Dalton Miller’s Post

Yesterday I posted an article about medication access and costs. The wonderful article explained how there are many hidden costs (from insurance and Pharmacy Benefit Managers) and that they drive up the cost of meds without transparency. Congress is looking at reform to hold the PBMs accoutable and require transparency. This is SO important. Please take a moment to tell your congress reps to support the legislation and please share this post! It will take you 2 min... promise. #medicationaccess #vasculitis #raredisease https://lnkd.in/gUzAu93V

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with #PriorAuthorization, audits and appeals, the Medicare Quality Payment Program and requirements around surprise billing and good faith estimates headlining the complaints. The findings stem from MGMA's annual regulatory burden report, which surveyed more than 350 group practices. When you have an uptick in regulatory burden, it takes attention and resources away from patients. Learn more from Fierce Healthcare: https://hubs.la/Q029r_1j0 #FixPriorAuth #Valer

The DEPICT Act requires the implementation of diversity action plans during clinical development, enforced by FDA. In a disease state like #congenitalCMV, which is epitomized by differences in healthcare burden #healthcaredisparities #underrepresentativeness based upon #socioeconomic #sociodemographic factors, this becomes especially important when designing #clinicaltrials and #clinicaldevelopment plans. https://lnkd.in/eamyvMqE

Another small-scale insight into the SONAR Custody Portal, this post expands on the importance of the NCRS integration within SONAR. The quick access can enable timely solutions regarding prescription medication, reducing detainee distress and supporting healthcare professionals. #CRG #JWPM #SONARCMS

Approximately 13% of Medicare beneficiaries who receive their "Annual Notice of Change” actually read it. If you have a Medicare Part D drug plan or a Medicare Advantage plan, now is the time to review your coverage options, and in our opinion, it's more important than ever. Learn more about what to consider: https://lnkd.in/en-qc9as #ACMWealth #Medicare #MedicareCoverageOptions

If you have higher income, you’ll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. The SSA calls the additional amount the “income-related monthly adjustment amount.” If you’re a higher-income beneficiary, this amount is deducted from your monthly Social Security payments regardless of how you usually pay your monthly prescription plan premiums. To view the rest of our Social Security FAQs, read our recent blog: https://zurl.co/jYLl

How does prior authorization help patients? The prior authorization process can help you: 1. Reduce the cost of expensive treatments and prescriptions by first requiring you to try a lower-cost alternative 2. Avoid potentially dangerous medication combinations 3. Avoid prescribed treatments and medications you may not need or those that could be addictive NSA Rule The law requires surprise bills must be covered without prior authorization and in-network cost sharing must apply.