The pharmacy benefit manager industry is coming under increased scrutiny by insurance companies and large chain pharmacies, according to news reports. Audits and reconciliation of reimbursement by a large insurer and at least one chain have revealed some PBMs are coming up short on [Read more...]
As WVPA reported February 17, the Center for Medicare and Medicaid Services (CMS) has issued directives to states addressing key areas of Medicaid drug reimbursement beginning in 2017. The CMS final rule is designed to ensure that pharmacy reimbursement is aligned with acquisition costs of drugs [Read more...]
The 2016 Legislature passed legislation allowing advance practice registered nurses (APRNs) to practice independently afgter meeting certain criteria. Of the more than 2,500 registered nurses in West Virginia, as many as 800 may eventually maintain their own practice, according to their [Read more...]
The 2016 West Virginia Legislature passed legislation increasing the regulation of pain clinics in response to some licensed clinics evading current law and regulations. Department of Health and Human Resources officials expressed the need for legislation to close "loopholes" in the law passed by [Read more...]