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, Part D Donut Hole regulations, privacy, early retiree reinsurance, high risk pools and insurance market reform, competitive bidding of DME supplies, including diabetic supplies

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

Medicare/Medicaid MMM

Part D/donut hole drug coverage, employee group waiver plans

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

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

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

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, privacy, early retiree reinsurance, high risk pools and insurance market reform

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