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                <title>Prescription for Better Access</title>
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            <![CDATA[With pharmaceutical and biotech manufacturers launching more high-cost specialty drugs and the insurance industry increasing the use of more restrictive barriers to access, those who need these medicines—the patients themselves—are caught in the middle, not only shouldering the cost of higher copays and deductibles, but for many, rationing or even abandoning treatment altogether.  

While manufacturers invest in programs to help navigate the challenges impeding access and affordability, the entire healthcare industry can agree -- the status quo is unsustainable.  There has to be a better way.  And two industry veterans have joined forces to co-host a new interview-focused podcast to help shape the future of patient access and affordability.]]>
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                    <copyright>© 2026 Prescription for Better Access Mark Hansan and Dr. Scott Howell</copyright>
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        <pubDate>Tue, 14 Apr 2026 11:23:45 +0000</pubDate>
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            <title>Spotlight on Rare Disease:  A Conversation with Alexander Hardy, President and CEO, BioMarin</title>
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            <itunes:title>Spotlight on Rare Disease:  A Conversation with Alexander Hardy, President and CEO, BioMarin</itunes:title>
            <itunes:subtitle>In this episode, we sit down with Alexander Hardy, President and CEO of BioMarin, to talk about his path to leading one of the world&#039;s premier rare disease companies. Alexander reflects on his expe...</itunes:subtitle>
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                <![CDATA[<p>In this episode, we sit down with Alexander Hardy, President and CEO of BioMarin, to talk about his path to leading one of the world's premier rare disease companies. Alexander reflects on his experience across small molecules, biologics, oncology, and rare diseases, and how his work in access and patient services has shaped his thinking about leadership. We discuss the policy environment coming out of Washington — including the IRA and other pricing reforms — and how those factors influence long-term innovation and investment decisions. We also explore the real-world challenges facing rare disease patients, employer concerns about high-cost therapies, and what needs to change over the next five years to improve access and affordability.</p>

<ul>
<li><a href="https://www.biomarin.com/company/leadership/alexander-hardy/">Alexander Hardy</a></li>
<li><a href="https://www.bloomberg.com/profile/company/PGNS:US?embedded-checkout=true">PathoGenesis</a></li>
<li><a href="https://www.lilly.com">Eli Lilly</a> | <a href="https://www.gsk.com/en-gb/">GSK</a> | <a href="https://www.novartis.com">Novartis</a></li>
<li><a href="https://www.gene.com">Genentech</a> — <a href="https://www.genentech-access.com/hcp.html">Access Solutions</a></li>
<li><a href="https://www.biomarin.com">BioMarin</a> — <a href="https://www.biomarin-rareconnections.com">Rare Connections</a></li>
<li><a href="https://www.spencerfane.com/insight/congress-enacts-long-awaited-fix-to-orphan-drug-exclusivity-in-2026-consolidated-appropriations-act/">AUTHrd Act of 2026</a> (part of the <a href="https://www.congress.gov/bill/119th-congress/senate-bill/832/text">EPIC Act, HR 1492/S832</a>) — pending before Congress</li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12534280/">Health Technology Assessments in Rare Diseases</a></li>
</ul>

<p>Questions or comments? Email <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>. Find us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>, and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>]]>
            </description>
            <pubDate>Mon, 30 Mar 2026 09:00:00 +0000</pubDate>
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            <title>A Legal Perspective on PBM Reform and FTC Enforcement</title>
            <itunes:episode></itunes:episode>

            
            <itunes:title>A Legal Perspective on PBM Reform and FTC Enforcement</itunes:title>
            <itunes:subtitle>&amp;nbsp;


In this episode of Prescription for Better Access, we’re joined by William (Bill) Sarraille, a legal expert on drug access and reimbursement. He discusses two developments shaping the p...</itunes:subtitle>
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                <![CDATA[<p class="demoTitle">&nbsp;</p>

<p>
In this episode of <em>Prescription for Better Access</em>, we’re joined by William (Bill) Sarraille, a legal expert on drug access and reimbursement. He discusses two developments shaping the pharmacy benefit landscape: the FTC’s enforcement action involving Express Scripts and PBM reforms in the Consolidated Appropriations Act of 2026. Bill explains what these policy changes could mean for benefit design, drug coverage, employer-sponsored plans, and transparency in the PBM market. We also explore potential impacts on formularies, utilization management, contracting practices, and patient out-of-pocket costs, along with possible unintended consequences for employers, manufacturers, and patients seeking timely and affordable access to medicines.
</p>

<ul>
<li><a href="https://www.law.umaryland.edu/faculty--research/directory/profile/index.php?id=1436">William (Bill) Sarraille, University of Maryland School of Law</a></li>
<li><a href="https://www.linkedin.com/in/william-sarraille-634a8827/">LinkedIn</a></li>
<li><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB">Pharmacy Benefit Managers (PBMs)</a></li>
<li><a href="https://www.ftc.gov/news-events/news/press-releases/2026/02/ftc-secures-landmark-settlement-express-scripts-lower-drug-costs-american-patients">FTC Settlement</a></li>
<li><a href="https://www.ftc.gov/news-events/news/press-releases/2024/09/ftc-sues-prescription-drug-middlemen-artificially-inflating-insulin-drug-prices">2024 Administrative Complaint</a></li>
<li><a href="https://www.cigna.com/">Cigna Healthcare</a></li>
<li><a href="https://sago.com/en/resources/blog/market-research-and-fair-market-value-incentives-fmvs-in-healthcare-what-you-need-to-know/">Fair Market Value in Healthcare</a></li>
<li><a href="https://www.ama-assn.org/health-care-advocacy/advocacy-update/feb-6-2026-national-advocacy-update">Consolidated Appropriations Act of 2026</a></li>
<li><a href="https://www.medicare.gov/health-drug-plans/part-d">Part D Plan</a></li>
<li><a href="https://insights.citeline.com/pink-sheet/market-access/pbms/pbms-no-longer-profit-from-rebates-but-plans-benefit-should-sponsors-push-more-for-reform-GYQTW6WWK5A3FIJZ7EV43XWFC4/">PBMs No Longer Profit From Rebates But Plans Benefit – Pink Sheet</a></li>
<li><a href="https://www.hubinternational.com/en-CA/insurance-glossary/t/third-party-administrator/">TPA (Third Party Administrators)</a></li>
<li><a href="https://hallrender.com/2026/02/13/dol-proposed-rule-would-impose-transparency-requirements-on-pbms-providing-services-to-self-insured-health-plans/">DOL Proposal</a></li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11293768/">Copay Accumulators and Maximizers</a></li>
<li><a href="https://hivhep.org/wp-content/uploads/2025/10/HIV-and-Hepatitis-Amicus-Curiae-Brief_-10.8.25.pdf">Amicus Brief, HIV and Hepatitis Institute</a></li>
</ul>

<p class="demoTitle">
Questions or comments?<br>
Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br>
Follow us on
<a href="https://twitter.com/RX4BetterAccess">X</a>,
<a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>,
<a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>, and
<a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.
</p>]]>
            </description>
            <pubDate>Tue, 10 Mar 2026 09:00:00 +0000</pubDate>
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                <item>
            <title>From Policy to the Employer Front Lines: A Conversation with Dan Mendelson of Morgan Health</title>
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            <itunes:title>From Policy to the Employer Front Lines: A Conversation with Dan Mendelson of Morgan Health</itunes:title>
            <itunes:subtitle>Employers sit at the center of the U.S. health system as the primary funders of coverage for more than 150 million Americans, yet they struggle with rising costs, fragmented vendors, and uneven out...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>Employers sit at the center of the U.S. health system as the primary funders of coverage for more than 150 million Americans, yet they struggle with rising costs, fragmented vendors, and uneven outcomes. In this episode, we talk with Dan Mendelson, MPP, CEO of Morgan Health at JPMorgan Chase &amp; Co. and Founder and former CEO of Avalere Health. We explore his journey from health policy to now leading Morgan Health&rsquo;s efforts to improve the quality, affordability and equity of employer-sponsored healthcare. We&rsquo;ll learn how Morgan Health evaluates the employer market, where they&rsquo;re placing investment bets, and how they are testing new care models inside JPMorgan&rsquo;s own benefit. We then turn to Washington: Dan shares his take on the policy currents that matter most for employers and innovators over the next few years.</p>
<ul>
<li><a href="https://www.morganhealth.com/about/team/dan-mendelson">Dan Mendelson, CEO, Morgan Health</a></li>
<li><a href="https://www.linkedin.com/in/dnmendelson/">LinkedIn</a></li>
<li><a href="https://www.forbes.com/sites/danielmendelson/">Forbes Contributions</a></li>
<li><a href="https://avalerehealth.com/">Avalere Health</a></li>
<li><a href="https://www.congress.gov/bill/105th-congress/house-bill/2015">Balanced Budget Act of 1997</a></li>
<li><a href="https://www.linkedin.com/in/jamiedimon/">Jamie Dimon</a>, Chairman and CEO of JPMorgan Chase &amp; Co.</li>
<li><a href="https://www.dol.gov/general/topic/health-plans/cobra">Continuation of Health Coverage (COBRA)</a></li>
<li><a href="https://my.verawholehealth.com/jpmc">Vera Whole Health, Central Ohio Primary Care</a></li>
<li><a href="https://centivo.com/for-members/">Centivo</a></li>
<li><a href="https://emboldhealth.com/">Embold Health</a></li>
<li><a href="https://www.cigna.com/">Cigna Healthcare</a></li>
<li><a href="https://quantum-health.com/">Quantum Health</a></li>
<li><a href="https://www.thymecare.com/">Thyme Care</a></li>
<li><a href="https://www.cbsnews.com/video/costly-life-saving-drugs-60-minutes-video-2025-12-14/">60 Minutes, &ldquo;$2 million gene therapy could save her baby&rsquo;s life. But insurance wouldn&rsquo;t pay&rdquo;</a></li>
<li><a href="https://www.mercer.com/en-us/insights/us-health-news/employers-are-evaluating-alternatives-to-traditional-pbm-contracts/">PBM Alternatives</a></li>
<li><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB">Pharmacy Benefit Managers (PBMs)</a></li>
<li><a href="https://ichra.com/ichra-defined/">Individual Coverage Healthcare Reimbursement Accounts (ICHRA)</a></li>
</ul>
<p>Questions or comments?</p>
<p>Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br />Find us on social media! Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a> and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>
<p><br /><br /><br /></p>]]>
            </description>
            <pubDate>Fri, 09 Jan 2026 10:00:00 +0000</pubDate>
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                <item>
            <title>Understanding the Impact of the Accelerated Approvals Program</title>
            <itunes:episode></itunes:episode>

