Payer Update, May 2020

Payer Update

HANS Announces New Payer Agreement
By Jeff Blake

Exciting News!! Hemophilia Alliance Network Services (HANS) has signed a payer agreement with AscellaHealth, an innovative national pharmacy benefit manager (PBM), with business with commercial insurance payers, Medicare Advantage plans and Medicaid plans. In 2019, AscellaHealth had over 90 covered members with bleeding disorders and dispensations exceeded 30,000,000 units. They now have over 100 covered members with bleeding disorders.

Over the next few months, we will be working with AscellaHealth to implement our agreement so member HTCs that have signed the HANS PPO Agreement can begin dispensing to eligible AscellaHealth covered members. We will keep you updated on the implementation and contact participating HTCs with additional details.

If you have not signed a HANS PPO Agreement, now is an excellent time to complete this process. In addition to the AscellaHealth payer agreement, the Hemophilia Alliance Team is working on other payer opportunities that represent more than 31,000,000 units.

If you have any questions about the HANS PPO Agreement or how the Hemophilia Alliance Team can assist you in your payer relation and payer contracting efforts, please contact a Hemophilia Alliance Team Member. Here is a map that shows your state’s primary contact person as a place to start. WE WORK FOR YOU!!!

Also in this Issue…

Notes from Joe
· AC/DC

Legal Update
· 340B Program Flexibilities During COVID-19 Pandemic

Washington Update
· CMS Releases a Second Rule to Provide Flexibility During COVID Emergency
· CMS Releases Rule Reopening Door for Accumulator Adjustor Programs

Alliance Update
· 2020 Meeting Schedule

Notes from the Community
· All About the WAAPS-Hemo System