POCP Blog

Why Telehealth is At an Inflection Point

By Tricia Lee (Wilkins) Rolle, PharmD, MS, PhD Government Affairs and Health IT Strategist For the past couple of years, we’ve watched the availability of virtual visits grow at alternative …

Integrate HIEs With Provider Workflow to Fully Realize Medication Therapy Management Benefits

By Ken Kleinberg, Practice Lead, Innovative Technologies There has been a tremendous amount written about the value of Health Information Exchanges (HIEs) in moving and making clinical and financial/benefit information …

Digital Therapeutics: Transforming Care through Technology: Part 2

What Will Accelerate Adoption? By Tricia Lee (Wilkins) Rolle, PharmD, MS, PhD Government Affairs and Health IT Strategist Digital Therapeutics (DTx) — also known as digiceuticals and software-as-a-drug — are …

Value-Based Care Participants

Will Sweeping Proposed Changes to Stark Laws and Antikickback Statutes Leave Pharma Manufacturers, Pharmacies, and PBMs out of the Definition and Protection of Value-Based Entities?

By Ken Kleinberg: Practice Lead, Innovative Technologies, Point-of-Care Partners The far-reaching federal reform changes by CMS to the Stark Laws and by HHS-OIG (Office of Inspector General) to the Antikickback …

Digital Therapeutics

Digital Therapeutics: Transforming Care through Technology

Part 1. What Are Digital Therapeutics? By Tricia Lee (Wilkins) Rolle, PharmD, MS, PhD Government Affairs and Health IT Strategist The patient swallows a pill with an embedded sensor. Within …

Integrating ePrior Auth

10 Things Payers Need to Know About Electronic Prior Authorization

By Jocelyn Keegan, Payer Practice Lead Payer interest is growing in electronic prior authorization (ePA). Initially, in many organizations, automation largely replicated the paper process requiring duplicate entry of information. …

CDS Hooks Example

CDS Hooks Are Win-Win-Win for Providers, Patients and Health IT Vendors

By Michael Burger, EDI Practice Lead CDS Hooks are a new SMART on FHIR technology that will enable providers to receive timely information about individual patients, their condition and potential …

Jocelyn Keegan

Diving Deeper into CMS’ Proposed Rule on Electronic Prior Authorization for Medicare Part D Drugs

By Jocelyn Keegan, Payer Practice Lead, and Ken Kleinberg, Innovative Technologies Practice Lead The Center for Medicare and Medicaid Services (CMS) recently announced a proposed rule that would require use …

Pooja Babbrah

Emerging NCPDP Standard Enhancements to Improve Speed to Therapy for Specialty Medications

By Pooja Babbrah, Practice Lead, PBM Services Specialty medications are changing health care, providing life-saving treatment options for patients with rare and chronic conditions.  Patients, however, often face big hurdles …

Well-Intentioned CAQH Releases PA Operating Rules for Disappointing X12 278

By  Ken Kleinberg, Practice Lead, Innovative Technologies CAQH’s (Council for Affordable Quality Healthcare) recently released their new Phase V CORE Operating Rules for prior authorization (PA) that improve on specificity …