            
            <itunes:title>Understanding the Impact of the Accelerated Approvals Program</itunes:title>
            <itunes:subtitle>The FDA’s Accelerated Approval Program (AAP) aims to bring promising, potentially life-saving medicines to patients sooner by allowing approvals based on surrogate endpoints while requiring timely ...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p dir="ltr">The FDA’s Accelerated Approval Program (AAP) aims to bring promising, potentially life-saving medicines to patients sooner by allowing approvals based on surrogate endpoints while requiring timely confirmatory evidence. In this episode, we speak with Bridget Doherty, MPH, MS (Johnson & Johnson Innovative Medicine), and Jeff Allen, PhD (Friends of Cancer Research). Bridget discusses her team’s review of the AAP’s real-world impact, showing that hundreds of thousands of meaningful life-years have been gained for patients. Jeff shares findings from work strengthening biomarkers as reliable surrogate endpoints—helping define when increased speed can still preserve scientific rigor. We also explore the core access challenge: how payer coverage and utilization management help or hinder patients the AAP is designed to serve. We close with practical policy steps to ensure that earlier regulatory access truly leads to better outcomes for people who need treatments most.</p> <ul> <li><p dir="ltr"><a href="https://valueresearch.org/speaker/bridget-doherty-mph-ms/">Bridget Doherty, MPH, MS</a>, Johnson & Johnson</p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/bios/jeff-allen/">Jeff Allen</a>, Friends of Cancer Research</p></li> <li><p dir="ltr"><a href="https://policyresearch.jnj.com/">J&amp;J Center for U.S. Healthcare Policy Research</a></p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/">Friends of Cancer Research</a></p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/accelerated-approvals-in-oncology-1992-present/">Accelerated Approvals in Oncology Tracker</a></p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/drug-development-dashboard/">Drug Development Dashboards</a></p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/blog/30-years-of-accelerated-approval-trends-timelines-and-impact/">30 Years of Accelerated Approval: Data-Driven Insights</a></p></li> </ul> <ul> <li><p dir="ltr"><a href="https://link.springer.com/article/10.1007/s43441-025-00889-6">Analysis of FDA Biomarker Qualification Program</a></p></li> </ul> <ul> <li><p dir="ltr"><a href="https://jnccn.org/view/journals/jnccn/22/6/article-p382.xml">Original JNCCN Study</a></p></li> <li><p dir="ltr"><a href="https://www.cancer.gov/research/progress/discovery/gleevec">How Gleevec Transformed Leukemia Treatment</a></p></li> <li><p dir="ltr"><a href="https://www.cancerresearch.org/immunotherapy-by-cancer-type">Immunotherapy</a></p></li> <li><p dir="ltr"><a href="https://www.fda.gov/drugs/development-resources/surrogate-endpoint-resources-drug-and-biologic-development">Surrogate Endpoints</a></p></li> <li><p dir="ltr"><a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/confirmatory-clinical-trial">Confirmatory Trials</a></p></li> <li><p dir="ltr"><a href="https://jnccn.org/view/journals/jnccn/22/6/article-p382.xml">Years Gained from the FDA Accelerated Approval Program (2024)</a></p></li> <li><p dir="ltr"><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10101787/">Circulating Tumor DNA (ctDNA)</a></p></li> <li><p dir="ltr"><a href="https://friendsofcancerresearch.org/ctdna/">ctMoniTR Project</a></p></li> </ul> <p>Questions or comments?<br /> Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br /> Find us on social media: <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>, and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>]]>
            </description>
            <pubDate>Tue, 25 Nov 2025 10:00:00 +0000</pubDate>
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            <title>Charting a Path Forward for More Patient-Centered Value Assessment Methods</title>
            <itunes:episode>32</itunes:episode>

            
            <itunes:title>Charting a Path Forward for More Patient-Centered Value Assessment Methods</itunes:title>
            <itunes:subtitle>In this episode, we talk with Richard Xie, Senior Health Economist at RA Capital, and Gunnar Esiason, Senior Director of Patient Engagement at Raven (RA Capital Ventures), about value frameworks in...</itunes:subtitle>
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            <description>
                <![CDATA[<p><span style="font-weight: 400;">In this episode, we talk with <a href="https://www.linkedin.com/in/richard-zhiwen-xie/">Richard Xie</a>, Senior Health Economist at RA Capital, and <a href="https://www.linkedin.com/in/gunnar-esiason/">Gunnar Esiason</a>, Senior Director of Patient Engagement at Raven (RA Capital Ventures), about value frameworks in pharma. We unpack how <a href="https://www.who.int/teams/health-financing-and-economics/economic-analysis/health-technology-assessment-and-benefit-package-design/generalized-cost-effectiveness-analysis">Generalized Cost-Effectiveness Analysis (GCEA)</a> builds on traditional <a href="https://www.cdc.gov/polaris/php/economics/cost-effectiveness.html">Cost-Effectiveness Analysis (CEA)</a> and differs from <a href="https://icer.org/">ICER</a>’s model. The conversation explores what these approaches mean for pricing, access, and patient voice—especially in rare and high-innovation settings.</span></p> <p><span style="font-weight: 400;">Through the <a href="https://www.cidara.com/">Cidara</a> CD388 flu drug case, we discuss how assumptions shape value and trade-offs from manufacturer and patient perspectives. The episode highlights how evidence, incentives, and outcomes align—or conflict—in today’s system, and what reforms could better connect value frameworks to affordability and equitable access.</span></p> <ul> <li><a href="https://www.linkedin.com/in/richard-zhiwen-xie/">Richard Xie, Senior Health Economist, RA Capital Management</a></li> <li><a href="https://www.linkedin.com/in/gunnar-esiason/">Gunnar Esiason, MBA, MPH, Senior Director, Head of Patient Engagement and Patient-Centered Innovation, Raven (RA Capital Ventures)</a></li> <li><a href="https://www.npcnow.org/resources/guiding-practices-patient-centered-value-assessment-2024">Patient-Centered Value Assessment Models</a></li> <li><a href="https://prescriptionforbetteraccess.com/26-an-interview-with-sarah-emond-mpp-president-and-ceo-institute-for-clinical-economic-review-icer/">Episode 26: Sarah Emond, ICER</a></li> <li><a href="https://peterkolchinsky.com/readmore">Peter Kolchinski, <em>The Great American Drug Deal</em></a></li> <li><a href="https://www.nice.org.uk/">NICE (UK)</a></li> <li><a href="https://www.cda-amc.ca/">CDA (Canada)</a></li> <li><a href="https://www.health.gov.au/resources/publications/chap-adult-standard?language=en">Australia CHAP</a></li> <li><a href="https://www.trikafta.com/">Trikafta</a></li> <li><a href="https://icer.org/news-insights/press-releases/cf_evidence_report_2020/">ICER Report on Cystic Fibrosis</a></li> <li><a href="https://www.nopatientleftbehind.org/">No Patient Left Behind</a></li> <li><a href="https://www.nopatientleftbehind.org/gcea-calculator">GCEA Calculator</a></li> <li><a href="https://www.esiason.org/">Boomer Esiason Foundation</a></li> <li><a href="https://aurorabioscience.com.au/">Aurora Biosciences</a></li> <li><a href="https://www.congress.gov/crs-product/LSB11319">Most-Favored-Nation Drug Pricing Order</a></li> </ul> <p><span style="font-weight: 400;">Questions or comments? Email </span><a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a><span style="font-weight: 400;">.</span></p> <p><span style="font-weight: 400;">Follow us on </span><a href="https://twitter.com/RX4BetterAccess">X</a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a><span style="font-weight: 400;">, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a><span style="font-weight: 400;">, and </span><a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a><span style="font-weight: 400;">.</span></p>]]>
            </description>
            <pubDate>Fri, 17 Oct 2025 09:00:00 +0000</pubDate>
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                <item>
            <title>IRA, Part D Redesign &amp; the Future of Drug Access: A Conversation with Jon Blum, Former CMS Principal Deputy Administrator and COO</title>
            <itunes:episode>31</itunes:episode>

