Medicare 2017 Update

Most of the Medicare changes that are in the spotlight today involve alternative payment models and value-based care. But the “mechanics” of how Medicare works and how Medicare impacts access and reimbursement of medical care and prescription drugs is important foundational knowledge.

Medicare 2017 Update

In this module, we’ll explore this “mechanics” of Medicare by helping you:

  • Understand the impact of the Medicare “donut hole” on prescription drug coverage
  • Understand the role of Medicare STAR ratings on prescription drug coverage
  • Describe the formulary management strategies of the leading Medicare MCOs
  • Understand how Part B and Part D formulary access is evolving
  • Describe the evolution of Buy-and-Bill and the role that ASP pricing is playing in this evolution

Medicare 2017 Update is a detailed look at how Medicare access and coverage of medical care and pharmaceuticals is evolving as the U.S. healthcare system shifts from volume-to-value based care.