AH011 - Navigating CMS' M3P, PDE, and Other Regulatory Changes, with Jason Barretto

Navigating and understanding government programs in healthcare can be a daunting task. In this podcast episode, Jason Barretto, Vice President of Government Program Operations at Capital Rx, joins Justin Venneri to shed light on the complexities of regulatory compliance and the importance of meeting the intent of legislation and regulations, including the CENTERS for MEDICARE & MEDICAID SERVICES’ Medicare Prescription Payment Plan (M3P) requirements and new Prescription Drug Event (PDE) requirements. Jason emphasizes the importance of collaboration with health plan partners to ensure alignment and minimize the need for "requesting grace" from governing agencies. Additionally, he explained the significant impact the M3P requirements will have on health plans, pharmacies, and PBMs. He highlights the disruptive nature of this program and introduces Capital Rx's comprehensive end-to-end solution to support health plan pharmacy directors in managing the new requirements. Lastly, he shares a story about an astonishing conference call, which he had to stay on with little to add. Related Content Capital Rx’s Government Programs: Behind the Scenes with Jason Barretto Partnership & Collaboration: Why PBMs and Health Plans Should Sync on Regulatory Change Management  JUDI® is a Tech-Enabler – A Case Study   Visit Capital Rx Insights for this episode's transcript and additional content!