            
            <itunes:title>IRA, Part D Redesign &amp; the Future of Drug Access: A Conversation with Jon Blum, Former CMS Principal Deputy Administrator and COO</itunes:title>
            <itunes:subtitle>In this episode, former CMS official Jon Blum reflects on the evolution and impact of the IRA’s drug provisions—from foundational drivers and political trade-offs to how 2026 Part D redesign and th...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[In this episode, former CMS official Jon Blum reflects on the evolution and impact of the IRA’s drug provisions—from foundational drivers and political trade-offs to how 2026 Part D redesign and the M3P cost-smoothing program are reshaping access. We explore why M3P adoption remains limited, how CMS is monitoring plan behavior around negotiated pricing, and what shrinking standalone Part D options may mean for patients, especially in rural areas. Jon also challenges the “blame game” in Washington—emphasizing the systemic incentives behind each actor—and shares his own prescription for equitably balancing drug affordability, innovation, and policy integrity, including thoughts on MFN and future reform paths.]]>
            </description>
            <pubDate>Thu, 18 Sep 2025 09:00:00 +0000</pubDate>
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                <item>
            <title>The Future of Access, a Live Podcast Recording from the ACCESS US 2025 Conference</title>
            <itunes:episode>30</itunes:episode>

            
            <itunes:title>The Future of Access, a Live Podcast Recording from the ACCESS US 2025 Conference</itunes:title>
            <itunes:subtitle>At ACCESS US 2025, our live podcast The Future of Access features four experts exploring how to improve drug affordability and access while maintaining innovation. With rising drug costs, we ask: W...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>At ACCESS US 2025, our live podcast <strong>The Future of Access</strong> features four experts exploring how to improve drug affordability and access while maintaining innovation. With rising drug costs, we ask: What bold models are emerging? We cover benefit design, PBMs, AI, evolving pharmacy models, and whether markets can act before regulation.</p>

<ul>
<li><a href="https://access25austin.eventify.io/p/#/overview">Conference Overview</a></li>
<li><a href="https://icer.org/who-we-are/people/leadership-staff/sarah-k-emond-mpp/">Sarah Emond</a> – ICER</li>
<li><a href="https://www.npcnow.org/staff/john-m-obrien">John O’Brien</a> – National Pharmaceutical Council</li>
<li>Annette Powers – <a href="https://www.bms.com/">Bristol Myers Squibb</a></li>
<li><a href="https://www.linkedin.com/in/ray-pressburger-532a874/">Ray Pressburger</a> – <a href="https://www.accenture.com/">Accenture</a></li>
</ul>

<ul>
<li><a href="https://www.brandeis.edu/president/past/altman.html">Stuart Altman</a> – <em>Power, Politics and Universal Health Care</em></li>
<li><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/">PBMs</a></li>
<li><a href="https://www.hrsa.gov/opa">340B Program</a></li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11293768/">Copay Maximizers</a></li>
<li><a href="https://www.drugchannels.net/2024/01/tales-of-unsurprised-us-brand-name-drug.html">Net Price</a></li>
<li><a href="https://lillydirect.lilly.com/">Lilly Direct</a></li>
<li><a href="https://www.verywellhealth.com/what-does-indolent-mean-2615124">Indolent Disease</a>, <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/progression-free-survival">PFS</a></li>
<li><a href="https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/concomitant-drug">Concomitant Drug</a></li>
<li><a href="https://www.mayoclinic.org/drugs-supplements/zidovudine-oral-route/description/drg-20066724">HIV & AZT</a></li>
<li><a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/orphan-drug">Orphan Drugs</a></li>
<li><a href="https://www.drugs.com/compare/calquence-vs-imbruvica">Calquence vs Imbruvica</a></li>
<li><a href="https://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/Value-Based-Arrangement-Resources/APM%20Guide%20to%20Value-Based%20Contracting.pdf">Value-Based Contracts</a></li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10397909/">Outcome-Based Contracts</a></li>
<li><a href="https://www.dlapiper.com/en/insights/publications/2023/04/manifest-is-pbm-disruption-on-the-horizon">Disruptive PBMs</a></li>
<li><a href="https://www.costplusdrugs.com/">CostPlus Drugs</a></li>
<li><a href="https://icer.org/assessment/fair-access-coverage-policies-in-2024/">Fair Access 2024</a></li>
<li><a href="https://civhc.org/2022/05/15/plaintalk-blog-what-is-a-drug-rebate/">Drug Rebates</a></li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2702816/">Drug Carve-Outs</a></li>
<li><a href="https://cevr.tuftsmedicalcenter.org/publications/the-case-for-including-dynamic-drug-pricing-in-cost-effectiveness-analyses-under-the-ira">Dynamic Pricing</a></li>
<li><a href="https://www.fda.gov/drugs/nda-and-bla-approvals/accelerated-approval-program">Accelerated Approvals</a></li>
<li><a href="https://icer.org/assessment/fda-accelerated-approval-pathway/">ICER Assessment</a></li>
</ul>

<p>Questions? Email <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br>
Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>, and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>]]>
            </description>
            <pubDate>Thu, 17 Jul 2025 09:00:00 +0000</pubDate>
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                <item>
            <title>The Domino Effect: 2025 Trends in Specialty Drug Benefits Report</title>
            <itunes:episode>29</itunes:episode>

            
            <itunes:title>The Domino Effect: 2025 Trends in Specialty Drug Benefits Report</itunes:title>
            <itunes:subtitle>Specialty drug benefit design isn&#039;t just one decision &amp;mdash; it triggers a domino effect impacting employer and health plan costs, patient access, care delivery and patient cost-sharing. In this e...</itunes:subtitle>
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                <![CDATA[<p><span>Specialty drug benefit design isn't just one decision &mdash; it triggers a domino effect impacting employer and health plan costs, patient access, care delivery and patient cost-sharing. In this episode, we unpack PSG&rsquo;s latest research on how employers and health plans are rethinking specialty strategies amid rising pressure: cost management as a top priority, movement toward rebate alternatives, shifting site of care models, and evolving approaches to affordability and utilization management. Our guests break down where the biggest shifts are happening, what&rsquo;s still missing, and how smarter benefit design can create better outcomes across the healthcare system.</span></p>
<ul>
<li aria-level="1"><a href="https://www.psgconsults.com/"><span>PSG (Pharmaceutical Strategies Group)</span></a></li>
<li aria-level="1"><a href="https://www.psgconsults.com/industry-report/2025-trends-in-specialty-drug-benefits-report/"><span>2025 Trends in Specialty Drug Benefits Report</span></a></li>
<li aria-level="1"><a href="https://www.healthinsurance.org/glossary/specialty-drug/"><span>Specialty Drugs</span></a></li>
<li aria-level="1"><a href="https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/drug-utilization"><span>Drug Utilization</span></a></li>
<li aria-level="1"><a href="https://www.commonwealthfund.org/publications/explainer/2025/mar/what-pharmacy-benefit-managers-do-how-they-contribute-drug-spending"><span>PBM (Pharmacy Benefit Manager)</span></a></li>
<li aria-level="1"><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11293768/"><span>Copay Assistance (Maximizers &amp; Accumulators)</span></a></li>
<li aria-level="1"><a href="https://civhc.org/2022/05/15/plaintalk-blog-what-is-a-drug-rebate/"><span>Drug Rebates</span></a></li>
<li aria-level="1"><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2702816/"><span>Drug &ldquo;Carve Outs&rdquo;</span></a></li>
<li aria-level="1"><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6979047/"><span>Value-Based Agreements</span></a></li>
<li aria-level="1"><a href="https://www.ncbi.nlm.nih.gov/books/NBK560806/"><span>Utilization Management</span></a></li>
<li aria-level="1"><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9067323/"><span>Step Therapy</span></a></li>
<li aria-level="1"><a href="https://www.fda.gov/drugs/therapeutic-biologics-applications-bla/biosimilars"><span>Biosimilars</span></a></li>
<li aria-level="1"><a href="https://www.hoparx.org/documents/61/Site_of_Care_Issue_Brief_10.20.22_V.4.pdf"><span>Site-of-Care</span></a></li>
</ul>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>
<p><span><br /><br /></span></p>]]>
            </description>
            <pubDate>Wed, 21 May 2025 09:00:00 +0000</pubDate>
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                                    <itunes:duration>3036</itunes:duration>

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            <title>Inside the Cost Curve: An Interview with Brian Reid</title>
            <itunes:episode>28</itunes:episode>

