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Public Policy
Novartis Pharmaceuticals Corporation is familiar with the ever-changing guidelines regarding reform and reimbursement. We offer tools and resources that can help you understand the issues, options, and requirements pertinent to reimbursement best practices and procedures.
PPACA Implementation
With the passage of the Patient Protection and Affordable Care Act (PPACA), Medicare beneficiaries will receive coverage gap discounts and premium costs for 2012 will not increase.
Improving Oncology Patient Care Through the Use of Clinical Pathways
As a concept initiated by oncologists, clinical pathways are a patient management tool utilized by a managed care organization's network of physicians that standardizes and outlines a patient's clinical course of care based on best practices which are specific to his or her diagnosis.
Expanded Medicaid Eligibility
Read about how the Patient Protection Affordable Care Act (PPACA) expands Medicaid, and what it means for patients and healthcare providers.
Accountable Care Organizations as a Model for Patient Access to Care
With the passage of healthcare reform legislation in March 2010, the Medicare program received authorization to contract with accountable care organizations to better manage a patient's continuum of care.
Part D Coverage Gap
Since the inception of the Medicare prescription drug plan (known as Medicare Part D), beneficiaries on numerous and/or high cost therapies have faced a period of...
340B Drug Purchasing
The 340B program has seen some significant changes recently. Read more about the expanded the scope of the 340B drug discount program and how it affects patients and healthcare facilities.
Physician Payment Sunshine Act
Patients want to know who might be influencing their physician financially. For more information on the Physician Payment Sunshine Act and reporting requirements...
In-Office Ancillary Services Disclosures
Just one of the many changes in the PPACA includes disclosure requirements for in-office ancillary services (IOAS). Read important things to consider, ways to prepare and more...
Mandatory NCCI Requirements
The Centers for Medicare & Medicaid (CMS) developed the National Correct Coding Initiative (NCCI) to promote appropriate coding, and control improper coding that might lead to inappropriate payment of claims. We've gathered the necessary information and have posted the latest edits and updates for easy reference...
