This Weekly’s Hot Topics
CMA Board of Trustee Meeting summary (California News)
The Institute for Clinical and Economic Review (ICER) has posted a Draft Scoping Document on chimeric antigen receptor t-cell (CAR-T) therapies for treatment of B-cell malignancies. The document will be open to public comment for three weeks until August 29, 2017 at 2pm PT. For more information click here and go to California News.
Noridian has published the ICD-10 Coding Revision to NCDs CR10184. Change Request (CR) 10184 outlines edits to International Classification of Diseases, 10th Revision (ICD-10) and other coding updates specific to National Coverage Determinations (NCDs) that will be included in subsequent, quarterly releases as needed. For more information click here and go to Noridian News.
The Department of Managed Health Care (DMHC) invites you to a public meeting on the development of the standard formulary template as required by Senate Bill 1052 (2015). The meeting will be held at 980 9th Street, 5th Floor, Sacramento, 95814, on August 25, 2017, beginning at 10:00 a.m. and ending after the last public comment is received. For more information click here and go to DMHC News.
Subscribers of the PQRS listserv are encouraged to sign up for the new CMS Quality Payment Program (QPP) listserv. The Quality Payment Program is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and includes two tracks — Advanced Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS). For more information click here and go to CMS News.
As we have discussed in our Weekly, COA has been in discussion since last year regarding Express Scripts and other commercial plans excluding oncology practice pharmacies from network. Last April 1, 2016 ESI gave notice that the 25 drugs they listed would be filled outside of the oncology-practice pharmacies. There are others, like Argus, not allowing oncology-practice pharmacies to be in network. For more information click here and go to Afilliate News.
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August 15, 2017