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Reimbursement Matters

Action Steps for Reimbursement Readiness

Financial stability remains a critical concern as healthcare organizations navigate 2026 and prepare for fiscal ...

JULY 6, 2026

Revenue Is Critical! Dispel Those Knowledge Gaps!

The Drug Price Competition and Patent Term Restoration Act of 1984 added sections 505(b)(2) and 505(j) to the ...

JUNE 18, 2026

Shaky on Payment? Here's a Primer

Pharmacy reimbursement basics for new graduates—learn pricing transparency, prior authorization, and data ...

JUNE 6, 2026

A Look Ahead at FY 2027 Payment Rules and Models

Health systems face growing pressure to maintain financial sustainability while navigating complex payment ...

MAY 27, 2026

Resources for Payment Changes!

Bonnie Kirschenbaum's latest strategies for pharmacy leaders to enhance revenue, manage ASP pricing changes, and ...

MARCH 5, 2026

Rural Healthcare, Drug Pricing Amid 2026 Challenges—and Opportunities

Medical reimbursement trends shape access, affordability, and evolving care initiatives through upcoming policy and ...

FEBRUARY 19, 2026

2026 Will Bring a Blizzard of Payment Changes—and Opportunities

Reimbursement updates detail CMS payment rules and drug pricing shifts driving financial strategy for pharmacy ...

JANUARY 26, 2026

Seas of Change: Preparing for Payment, Prior Authorizations

Reimbursement insights for managing payor rules, pharmacy budgets, and evolving Medicare prior authorization ...

DECEMBER 12, 2025

Finding the Right CPT Codes Is the Backbone of 2026 Payments

CPT 2026 code updates, ICD-10 revisions, and new CMS reimbursement rules help healthcare organizations ensure ...

NOVEMBER 19, 2025

Optimizing Payment Depends on Data and Revenue Integrity

The three pillars of payment crucial to optimizing revenue are payor requirements with rules and regulations, ...

OCTOBER 15, 2025

Medicare Physician Fee Schedule Proposed CY 2026

The newly proposed Medicare Physician Fee Schedule rule affects several aspects of pharmacy as well as the overall ...

SEPTEMBER 27, 2025

Keeping an Eye on 8 New Payment Trends

Creating financial sustainability and managing time-consuming and frustrating payment policies are continuing ...

AUGUST 25, 2025

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