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Tag: third-party administrators

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AMA recommends oversight of TPAs

November 16, 2022HME News Staff

HONOLULU – The American Medical Association decided at its interim meeting here to recommend that third-party administrators of specialty pharmacy benefits be included in state and federal oversight efforts of prescription drug middlemen. Regulation of pharmacy benefit managers is on the rise in response to concerns that they can have a detrimental impact on the ability of patients to access affordable prescription drugs and, for specialty pharmacy benefits, TPAs provide many of the same services,...

American Medical Association (AMA), PBMs, third-party administrators

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Providers struggle with TPAs

November 15, 2019Liz Beaulieu, Editor

YARMOUTH, Maine - The resurgence of third-party administrators for HME is bad news for the industry, according to the large majority of respondents to a recent HME Newspoll.TPAs are unnecessary middlemen between insurers and providers, further complicating an already complex system, respondents say.“We don't need another level of bureaucracy that has to be paid by somebody, typically the provider in the long run,” wrote one respondent.Eighty-six percent of respondents report currently...

Home Medical Equipment (HME), third-party administrators

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