            
            <itunes:title>Inside the Cost Curve: An Interview with Brian Reid</itunes:title>
            <itunes:subtitle>&amp;lt;p&amp;gt;In this episode, we interview Brian Reid, the founder of Reid Strategic and the creator and editor of our favorite industry newsletter, the Cost Curve. Brian shares his journey to create t...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>&lt;p&gt;In this episode, we interview Brian Reid, the founder of Reid Strategic and the creator and editor of our favorite industry newsletter, the Cost Curve. Brian shares his journey to create the Cost Curve and how he navigates the onslaught of information to identify the most important issues of the day. We also get his take on what he calls the highest &amp;ldquo;importance-to-attention&amp;rdquo; healthcare stories, highlighting critical topics that are undercovered related to their significance. We also get the opportunity to understand his perspectives on the threats to innovation, the risks to patient affordability programs, and what all of us should be doing to be better healthcare consumers.&lt;/p&gt;</p>
<ul>
<li><a href="https://www.linkedin.com/in/brianbreid/">Brian Reid- Reid Strategic</a></li>
<li><a href="https://reidstrategic.com/">Cost Curve Newsletter</a></li>
<li><a href="https://www.nytimes.com/2015/09/21/business/a-huge-overnight-increase-in-a-drugs-price-raises-protests.html">Martin Shkreli &amp; Daraprim</a></li>
<li><a href="https://www.biopharmadive.com/">BioPharma Dive: Biotech and Pharma Industry News</a></li>
<li><a href="https://my.clevelandclinic.org/health/treatments/13901-glp-1-agonists">GLP-1s</a></li>
<li>Net Price&ndash; &ldquo;a drug&rsquo;s net price equals the actual revenues that a manufacturer earns from a drug after rebates, discounts, and other reductions&rdquo; <a href="https://www.drugchannels.net/2024/01/tales-of-unsurprised-us-brand-name-drug.html#:~:text=A%20drug's%20net%20price%20equals,at%20the%20drug's%20net%20price.">Source: Drug Channels&nbsp;</a></li>
<li><a href="https://www.oxfordreference.com/display/10.1093/oi/authority.20110803095424262">Armamentarium</a></li>
<li><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB">Pharmacy Benefit Managers (PBMs)</a></li>
<li><a href="https://www.costplusdrugs.com/">Mark Cuban Pharmacy</a></li>
<li><a href="https://healthinfo.healthengine.com.au/medical-glossary/pseudo-generic-medication-pseudo-generic-drug">Psuedo-Generic Medication</a></li>
<li><a href="https://www.cvshealth.com/news/pbm/cvs-health-launches-cordavis.html">CVS Cordavis</a></li>
<li><a href="https://www.quallentpharmaceuticals.com/">Quallent</a></li>
<li><a href="https://www.nuvaila.com/">Nuvalia</a></li>
<li><a href="https://www.fda.gov/drugs/therapeutic-biologics-applications-bla/biosimilars">Biosimilars</a></li>
<li><a href="https://lillydirect.lilly.com/">Lilly Direct</a></li>
<li><a href="https://www.novonordisk-us.com/">Novo</a></li>
<li>
<h4><a href="https://www.hrsa.gov/opa">340B Drug Pricing Program</a></h4>
</li>
<li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11293768/#:~:text=Copay%20maximizer%20programs%20enable%20insurance,filling%20them%20at%20the%20pharmacy.">Copay maximizers</a></li>
<li><a href="https://primaryimmune.org/resources/news-articles/alternative-funding-programs-hinder-access-medications#:~:text=An%20AFP%20acts%20as%20a,driven%20entirely%20by%20the%20AFP.">AFPs</a></li>
</ul>
<p>Questions or comments?<br />Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br />Find us on social media! Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a> and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 17 Apr 2025 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2710</itunes:duration>

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                <item>
            <title>Value in Prescription Drugs – What Does It Really Mean?</title>
            <itunes:episode>27</itunes:episode>

            
            <itunes:title>Value in Prescription Drugs – What Does It Really Mean?</itunes:title>
            <itunes:subtitle>In this episode, we explore the complex and often debated concept of value in prescription drugs. They discuss how different stakeholders&amp;mdash;payers, manufacturers, providers, regulators, and pat...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>In this episode, we explore the complex and often debated concept of value in prescription drugs. They discuss how different stakeholders&mdash;payers, manufacturers, providers, regulators, and patients&mdash;define value, and how methodologies like health technology assessments (HTA) and cost-effectiveness analyses shape drug pricing and access. With insights from leading experts, the conversation examines the controversies surrounding value-based pricing, including the role of real-world evidence, quality-adjusted life years (QALYs), and innovation incentives. Can we strike a balance between affordability, innovation, and patient access? And what does the future hold for value-based drug pricing in the U.S.? Tune in for a deep dive into one of the most critical issues in healthcare today.</p>
<ul>
<li aria-level="1"><a href="https://www.linkedin.com/in/dan-ollendorf-5093452/"><b>Daniel Ollendorf</b></a><b>, </b><b>Chief Scientific Officer and Director of HTA Methods and Engagement</b></li>
</ul>
<ul>
<li aria-level="1"><a href="https://www.linkedin.com/in/lou-garrison-37b4961/"><b>Lou Garrison</b></a><b>, </b><b>Professor Emeritus at University of Washington CHOICE</b></li>
</ul>
<ul>
<li aria-level="1"><a href="https://icer.org/"><span>Institute for Clinical and Economic Review (ICER)</span></a></li>
<li aria-level="1"><a href="https://www.fda.gov/"><span>FDA</span></a></li>
<li aria-level="1"><a href="https://www.goodrx.com/classes/glp-1-agonists/glp-1-drugs-comparison"><span>GLP-1 Drugs</span></a></li>
<li aria-level="1"><a href="https://www.medicare.gov/"><span>Medicare</span></a></li>
<li aria-level="1"><a href="https://www.fda.gov/drugs/biosimilars/overview-health-care-professionals?utm_source=google&amp;utm_medium=paidsearch&amp;utm_campaign=biosimilars-aug2023&amp;gclid=CjwKCAjwvrOpBhBdEiwAR58-3HaZtiuBYf5ooYAipH3-0NhjxcWrZZz90y3Sah64PdoJBIQgERubIhoCPdoQAvD_BwE"><span>Biosimilars</span></a></li>
<li aria-level="1"><a href="https://www.fda.gov/media/154912/download"><span>Generics Versus Biosimilars</span></a></li>
<li aria-level="1"><a href="https://content.naic.org/cipr-topics/pharmacy-benefit-managers"><span>PBMs (Pharmacy Benefit Managers)</span></a></li>
<li aria-level="1">
<h4><a href="https://www.hrsa.gov/opa"><span>340B Drug Pricing Program</span></a></h4>
</li>
</ul>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>]]>
            </description>
            <pubDate>Thu, 20 Mar 2025 09:00:00 +0000</pubDate>
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                url="https://chrt.fm/track/EBC18G/media.resonaterecordings.com/prescription-for-better-access/e945af6d-723b-4b2c-9fde-d57c641a1fbd.mp3"
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                                    <itunes:duration>3090</itunes:duration>

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                <item>
            <title>An interview with Sarah Emond, MPP, President and CEO, Institute for Clinical Economic Review (ICER)</title>
            <itunes:episode>26</itunes:episode>

            
            <itunes:title>An interview with Sarah Emond, MPP, President and CEO, Institute for Clinical Economic Review (ICER)</itunes:title>
            <itunes:subtitle>In this episode, we interview Sarah Emond, MPP, President and CEO of the Institute for Clinical and Economic Review (ICER). Sarah joined ICER over 15 years ago as Chief Operating Officer and was ap...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, we interview Sarah Emond, MPP, President and CEO of the Institute for Clinical and Economic Review (ICER). Sarah joined ICER over 15 years ago as Chief Operating Officer and was appointed to lead the organization following the retirement of Dr. Steven Pearson. Sarah outlines her vision for ICER and the priorities for strengthening the framework and collaboration to achieve their mission of evaluating the comparative effectiveness of new medicines. Sarah also discusses ICER&rsquo;s efforts to expand patient engagement and the evaluation of payers to ensure fair access to medicine.</p>
<ul>
<li aria-level="1"><a href="https://www.linkedin.com/in/sarah-emond-023b1a/"><span>Sarah Emond, MPP, President and CEO, Institute for Clinical Economic Review (ICER)</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://icer.org/who-we-are/people/leadership-staff/steven-d-pearson-md-msc-frcp/"><span>Dr. Steven Pearson,</span><span> Founder, President, Institute for Clinical and Economic Review (ICER)</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://icer.org/news-insights/press-releases/icer-publishes-second-annual-assessment-of-barriers-to-fair-access-within-us-commercial-insurance-prescription-drug-coverage/"><span>Barriers to Fair Access Report&nbsp;</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://www.drugchannels.net/2023/04/four-trends-that-will-pop-250-billion.html"><span>Gross-to-Net Bubble</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB"><span>Pharmacy Benefit Managers (PBMs)</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://www.humirapro.com/?cid=ppc_ppd_humirapro_h22_hcp_ggl_brnd_38074&amp;gclid=Cj0KCQjw6auyBhDzARIsALIo6v-MqUOExFi-hvIUbc-QrVNqUZtyZ1y5E7CfWmJFyQdmzHYQSkRSIpoaAt-sEALw_wcB&amp;gclsrc=aw.ds"><span>Humira biosimilars</span></a></li>
</ul>
<ul>
<li aria-level="1"><a href="https://icer.org/"><span>Institute for Clinical and Economic Review (ICER)</span></a></li>
<li aria-level="1">
<h4><a href="https://www.hrsa.gov/opa"><span>340B Drug Pricing Program</span></a></h4>
</li>
</ul>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>]]>
            </description>
            <pubDate>Thu, 20 Feb 2025 10:00:00 +0000</pubDate>
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                                    <itunes:duration>2614</itunes:duration>

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                <item>
            <title>2025 Outlook with Stacie Dusetzina, Ph.D., Vanderbilt University</title>
            <itunes:episode>25</itunes:episode>

