During the NACDS RxImpact Day on Capitol Hill, the NACDS board met with acting CMS administrator Andy Slavitt to discuss the Part D rule, MTM eligibility and the any willing provider
Inadequate Legal Protection State regulation of MCOs in the form of Any Willing Provider
laws (AWP) provides little protection for NPs.
There is also reason to believe that any willing provider
laws were not actively enforced during the time period studied by the authors because of a court order in 1997 blocking Arkansas' broad-based any willing provider
law, passed in 1995 (Crowley 2003; McLean and Richards 2003; Bleed 2004a).
The potential of the enforcement of any willing provider
legislation could have a negative effect on profitability and operations as ABCBS' ability to negotiate reimbursement rates could come under additional pressure.
We believe that the PBM [pharmacy benefits management] payments, PBM audits and MAC [maximum allowable cost] pricing are major issues in the market right now, and we are actively working to ensure any willing provider
legislation, fair audit legislation and fair reimbursement for services--especially in the light of the new health care law.
This will allow commissioners to buy services from any willing provider
, whether from the NHS, voluntary or private sectors.
During her 11-year tenure with the Federation, Hart was responsible for lobbying Congress on such major healthcare issues as Medicare and Medicaid, tax and labor law, antitrust, any willing provider
, and unitary drug pricing.
He said forcing GPs to tender contracts to any willing provider
may destabilise health economies and fragment care for patients.
Several states have enacted so-called any willing provider
laws banning closed or preferred networks and enabling any pharmacy to participate in the network if it accepts required conditions and the stated reimbursement fees.
Members of the American Managed Care Pharmacy Association (AMCPA) have vowed to continue to oppose unitary pricing proposals as well as so-called any willing provider