Payer Update, March 2020

Payer Update

By Jeff Blake

During this time of crisis, the Payer Team continues to work with various payers on strengthening our relationships to bring more pharmacy business to our HTC members. We also continue to finalize more HANS PPO Agreements with HTCs. We need to continue to grow our HANS PPO Network to enhance our ongoing payer efforts and continue to grow your pharmacy business. The team is actively working 43 opportunities with payers that represent more than 27,000,000 units of bleeding disorders products. As we finalize more HANS PPO Agreements with members, we are confident we will receive additional payer opportunities.

In addition to our daily payer activities, we have been working with HTCs, payers and National Hemophilia Foundation to address new challenges. These challenges include discussions about relaxing barriers that do not allow HTCs pharmacy to dispense, prior authorizations and appropriate number of doses for patients to have at home. We are also monitoring approved Medicaid Waivers for state Medicaid Programs and any Medicare program changes.

We will continue to provide updates on our activity. If you are encountering issues or new challenges that we can help, please contact a member of the Hemophilia Alliance Team.

Also in this Issue…

Notes from Joe
· Coronavirus Update

Alliance Update
· Webinars on COVID 19 and Changes in Healthcare
· Alliance Meeting for New HTC Personnel is Postponed
· Contract Data Reporting
· 2020 Meeting Schedule

Legal Update
· Why and How HTCs Can Use Referral Arrangements in the 340B Program

Washington Update
· Policymakers Respond to COVID-19
· Virtual Hill Day Details

Notes from the Community
· Hemophilia Alliance Foundation Announces New “Large” Grant

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