            
            <itunes:title>2025 Outlook with Stacie Dusetzina, Ph.D., Vanderbilt University</itunes:title>
            <itunes:subtitle>In this episode, we sit down with Stacie Dusetzina, Ph.D., a leading health economist from Vanderbilt University Medical Center to discuss the critical healthcare and policy trends shaping 2025. Fr...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, we sit down with Stacie Dusetzina, Ph.D., a leading health economist from Vanderbilt University Medical Center to discuss the critical healthcare and policy trends shaping 2025. From shifts in federal leadership to the evolving impact of the Inflation Reduction Act, our guest provides expert insights on what to expect in drug pricing, health insurance, and patient access in the coming year. We explore how the public and private sectors are addressing affordability challenges and highlight innovative approaches to improve access to essential medications. With a focus on the future, this conversation offers a thoughtful outlook on the policies and market dynamics set to redefine healthcare in 2025.</p>
<p><a href="https://www.linkedin.com/in/stacie-dusetzina-77073014/"><span>Stacie Dusetzina, Ph.D., Vanderbilt University</span></a></p>
<p><a href="https://www.vumc.org/main/home"><span>Vanderbilt University Medical Center</span></a></p>
<p><a href="https://www.jmcp.org/doi/10.18553/jmcp.2024.30.8.883"><span>A primer on copay accumulators, copay maximizers, and alternative funding programs</span></a></p>
<h3><a href="https://www.cms.gov/"><span>CMS</span></a><span>&nbsp;<br /></span><a href="https://www.fda.gov/"><span>FDA</span></a></h3>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act"><span>IRA</span></a></p>
<p><a href="https://www.medicare.gov/drug-coverage-part-d"><span>Medicare Part D</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Pharmacy_benefit_management"><span>Pharmacy Benefit Managers (PBMs)</span></a></p>
<p><a href="https://www.medicaid.gov/"><span>Medicaid</span></a></p>
<p><a href="https://www.brookings.edu/articles/assessing-cmmis-proposals-on-medicaid-payment-for-cell-and-gene-therapies/"><span>CMMI&rsquo;s Medicaid group negotiation&nbsp;</span></a></p>
<p><a href="https://www.who.int/health-topics/coronavirus#tab=tab_1"><span>COVID-19</span></a></p>
<p><a href="https://my.clevelandclinic.org/health/treatments/22282-statins"><span>Statins</span></a></p>
<p><a href="https://my.clevelandclinic.org/health/drugs/22550-pcsk9-inhibitors"><span>PCSK9 inhibitors</span></a></p>
<p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/drugs/imatinib#:~:text=Imatinib%20is%20a%20type%20of,stops%20the%20cancer%20cells%20growing."><span>Imatinib</span></a></p>
<h4><a href="https://www.hrsa.gov/opa"><span>340B Drug Pricing Program</span></a></h4>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Wed, 18 Dec 2024 10:00:00 +0000</pubDate>
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                                    <itunes:duration>2861</itunes:duration>

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                <item>
            <title>Cell and Gene Therapy Access Challenges</title>
            <itunes:episode>24</itunes:episode>

            
            <itunes:title>Cell and Gene Therapy Access Challenges</itunes:title>
            <itunes:subtitle>In our second of three episodes in conjunction with members of ACCESS Forum, we engage with leading experts to uncover the multifaceted challenges of access and affordability in cell and gene thera...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In our second of three episodes in conjunction with members of ACCESS Forum, we engage with leading experts to uncover the multifaceted challenges of access and affordability in cell and gene therapies. <span>Our conversation investigates how these treatments' innovative yet complex landscape leads to challenging regulatory pathways, pricing models, and reimbursement strategies.&nbsp;</span></p>
<p><a href="https://www.linkedin.com/in/alicia-silver/"><b>Alicia Silver, MPP, Head of Cell and Gene Therapy, ADVI Health</b></a><br /><a href="https://www.linkedin.com/in/ericcfaulkner/"><b>Eric Faulkner, President, Passage Health Associates</b></a><br /><a href="https://advi.com/"><span>ADVI Health</span></a><br /><a href="https://alliancerm.org/"><span>Alliance for Regenerative Medicine</span></a><br /><a href="https://arpa-h.gov/"><span>ARPA-H</span><span><br /></span></a><a href="https://ncats.nih.gov/research/research-activities/BGTC"><span>Bespoke Gene Therapy Consortium</span></a><br /><a href="https://www.bluebirdbio.com/"><span>Blue Bird Bio</span></a><br /><a href="https://www.bcbs.com/"><span>Blue Cross Blue Shield</span></a><br /><a href="https://www.cms.gov/research-statistics-data-and-systems/research/healthcarefinancingreview/downloads/cms1191074dl.pdf"><span>Medicare DRG Rates</span><span><br /></span></a><a href="https://www.nice.org.uk/"><span>NICE (National Institute for Health and Care Excellence)</span><span><br /></span></a><a href="https://www.novartis.com/"><span>Novartis</span></a><br /><a href="https://www.passagehealthassociates.com/"><span>Passage Health Associates</span></a><br /><a href="https://www.fda.gov/drugs/drug-safety-and-availability/risk-evaluation-and-mitigation-strategies-rems#:~:text=A%20Risk%20Evaluation%20and%20Mitigation,Zyprexa%20Relprevv%20REMS"><span>REMS Program</span></a><br /><a href="https://yourmissingpiece.com/blog/single-case-agreement-101/"><span>Single Case Agreements</span></a><br /><a href="https://sparktx.com/"><span>Spark Therapeutics</span></a></p>
<p><span>Medical terminology referenced in this episode:</span></p>
<ul>
<li aria-level="2"><a href="https://www.alz.org/"><span>Alzheimer's</span></a></li>
<li aria-level="2"><a href="https://utswmed.org/conditions-treatments/apheresis/#:~:text=Apheresis%20is%20a%20nonsurgical%20treatment,or%20prevent%20worsening%20of%20disease."><span>Aspheresis</span></a></li>
<li aria-level="2"><a href="https://www.letschatcart.com/what-is-car-t-therapy"><span>CAR T therapy</span></a></li>
<li aria-level="2"><a href="https://www.ncbi.nlm.nih.gov/books/NBK470265/"><span>Hemophilia</span></a></li>
<li aria-level="2"><a href="https://www.mayoclinic.org/diseases-conditions/hepatitis-c/symptoms-causes/syc-20354278"><span>Hepatitus C</span></a></li>
<li aria-level="2"><a href="https://luxturna.com/"><span>Luxturna</span></a></li>
<li aria-level="2"><a href="https://www.mayoclinic.org/diseases-conditions/metachromatic-leukodystrophy/symptoms-causes/syc-20354733"><span>Metachromatic leukodystrophy&nbsp;</span></a></li>
<li aria-level="2"><a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/myeloablative-conditioning"><span>Myeloablative Conditioning</span></a></li>
<li aria-level="2"><a href="https://emedicine.medscape.com/article/205926-clinical"><span>Sickle Cell Disease</span></a></li>
<li aria-level="2"><a href="https://www.curesma.org/spinal-muscular-atrophy-treatment/"><span>SMA treatment</span></a></li>
<li aria-level="2"><a href="https://www.spinraza.com/"><span>Spinraza</span></a></li>
<li aria-level="2"><a href="https://emedicine.medscape.com/article/205926-clinical"><span>Vaso Occlusive Crises</span></a></li>
<li aria-level="2"><a href="https://www.zolgensma.com/"><span>Zolgensma</span></a></li>
</ul>
<p><br /><br /><br /></p>]]>
            </description>
            <pubDate>Wed, 04 Dec 2024 10:00:00 +0000</pubDate>
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                                    <itunes:duration>3186</itunes:duration>

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                    </item>
                <item>
            <title>Global vs. US Drug Pricing and Market Access</title>
            <itunes:episode>23</itunes:episode>

