Medicaid cuts. Coverage changes. Payment updates. The One Big Beautiful Bill (OBBA) is set to reshape care for millions of patients, including LTC residents.
Our latest blog breaks down everything you need to know about the bill, and how you can prepare for the changes to come.
Wondering what’s happening with the next generation of LTC pharmacy software? Here are the latest product updates:
Enhanced Prescription Transfers: Print or fax multiple prescription transfers, either by combining all prescriptions onto one page or printing each transfer on its own page.
Expanded Pricing Formula Options: We’ve added “Supply,” “Vaccine,” and “Opioid” to the pricing formula rule’s Condition > When options. This means you can set unique fees for items such as vaccines heading into flu season.
Updated SIG Requirement: When the SIG’s quantity per day is blank or zero and customer-friendly directions are entered, the Edit Sig Values button will now display a warning color that prompts staff review.
Enhanced Order Entry & Processing: If the dispensed item is tied to an active SIG code, the system will now auto-populate the corresponding SIG field, along with any HOAs linked to that SIG. (SIG-linked HOAs take priority over item-only HOAs.). The Price tooltip now displays the pricing formula name, rule rank, rule, and calculation details so you get full visibility into how prices are determined.
New Part B Vaccine Pricing
It’s vaccine season, and CMS has updated its vaccine pricing information for Part B vaccines. Staying on top of these changes helps you set appropriate prices and avoid reimbursement headaches.
COVID-19 Vaccine Updated pricing information has not yet been posted. Check CMS’s vaccine pricing webpage or your Medicare Administrative Contractor/Part B intermediary for the latest details.
ASCP Discusses the IRA and Pharmacy
The American Society of Consultant Pharmacists (ASCP) is hosting a half-day in-person and virtual event, where Michael Dodd, Associate Director of Clinical and Pharmacy Regulatory Affairs at RedSail Technologies, will join industry experts as a panelist to discuss how the IRA will reshape pharmacy reimbursement.
You’ll come away with practical steps and best practices to prepare for this major shift.
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