer Update, June 2023
Payer Update State Medicaid Redetermination in Process NOW by Angela Blue, Director Member & Community Relations Many HTC patients may be at risk of losing coverage, or having their Medicaid coverage mistakenly terminated, even if they have been covered by Medicaid for many years. The end of the COVID-19 Public Health Emergency (PHE) ushered in […]
Payer Update, May 2023
Payer Update Audits – We are here to help! by Zack Duffy, Director Member & Community Relations Audits can come to HTCs from a variety of angles. Whether it is a compliance related audit or a payor related audit the Hemophilia Alliance is here to support you through the process. The earlier a center can […]
Payer Update, April 2023
Payer Update by Jeff Blake, Senior Vice President Member & Community Relations The Hemophilia Alliance Team continues to develop and enhance our payer relations and contracting opportunities to bring business back to our member HTCs and their pharmacy programs. We have accomplished a lot, but there is so much more that we can do. Below […]
Payer Update, March 2023
Payer Update HANS PPO Agreement 42 signed, 65 To Go by Jeff Blake, Senior Vice President Member & Community Relations We continue to promote HANS and our PPO Agreement to our member HTCs and the payer community. In addition, we’ve had several discussions with payers to let them know HANS is a solution for Gene […]