            
            <itunes:title>Global vs. US Drug Pricing and Market Access</itunes:title>
            <itunes:subtitle>In this episode, we sit down with leading Market Access experts and members of ACCESS Forum to compare and contrast the drug pricing and access systems worldwide and the US. Our discussion delves i...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, we sit down with leading Market Access experts and members of ACCESS Forum to compare and contrast the drug pricing and access systems worldwide and the US. Our discussion delves into the distinct approaches taken by government vs. private markets, examining how regulatory environments, pricing controls, and reimbursement processes impact patient access to innovative therapies. We explore the challenges each approach faces, from cost pressures to affordability and access, and how they balance the interests of patients, governments, and pharmaceutical companies. Join us for a deep dive into how the global healthcare landscape is evolving and what lessons can be learned.</p>
<p><a href="https://www.linkedin.com/in/nikosmaniadakis"><span>Nikos Maniadakis, Ph.D., Professor, Health Management &amp; Policy, University of West Attica</span></a><br /><a href="https://www.linkedin.com/in/kimberlybaldwin33/"><span>Kimberly Baldwin, Senior Vice President, Value &amp; Access, Ipsen Biopharmaceuticals</span></a><br /><a href="https://www.linkedin.com/in/fauzea-hussain-383924b4/"><span>Fauzea Hussain, Vice President, Public Policy, McKesson</span></a><br /><a href="https://www.cms.gov/medicare/quality/initiatives"><span>CMS</span></a><span> (</span><span>Centers for Medicare &amp; Medicaid Services)<br /></span><a href="https://www.ema.europa.eu/en/homepage"><span>European Medicines Agency</span></a><br /><a href="https://www.who.int/health-topics/health-technology-assessment#tab=tab_1"><span>Health technology assessments (HTAs)</span></a><br /><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act"><span>IRA</span></a><span> (Inflation Reduction Act)<br /></span><a href="https://www.medicaid.gov/"><span>Medicaid</span></a><br /><a href="https://www.medicare.gov/"><span>Medicare</span></a><br /><a href="https://www.nice.org.uk/"><span>National Institute of Clinical Excellence (NICE)</span></a><br /><a href="https://www.nccn.org/guidelines/nccn-guidelines"><span>NCCN guidelines</span></a><br /><a href="https://en.wikipedia.org/wiki/Pharmacy_and_Therapeutics"><span>P&amp;T committee</span></a><span> (</span><span>Pharmacy and Therapeutics Committee)<br /></span><a href="https://www.cms.gov/medicare/coverage/prescription-drug-coverage/patient-assistance-program"><span>PAP</span></a><span> (Patient Assistance Program)<br /></span><a href="https://www.medicare.gov/providers-services/original-medicare/part-b"><span>Part B</span></a><span> (Medicare)<br /></span><a href="https://www.medicare.gov/drug-coverage-part-d"><span>Part D</span></a><span> (Medicare)<br /></span><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB"><span>Pharmacy Benefit Managers (PBMs)</span></a><br /><a href="https://en.wikipedia.org/wiki/Quality-adjusted_life_year"><span>Quality-Adjusted Life Years </span><span><br /></span></a><a href="https://www.tricare.mil/"><span>Tricare</span></a><br /><a href="https://www.va.gov/"><span>Veterans Administration</span></a><br /><span>Medical terminology referenced in this episode:</span></p>
<ul>
<li aria-level="2"><a href="https://www.cms.gov/priorities/innovation/innovation-models/cgt"><span>Cell and gene therapies (CGT)</span></a></li>
<li aria-level="2"><a href="https://en.wikipedia.org/wiki/Insulin"><span>Insulin</span></a></li>
<li aria-level="2"><a href="https://www.fda.gov/industry/medical-products-rare-diseases-and-conditions/designating-orphan-product-drugs-and-biological-products"><span>Orphan drugs</span></a></li>
</ul>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span></span></p>
<p><br /><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 22 Oct 2024 09:00:00 +0000</pubDate>
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                                    <itunes:duration>3265</itunes:duration>

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                <item>
            <title>22. Honoring the Work of Healthcare Advocates</title>
            <itunes:episode>22</itunes:episode>

            
            <itunes:title>22. Honoring the Work of Healthcare Advocates</itunes:title>
            <itunes:subtitle>In this episode, we explore the evolving role of healthcare and patient advocates and how this profession has become an essential part of the healthcare system. We begin by defining what a healthca...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p><span>In this episode, we explore the evolving role of healthcare and patient advocates and how this profession has become an essential part of the healthcare system. We begin by defining what a healthcare advocate is and tracing the development of the profession over the years. Key milestones are discussed, such as establishing codes of ethics, training, and certification processes. We also share real-world examples of how advocates help patients navigate the complexities of healthcare, making a measurable impact on patient outcomes. The discussion covers the scale of advocacy in the U.S., examining the roles of professional advocates compared to family members and volunteers. We also address how advocates are helping patients overcome barriers to accessing and affording medicines. Finally, we look to the future of advocacy, discussing potential healthcare reforms, the impact of technology, and practical advice for patients seeking an advocate in today's challenging healthcare environment.</span></p>
<p><a href="https://www.linkedin.com/in/rachelwestlake/"><span>Rachel Westlake</span></a><span>, </span><span>Managing Director, Coalition of Health Care Advocacy Organizations<br /></span><a href="https://www.linkedin.com/in/danielle-marshall-5079106/"><span>Danielle Marshall</span></a><span>, </span><span>Executive Director, Patient Advocate Certification Board<br /></span><a href="https://www.linkedin.com/in/fred-asiedu-larbi-mba-38410994/"><span>Fred Larbi</span></a><span>, </span><span>Chief Operations Officer, HealthWell Foundation<br /></span><a href="https://chcao.org/"><span>CHCAO</span></a><br /><a href="https://www.linkedin.com/company/patient-advocate-certification-board-inc./"><span>Patient Advocate Cerification Board</span></a><br /><a href="https://www.linkedin.com/company/healthwell-foundation/"><span>Healthwell Foundation</span></a><br /><a href="https://gnanow.org/"><span>Greater National Advocates</span><span><br /></span></a><a href="https://nahac.com/"><span>NAHAC</span><span><br /></span></a><a href="https://healthadvocatex.org/"><span>HealthAdvocateX</span><span><br /></span></a><a href="https://umbrahealthadvocacy.com/"><span>Umbra</span><span><br /></span></a><a href="https://www.solace.health/"><span>Solace&nbsp;</span></a></p>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 12 Sep 2024 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2691</itunes:duration>

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                <item>
            <title>Evolution of PBM&#039;s</title>
            <itunes:episode>21</itunes:episode>

            
            <itunes:title>Evolution of PBM&#039;s</itunes:title>
            <itunes:subtitle>In this episode, we explore the evolution and future of the Pharmacy Benefit Management (PBM) industry with insights from two seasoned pharma managed care executives. We discuss the early role of P...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p><span>In this episode, we explore the evolution and future of the Pharmacy Benefit Management (PBM) industry with insights from two seasoned pharma managed care executives. We discuss the early role of PBMs, their acquisition by pharmaceutical companies, and subsequent industry consolidation. We examine how vertical integration of the PBMs transformed their business model, including the restricted formularies that gave rise to rebates. We also address evolving PBM-manufacturer relationships, the effects of public scrutiny, and predictions for key trends. Join us for a comprehensive look at the past, present, and future of PBMs, focusing on the changes needed to better serve patients.</span></p>
<p><a href="https://repriziorx.com/who-we-are"><span>Steve Stefano, Managing Director, ReprizioRx&nbsp;</span></a></p>
<p><span>Steve.Stefano@repriziorx.com</span></p>
<p><a href="https://repriziorx.com/who-we-are"><span>Bill Leonard, Managing Director, ReprizioRX</span></a></p>
<p><span>wjl@repriziorx.com</span></p>
<p><a href="https://repriziorx.com/"><span>ReprizioRX</span></a></p>
<p><a href="https://www.americanprogress.org/article/5-things-to-know-about-pharmacy-benefit-managers/#:~:text=PBMs%20are%20middlemen%20between%20drug,manage%20their%20prescription%20drug%20benefits."><span>PBMs</span></a></p>
<p><a href="https://www.irmi.com/term/insurance-definitions/independent-practice-association#:~:text=An%20independent%20practice%20association%20is,who%20are%20not%20HMO%20participants."><span>IPA model HMO</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Medco_Health_Solutions"><span>Medco</span></a></p>
<p><a href="https://www.encyclopedia.com/books/politics-and-business-magazines/medco-containment-services-inc"><span>Metro Containment Services</span></a></p>
<p><a href="https://www.congress.gov/bill/100th-congress/house-bill/2470"><span>Medicare Catastrophic Coverage Act of 1988</span></a></p>
<p><a href="https://www.merck.com/"><span>Merck</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/GSK_plc"><span>SmithKline Beecham</span></a></p>
<p><a href="https://www.lilly.com/?utm_id=go_cmp-20967950135_adg-158081501757_ad-688768221103_kwd-304775945718_dev-c_ext-_prd-_mca-_sig-Cj0KCQjwzva1BhD3ARIsADQuPnUN-uo6VLP9zpKx29DwEbVzpqYQwJhP0NdROYNGxiBOUxGwLmvDUWEaAkK8EALw_wcB&amp;utm_source=google&amp;gclid=Cj0KCQjwzva1BhD3ARIsADQuPnUN-uo6VLP9zpKx29DwEbVzpqYQwJhP0NdROYNGxiBOUxGwLmvDUWEaAkK8EALw_wcB"><span>Eli Lilly</span></a></p>
<p><a href="https://www.hrsa.gov/opa"><span>340B</span></a></p>
<p><a href="https://validinsight.com/formulary-lock-us/"><span>NDC blocks</span></a></p>
<p><a href="https://supplychainassociation.org/about-us/what-is-gpo/#:~:text=A%20group%20purchasing%20organization%20(GPO,manufacturers%2C%20distributors%20and%20other%20vendors."><span>Group Purchasing Organizations (GPOs)&nbsp;</span></a></p>
<p><a href="https://www.medicare.gov/"><span>Medicare</span></a></p>
<p><a href="https://www.uhc.com/"><span>United Healthcare</span></a></p>
<p><a href="https://www.ftc.gov/"><span>FTC</span></a></p>
<p><a href="https://costplusdrugs.com/"><span>CostPlusDrugs</span></a></p>
<p><span><br /></span><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>]]>
            </description>
            <pubDate>Tue, 20 Aug 2024 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2725</itunes:duration>

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                <item>
            <title>How Access Challenges Impact the Drug Development Pipeline</title>
            <itunes:episode>20</itunes:episode>

