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Reimbursement Model

All articles tagged with #reimbursement model

CVS Pharmacy Implements New Pricing Model for Prescription Drugs
healthcare2 years ago

CVS Pharmacy Implements New Pricing Model for Prescription Drugs

CVS Pharmacy is introducing a new reimbursement model called CVS CostVantage, aiming to bring greater transparency and simplicity to the drug pricing system. The model will reset how reimbursement happens by defining drug costs and related reimbursement with contracted pharmacy benefit managers and payors. The impact on consumers will be seen in the first half of 2024, primarily for patients using cash pharmacy discount cards. CVS plans to incorporate CostVantage into contracts with pharmacy-benefit managers starting in 2025. This move aligns with the industry's efforts to provide clarity on drug pricing and follows the example of other companies, such as Cost Plus Drug, that promote transparency in drug costs.

CVS revolutionizes drug pricing and reimbursement process
healthcare2 years ago

CVS revolutionizes drug pricing and reimbursement process

CVS is changing its pharmacy reimbursement model, aiming to bring more transparency and simplicity to drug pricing. The new approach, called CVS CostVantage, will use a simpler formula that includes the cost of the drug, a set markup, and a fee to determine the drug's price and reimbursement with pharmacy benefit managers. While the move could change the cost of prescription drugs for some patients, it may not necessarily make all medicine cost less. CVS executives expect that more prescription costs will fall than rise for consumers, employers, and health insurers. The announcement comes amid ongoing efforts to address the high cost of medications and the lack of transparency in the pricing process.