AVENUE SOLUTIONS for EXPRESS SCRIPTS INC

Health Issues HCR

Implementation of healthcare reform, including issues relating to comparative effectiveness research, Patient Centered Outcomes Research Institute (PCORI); medical loss ratio, preventive services, rate review, claims and appeals, exchanges, star quality, frailty adjuster, Part D Donut Hole regulations, privacy, early retiree reinsurance, high risk pools and insurance market reform

Contacted: HOUSE OF REPRESENTATIVES; Centers For Medicare and Medicaid Services (CMS); SENATE; Health & Human Services, Dept of (HHS)

Pharmacy PHA

Performance Based Pharmacy Reimbursement/Medication Therapy Management proposal; Postal Service - discussions around 5-day mail delivery; Competitive bidding; HR 1204, Community Pharmacy Fairness Act - antitrust exemption for pharmacies; HR 4489, FEHBP Prescription Drug Integrity, Transparency and Cost Savings Act; S. 369, Preserve Access to Affordable Generics Act; S. 1630, Affordable Access to Prescription Medications Act prescription drug copays and formularies; HR 5597, To establish a Medicare patient IVIG access demonstration project; HR 3790, Repeal of DMEPOS competitive bidding program;

Contacted: Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; Health & Human Services, Dept of (HHS); SENATE

Bills named: S. 369 (111th), S. 1630 (111th), H.R. 5597 (111th), H.R. 1204 (111th), H.R. 3790 (111th), H.R. 4489 (111th)

Medicare/Medicaid MMM

Part D/donut hole drug coverage, employee group waiver plans; star quality and frailty adjuster

Contacted: Health & Human Services, Dept of (HHS); SENATE; Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES

Insurance INS

Implementation of healthcare reform, including issues relating to comparative effectiveness research, Patient Centered Outcomes Research Institute (PCORI); medical loss ratio, preventive services, rate review, claims and appeals, exchanges, star quality, frailty adjuster, Part D Donut Hole regulations, privacy, early retiree reinsurance, high risk pools and insurance market reform

Contacted: Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; Health & Human Services, Dept of (HHS); SENATE