            
            <itunes:title>How Access Challenges Impact the Drug Development Pipeline</itunes:title>
            <itunes:subtitle>In this episode, we dive into the pharmaceutical industry&#039;s research and drug development side and the real threat that today&amp;rsquo;s access and affordability challenges and policies pose to innova...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>In this episode, we dive into the pharmaceutical industry's research and drug development side and the real threat that today&rsquo;s access and affordability challenges and policies pose to innovation. While innovation often starts in universities with government support, biotech, and pharma companies take on the tough, costly job of clinical trials, development, and approval of new drugs. Investment dollars are limited, only the most promising projects get funded, with an expectation there will be a return. However, our current drug payment process and policies like the IRA have added new considerations for investors, risking fewer new drugs being developed. Without changes, patients could face the closing of our nation's medicine cabinet, with fewer new treatments available. This would be an outcome that would be catastrophic for all of us.</p>
<p><a href="https://www.linkedin.com/in/erin-mistry-b1283832/"><span>Erin Mistry, EVP and Chief Commercial Officer, Cormedix, Inc.</span></a></p>
<p><span><br /></span><a href="https://www.linkedin.com/in/imrannasrullah/"><span>Imran Nasrullah, JD., formerly VP &amp; US Head of BD&amp;L at Bayer, and now Founder, SNAP Life Sciences</span></a></p>
<p><a href="https://www.investopedia.com/terms/r/randd.asp"><span>Research and development (R&amp;D)</span></a></p>
<p><a href="https://www.fda.gov/"><span>FDA</span></a></p>
<p><a href="https://www.cff.org/cfmonth?gad_source=1&amp;gclid=CjwKCAjw4ri0BhAvEiwA8oo6F_rM6aSIpqOuK7LhMBWueN1EM_ct6dxVgyZ0CPllGyRO7eBumBRtChoCBkIQAvD_BwE"><span>CF Foundation</span></a></p>
<p><a href="https://www.vrtx.com/home/"><span>Vertex</span></a></p>
<p><a href="https://www.nih.gov/"><span>NIH</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Antimicrobial_resistance"><span>AMR (antimicrobial resistance)</span></a></p>
<p><a href="https://www.congress.gov/bill/118th-congress/senate-bill/1355"><span>The Pasteur Act</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/HIV"><span>HIV</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Malaria"><span>Malaria</span></a></p>
<p><a href="https://www.flagshippioneering.com/news/press-release/flagship-pioneering-launches-metaphore-biotechnologies-to-unlock-the-therapeutic-potential-of-biomimicry"><span>Flagship Pioneering Launches Metaphore Biotechnologies to Unlock the Therapeutic Potential of Biomimicry</span></a></p>
<p><a href="https://finance.yahoo.com/news/novo-nordisk-bets-600-million-104500447.html"><span>Novo Nordisk Bets Up to $600 Million on Ozempic 2.0. Here's Why the Stock Is a Buy.</span></a></p>
<p><a href="https://www.gene.com/"><span>Genentech</span></a></p>
<p><a href="https://www.sanofi.com/en/your-health/medicines"><span>Genzyme</span></a><span> (Now Sanofi)</span></p>
<p><a href="https://www.medicare.gov/"><span>Medicare</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act"><span>IRA</span></a><span> (Inflation Reduction Act)</span></p>
<p><a href="https://www.who.int/health-topics/coronavirus#tab=tab_1"><span>COVID-19</span></a></p>
<p><span><br /></span><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 16 Jul 2024 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2941</itunes:duration>

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            <title>Interviews from Asembia’s AXS24 Summit, Part 2</title>
            <itunes:episode>19</itunes:episode>

            
            <itunes:title>Interviews from Asembia’s AXS24 Summit, Part 2</itunes:title>
            <itunes:subtitle>This is the second of two episodes dedicated to Asembia&amp;rsquo;s AXS24 Summit, where we were honored to be a media partner. In this episode, we learn from Sarah Butler, Chief Commercial Officer of A...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>This is the second of two episodes dedicated to Asembia&rsquo;s AXS24 Summit, where we were honored to be a media partner. In this episode, we learn from Sarah Butler, Chief Commercial Officer of ADVI Health and Lindsay Greenleaf, JD, MBA, Head of Federal and State Policy for ADVI Health how the 2024 election will impact patient access and affordability. Umar Afridi, Founder and CEO of Foundation Health, summarizes his session, From Opaque to Transparent: Transforming the Way We Pay for Drugs. Finally, we get a few minutes with Joe Boswell, the President of ACCESS Forum, leading an effort to create a network for market access professionals.</p>
<p><a href="https://www.linkedin.com/company/advi/"><span>ADVI</span></a><span>:<br /></span><a href="https://www.linkedin.com/in/sarahebutlermhs/"><span>Sarah Butler (Chief Commercial Officer)</span></a><br /><a href="https://www.linkedin.com/in/lindsay-bealor-greenleaf/"><span>Lindsey Greenleaf (Consulting and Government Affairs Head)</span><span><br /></span></a><a href="https://en.wikipedia.org/wiki/Research_and_development"><span>R&amp;D</span><span><br /></span></a><a href="https://www.hhs.gov/inflation-reduction-act/index.html"><span>Inflation Reduction Act</span><span><br /></span></a><a href="https://www.nccn.org/compendia-templates/compendia/nccn-compendia"><span>NCCN Compendia</span><span><br /></span></a><a href="https://www.medicare.gov/drug-coverage-part-d"><span>Part D</span><span><br /></span></a><a href="https://www.cms.gov/inflation-reduction-act-and-medicare/medicare-drug-price-negotiation"><span>CMS</span><span><br /></span></a><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB"><span>Pharmacy Benefit Managers (PBMs)</span></a><a href="https://www.medicare.gov/basics/get-started-with-medicare?utm_source=google&amp;utm_medium=paid_search&amp;utm_campaign=pn-cmsn2m2024-gm&amp;utm_term=prospecting&amp;utm_content=pn-02262024_compare_medicare_coverage_rsa1&amp;s_kwcid=AL!18036!3!692385647900!b!!g!!medicare%20plan&amp;gad_source=1&amp;gclid=Cj0KCQjwu8uyBhC6ARIsAKwBGpRK74KpSWqaYRAViu-Fq56RIf2YljOFBvd4h_ZqkgKDR69HJ16hAMYaAni0EALw_wcB"><span><br /></span></a><a href="https://www.medicare.gov/what-medicare-covers/what-part-b-covers"><span>Part B</span><span><br /></span></a><a href="https://oig.ftc.gov/"><span>FTC and Office of Inspector General (IG)</span><span><br /></span></a><a href="https://www.ftc.gov/system/files/ftc_gov/pdf/Statement-Khan-6b-Study-Pharmacy-Benefit-Managers.pdf"><span>FTC's Section 6B study</span><span><br /></span></a><a href="https://www.linkedin.com/company/foundationhlth/"><span>Foundation Health</span></a><span>:</span><a href="https://www.linkedin.com/in/umarafridi/"><span>Umar Afridi, Founder and CEO</span><span><br /></span></a><span>Session: </span><a href="https://www.linkedin.com/posts/foundationhlth_asembia24-digitalhealth-healthcareinnovation-activity-7188554072805851140-f1Df/"><span>"From Opaque to Transparent: Transforming the Way We Pay for Drugs."</span><span><br /></span></a><a href="https://en.wikipedia.org/wiki/Pharmacy_benefit_management"><span>Pharmacy Benefit Managers (PBMs)</span></a><a href="https://costplusdrugs.com/"><span><br /></span></a><a href="https://www.truepill.com/"><span>Truepill</span><span><br /></span></a><a href="https://www.softwareag.com/en_corporate/resources/api/article/api-platform.html"><span>API platforms</span></a><br /><a href="https://www.marketaccess.org/page/ExecBoard"><span>International Access Professional Society</span></a><span>:</span><a href="https://www.linkedin.com/in/joseph-l-boswell-493b254/"><span>Joe Boswell.</span></a><span> President</span><span><br /></span><a href="https://genmav.com/"><span>GenMAV</span><span><br /></span></a><a href="https://asembia.com/"><span>Asembia</span><span><br /></span></a></p>]]>
            </description>
            <pubDate>Tue, 04 Jun 2024 09:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>2025</itunes:duration>

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            <title>Interviews from Asembia&#039;s AXS24 Summit, Part 1 of 2</title>
            <itunes:episode>18</itunes:episode>

