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Comparison of State Pharmacy Benefit Managers Laws

Earlier this year, 20 states passed 31 bills to shed light on the opaque business practices of pharmacy benefit managers (PBMs). States took varied approaches to curb prescription drug costs by regulating PBMs. The chart below details the PBM practices each state tackled, and how their approaches compare with NASHP’s PBM model legislation.   Footnotes 1. […]

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  • Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs

    On the heels of Oklahoma’s first-in-the-nation, value-based purchasing deal to improve adherence to an antipsychotic drug, the state’s Medicaid agency just signed its second value-based contract for a prescription drug used to treat serious bacterial skin infections. While several private insurers have initiated value-based contracting, which links payments to a drug’s effectiveness and outcome, Oklahoma […]

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    September 25, 2018 | Filed under: All, Front Page, Medicaid
  • TO: Interested Parties FROM: Ellen Jane Schneiter, Deputy Director RE Proposals, Human Resources ASO: Request for Proposals, Human Resources ASO DATE: September 5, 2018 The Center for Health Policy Development (d/b/a National Academy for State Health Policy or “NASHP”) is accepting proposals from HR outsourcing companies offering ASO services to small businesses. We invite you […]

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    September 6, 2018 | Filed under: All
  • #NASHPCONF18: Policymakers Share Their Approaches to Stabilize State Individual Insurance Markets
    State Health Policy Blog

    During NASHP’s recent state health policy conference, state insurance experts explored the dramatic changes that recent federal action has foisted on their individual health insurance markets. In a second report from this conference session, they highlight strategies they’ve used to stabilize markets and identify lingering challenges to insurance markets’ affordability and choice. While many state […]

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  • Below is a full list of the Conference speaker presentations.

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    August 21, 2018 | Filed under: All
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    August 20, 2018 | Filed under: All
  • Pharmacy Benefit Manager Model Legislation: Questions and Answers

    These questions and answers explain the role pharmacy benefit managers (PBM) play in the drug supply chain and highlight NASHP’s model PBM legislation that states can use to better oversee PBMs and protect consumers. What are pharmacy benefit managers? Pharmacy benefit managers (PBMs) contract with health plans to administer their pharmacy benefits. Depending what a health […]

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  • Medicaid pays a large share of treatment costs for children with behavioral health conditions. In 2011, more than 4 million children enrolled in Medicaid had a diagnosed behavioral health condition. The National Academy for State Health Policy (NASHP) has developed an informational fact sheet summarizing Medicaid provisions that cover behavioral health treatment for children. The […]

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    July 27, 2018 | Filed under: All, Behavioral Health, Children's Health, Medicaid
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    July 13, 2018 | Filed under: All
  • Feds Send Mixed Responses on States’ Efforts to Control Medicaid Drug Costs

    The Centers for Medicare & Medicaid Services (CMS) had a mixed response to two states’ innovative efforts to control Medicaid drug costs in June. The agency denied Massachusetts’ 1115 waiver request to create a closed Medicaid drug formulary, but it approved Oklahoma’s State Plan Amendment that authorizes supplemental rebates for value-based purchasing arrangements with pharmaceutical […]

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    July 10, 2018 | Filed under: All, Drug Pricing, Front Page, Front Page-Rx, Medicaid