So, this is a 400-level episode in specialty pharmacy options for plan sponsors, meaning here are your prerequisites: You gotta know what buy and bill is, and you gotta know what pharmacy bagging is, meaning white bagging, for example. If you do not, I would listen to  with Aaron Mitchell, MD, MPH, where we go deep on buy and bill. And then listen to  for the skinny on pharmacy bagging. If you already know what buy and bill is and you already know what white bagging is, then not only do you know more than 98% of the people in the healthcare industry, but also, you’re going to get as much out of this conversation with Erik Davis and Autumn Yongchu as I did. &nbsp; Last week’s show was also with Erik Davis and Autumn Yongchu. Last week, we talked about how some hospitals and cancer centers are managing to ring up up to six times the cost of an expensive-already injected or infused drug through buy and bill. This is why pharmacy bagging became a thing, if we want to talk about this in historical perspective. It’s a direct market response to buy and bill. Hospital systems start making egregious amounts of money marking up drugs that already cost hundreds of thousands of dollars, and their markups are hundreds of thousands of dollars on top of that. Hospital starts making a fortune off of drug markups. Plan sponsors need an alternative, and … enter pharmacy bagging (ie, carving out specialty pharmacy drugs to a PBM [pharmacy benefit manager]). In this show, we compare the potential benefits and problematic loopholes and/or patient concerns for plan sponsors who are trying to figure out whether to carve out specialty pharmacy benefits to a PBM or grin and bear it with the buy and bill. Or, as another option, whether to steer patients to specific infusion centers or specific provider organizations that might have more favorable contract terms for the plan sponsor. Or, hooking up with a home infusion company, again, who is willing to negotiate terms that might be far better for said plan sponsor than just letting some hospital have their way with employees and the health plan. As another alternative, of course, plan sponsors could consider medical travel, which some certainly are. My biggest takeaway from this whole conversation and from the episodes that we have had in this, dare I call it, series about pharmacy benefits, starting with the show with Scott Haas () where we talked about PBM contracts, moving to the show with Dr. Aaron Mitchell () where we talked about buy and bill, then going to the show with Keith Hartman () where we talked about pharmacy bagging, then last week’s show how hospitals manage to buy and bill at 6x the price of these expensive pharmaceuticals … my takeaway from this whole specialty drug extravaganza is that specialty drug procurement is very different than retail drug procurement. Retail drugs, you worry about them en masse at scale almost at the population level. Specialty drugs? You can have one patient on a specialty drug, and that one patient costs as much as the entire rest of the member population combined. So, managing specialty drugs and their administration becomes almost a case-by-case operation. What drug is it? Where is the patient? What options are available? It’s possible to save hundreds of thousands of dollars on that one patient, for that one patient’s care, and get better patient outcomes by getting the right patient on the right drug that is administered in the right setting. &nbsp; You can learn more by connecting with  and  on LinkedIn or by emailing them at  and .&nbsp;&nbsp;    Erik Davis, AAI, CIC, CRM, is senior vice president and principal consultant, managed care and analytics, at USI Insurance Services. He has over 30 years of experience in the insurance and risk management industry. Erik works to create an environment that supports the healthcare risk management goals of an organization while maintaining focus on compliance and financial accountability. He...

EP371: Buy and Bill vs Pharmacy Bagging—Which Is Better for a Plan Sponsor and Patients? With Erik Davis and Autumn Yongchu

In this episode, let me take you on our BackStage tour. Amazon heading toward a potential employment crisis by 2024. Inflation hurts the economy, but so does fighting inflation.

Ep. 22-248 - Potential Crisis

Cory Offutt, MD, a family medicine physician with the Phelps Health Medical Group talks about obstructive sleep apnea.

Obstructive Sleep Apnea| Dr. Cory Offutt, MD | The Scope

Senior Reporter Annmarie Timmins of the New Hampshire Bulletin joins A. J. Kierstead of WKXL in the Morning to talk about vaccines for young children, the end of the COVID-19 Public Health Emergency, and expanded healthcare outreach in Manchester. More from them at https://newhampshirebulletin.com

New Hampshire Bulletin: Vaccines, PHE End, and Outreach

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When searching for a healthcare app Development Company, you should be prepared to make choices before even contacting anyone. In fact, 3 tips can help pick the best company to provide your organization with an app.
To Read more, Follow the link: https://zazzfirm.blogspot.com/2022/06/3-tips-for-selecting-healthcare-app.html

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VP of Technical Sales at Feig Electronics, Klaus Shoeke, joins host Justin Starbird for Episode 2 of the Identify Podcast. On todays episode, Klause walks through the best ways of identifying what technology meets your customer request.

On Episode 2, Klaus shares some of the questions he asks customers before they get started. "The important part is really that the potential customer has a very clear picture of what they are trying to do and what they are trying to accomplish with their application installation. 
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In this episode of the MGMA Week in Review podcast, we feature articles on inflation's impact on medical practices, a Medicare sequester update, and patients and texting. 

Sources in this episode:

Inflation and Medical Practices -- https://www.mgma.com/data/data-stories/mgma-poll-an-almost-universal-financial-pinch-on-m

Medicare Sequester -- https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-12-16-mlnc?mkt_tok=MTQ0LUFNSi02MzkAAAGFL2yhiKBPJY0HOETyGHSs9ishJEqMKigxn1h_X5NgukOYsb1jUXO4UYKe7apBybxdYU08-Ba7IrCrkNY8AIa1JI1jNXGY3b4ltwLlvFzTRw#_Toc90391082?utm_source=nl-gov-ed-washington-connection-2022-06-23&utm_medium=email&utm_campaign=government-affairs

MGMA's Medicare Sequester Letter -- https://www.mgma.com/advocacy/advocacy-statements-letters/advocacy-letters/february-28,-2022-mgma-and-partner-organizations-u?utm_source=nl-gov-ed-washington-connection-2022-06-23&utm_medium=email&utm_campaign=government-affairs&mkt_tok=MTQ0LUFNSi02MzkAAAGFL2yhiOav00uF4lLFmgzEGA__F2Rk6vR_pOy9J9E_GodnpF4xQ1wOQKwW0hN_MP7TtEINoRLJaU7dsXPK7CHJ7oxUCpBzv87ZoNxgav5fbQ

Patient Texting Survey -- https://www.medicaleconomics.com/view/texting-can-be-lower-cost-tool-for-patient-outreach

Additional resources:

To keep up with the latest healthcare legislation, visit mgma.com/advocacy.

If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview.

Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter.

Listen to our podcasts at www.mgma.com/listen.

If you have a story you want to share with us, email us at podcasts@mgma.com.

MGMA Week in Review: Inflation Hits Medical Practices, Medicare Sequester, Patients and Texting

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https://www.naturalhealth365.com presents "Vaccines - The Untold Truth" with Jonathan Landsman and Barbara Loe Fischer.

Vaccines - The Untold Truth

Zazz is a team of creative designers & developers building great digital products in Seattle and San Francisco. Our collective experience in the technology industry includes mobile app development, IOT application development, blockchain development, Ecommerce Application Development with a design first approach to product development.

Welcome to the “Identify Podcast,” hosted by Justin Starbird and powered by Feig Electronics. Listen as Justin talks to experts from the Feig Electronics Team about topics related to RFID technology, trends, contactless identification, and innovation in this fast moving space.

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Medical Group Management Association (MGMA) equips practice administrators and executives with the knowledge and tools to head high-performance physician group practices in a complex and evolving healthcare environment.

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