            
            <itunes:title>Interviews from Asembia&#039;s AXS24 Summit, Part 1 of 2</itunes:title>
            <itunes:subtitle>Asembia&amp;rsquo;s AXS24 Summit, a pinnacle of specialty drug and healthcare discussions, concluded earlier this month. We are thrilled to share that our podcast was selected as a media partner for th...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>Asembia&rsquo;s AXS24 Summit, a pinnacle of specialty drug and healthcare discussions, concluded earlier this month. We are thrilled to share that our podcast was selected as a media partner for this esteemed event. This is the first of two episodes dedicated to AXS24, where Scott and Mark had the opportunity to interview several key speakers and attendees. In this episode, we bring you the insights of Melissa Paige, a seasoned healthcare professional and President of the National Association of Medication Access &amp; Patient Advocacy, who led a session on the Patient Financial Impact of IRA. We also present the perspectives of Renee Rayburg, RPh., VP, Clinical Strategy, Pharmaceutical Strategy Group and Morgan Lee, PhD, MPH, CPH, Senior Director, Research &amp; Strategy, PSG, who are renowned for their study and session on Viewpoints in Specialty Drug Benefit Design.</p>
<p><a href="https://www.linkedin.com/in/melissa-paige-69461931/"><span>Melissa Paige, President,</span><span>&nbsp;(NAMAPA)</span></a><br /><a href="https://www.linkedin.com/school/university-of-virginia/"><span>University of Virginia Health System</span></a><br /><a href="https://www.asembiasummit.com/event/4b70db38-f001-413b-bf02-509df534759f/summary"><span>Asembia</span></a><br /><a href="https://www.hhs.gov/inflation-reduction-act/index.html"><span>Inflation Reduction Act</span></a><br /><a href="https://www.linkedin.com/in/madelaine-feldman-m-d-86462021/"><span>Dr. Madelaine Feldman</span></a><br /><a href="https://www.linkedin.com/in/renee-malarbi-rayburg-a2b04447/"><span>Renee Rayburg, </span><span>Vice President Specialty Clinical Consulting, Artemetrx</span></a><span>,&nbsp;<br /></span><a href="https://www.linkedin.com/in/morganlee-phd/"><span>Morgan Lee, PhD, Senior Director, PSG</span></a><br /><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB"><span>Pharmacy Benefit Managers (PBMs)</span></a><br /><a href="https://www.goodrx.com/go/homepage-lander-sem-7?optly_audience=%7Bnextbestaction%7D&amp;kw=price&amp;utm_campaign=140564372&amp;utm_content=1521923620&amp;utm_source=bing&amp;utm_medium=cpc&amp;utm_term=kwd-29266226660:loc-71294&amp;gclid=b4519421d1a01f6311a9f26a05fcc760&amp;gclsrc=3p.ds&amp;msclkid=b4519421d1a01f6311a9f26a05fcc760"><span>GoodRx</span></a><br /><a href="https://www.psgconsults.com/industry-report/2024-trends-in-specialty-drug-benefits-report/"><span>2024 Trends in Specialty Drug Benefits Report</span></a><br /><span>Medical terminology referenced in this episode:<br /></span><a href="https://www.medicinenet.com/angiotensin_ii_receptor_blockers/article.htm"><span>Generic ARBs </span></a><br /><a href="https://www.mayoclinic.org/diseases-conditions/multiple-sclerosis/symptoms-causes/syc-20350269"><span>Multiple Sclerosis</span></a><br /><a href="https://www.humirapro.com/?cid=ppc_ppd_humirapro_h22_hcp_ggl_brnd_38074&amp;gclid=Cj0KCQjw6auyBhDzARIsALIo6v-MqUOExFi-hvIUbc-QrVNqUZtyZ1y5E7CfWmJFyQdmzHYQSkRSIpoaAt-sEALw_wcB&amp;gclsrc=aw.ds"><span>Humira biosimilars</span></a><br /><a href="https://www.drugs.com/albuterol.html#:~:text=Albuterol%20is%20a%20bronchodilator%20that,obstructive%20pulmonary%20disease%20(COPD)."><span>Albuterol inhaler</span></a><span><br /></span><span>Email us:</span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>]]>
            </description>
            <pubDate>Fri, 24 May 2024 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2140</itunes:duration>

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                <item>
            <title>Understanding 340B Programs:  An Interview with Antonio Ciaccia, CEO, 46brooklyn Research</title>
            <itunes:episode>17</itunes:episode>

            
            <itunes:title>Understanding 340B Programs:  An Interview with Antonio Ciaccia, CEO, 46brooklyn Research</itunes:title>
            <itunes:subtitle>In this episode, we explore the 340B Drug Pricing Program, an essential yet complex component of the American drug supply landscape that aims to enable healthcare entities to offer more affordable ...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, we explore the 340B Drug Pricing Program, an essential yet complex component of the American drug supply landscape that aims to enable healthcare entities to offer more affordable medication to underserved populations. We interview Antonio Ciaccia, a drug pricing and 340B expert who provides an in-depth look at how the program works, its financial incentives, and how stakeholders have exploited this well-intentioned program, all to the detriment of patients.</p>
<ul>
<li><a href="https://www.linkedin.com/in/antonio-ciaccia-390879b/"><span>Antonio Ciaccia, President, 3 Axis Advisors and CEO, 46brooklyn Research, an Ohio non-profit Corporation</span></a></li>
<li><a href="https://www.46brooklyn.com/"><span>46brooklyn</span></a></li>
<li><a href="https://www.ohiopharmacists.org/aws/OPA/pt/sp/home_page"><span>Ohio Pharmacist Association</span></a></li>
<li><a href="https://www.3axisadvisors.com/"><span>3 Axis Advisors</span></a></li>
<li><a href="https://www.medicaid.gov/"><span>Medicaid</span></a></li>
<li><a href="https://www.hrsa.gov/opa"><span>340B Program</span></a></li>
<li><a href="https://litigationtracker.law.georgetown.edu/issues/340b-program/"><span>340B Litigation</span></a></li>
<li><a href="https://www.hrsa.gov/opa/eligibility-and-registration"><span>340 Eligibility, HRSA</span></a></li>
<li><a href="https://www.hrsa.gov/opa/eligibility-and-registration"><span>Covered Entities</span></a></li>
<li><a href="https://www.medicaid.gov/medicaid/prescription-drugs/medicaid-drug-rebate-program/index.html"><span>Medicaid Drug Rebate Program</span></a></li>
<li><a href="https://en.wikipedia.org/wiki/Affordable_Care_Act"><span>Obamacare</span></a><span><br /></span></li>
<li><a href="https://www.ihs.gov/"><span>Indian Health Service</span></a></li>
<li><a href="https://www.46brooklyn.com/news/030624-money-from-sick-people-part-ii-the-340b-bounty-hunt-fmve"><span>"Money from Sick People,"</span></a><span> Report from 46Brooklyn</span><span><br /></span></li>
<li><a href="https://www.medicare.gov/basics/get-started-with-medicare?utm_source=google&amp;utm_medium=paid_search&amp;utm_campaign=pn-cmsn2m2024-gm&amp;utm_term=prospecting&amp;utm_content=pn-02262024_general_medicare_rsa4&amp;s_kwcid=AL!18036!3!692383926614!b!!g!!medicare&amp;gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745BIy8x_4QEdwUzQKNKSG8HBjYOwnda8hE14fSoGlIDk3HhwhJeh_pAaAgslEALw_wcB"><span>Medicare</span></a></li>
<li><a href="https://informationstation.org/kitchen_table_econ/what-are-pharmacy-benefit-managers/?gad_source=1&amp;gclid=Cj0KCQjwlZixBhCoARIsAIC745ATaJdJm9JIFHYc6VGy5uRmTrr5xMBFMfHFXJMwUnJwjG2gRf6w9zEaAnx3EALw_wcB"><span>Pharmacy Benefit Managers (PBMs)</span></a><span><br /></span></li>
<li><a href="https://www.linkedin.com/in/james-robinson-34890711/"><span>Jamie Robinson</span></a><span>, Health Economist</span></li>
</ul>
<p><span>Medical terminology referenced in this episode:</span></p>
<ul>
<li aria-level="1"><a href="https://www.mynovoinsulin.com/insulin-products/novolog/home.html#:~:text=What%20is%20NovoLog%C2%AE%3F,with%20a%20long%2Dacting%20insulin."><span>Novolog</span></a></li>
</ul>
<p><span>Questions or comments?</span><span><br /></span><span>Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span>comments@prescriptionforbetteraccess.com</span></a><span>.</span><span><br /></span><span>Find us on social media! Follow us on </span><a href="https://twitter.com/RX4BetterAccess"><span>X</span></a><span>, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span>LinkedIn</span></a><span>, </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span>YouTube</span></a><span> and </span><a href="https://www.threads.net/@prescriptionforbetteraccess"><span>Threads</span></a><span>.</span></p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 25 Apr 2024 09:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>2805</itunes:duration>

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                <item>
            <title>Interview with Victor Bulto, President, US, Novartis</title>
            <itunes:episode>16</itunes:episode>

            
            <itunes:title>Interview with Victor Bulto, President, US, Novartis</itunes:title>
            <itunes:subtitle>In this important podcast episode, we interview Victor Bulto, President, US for Novartis, to discuss the company&#039;s efforts to develop groundbreaking treatments while ensuring accessibility and affo...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this important podcast episode, we interview Victor Bulto, President, US for Novartis, to discuss the company's efforts to develop groundbreaking treatments while ensuring accessibility and affordability for patients. We delve into how the pharmaceutical industry navigates numerous post-FDA approval barriers to launch new drugs and the importance of market access, patient support services, and a commitment by manufacturers to provide patient assistance and other support for patients.</p>
<p><a href="https://www.novartis.com/about/executive-committee/victor-bulto">Victor Bulto, President, Novartis</a></p>
<p><a href="https://www.novartis.com/">Novartis</a></p>
<p><a href="https://www.fda.gov/">FDA</a></p>
<p><a href="https://icer.org/">Institute for Clinical and Economic Review (ICER)</a></p>
<p><a href="https://www.heart.org/">American Heart Association (AHA)</a></p>
<p><a href="https://home.treasury.gov/policy-issues/inflation-reduction-act">Inflation Reduction Act (IRA)</a></p>
<p><a href="https://en.wikipedia.org/wiki/Pharmacy_benefit_management">Pharmacy Benefit Manager (PBM)</a></p>
<p><a href="https://www.medicare.gov/">Medicare</a></p>
<p>Medical terminology referenced in this episode:</p>
<p>Cell therapy: <a href="https://www.cancer.org/cancer/managing-cancer/treatment-types/immunotherapy/car-t-cell1.html">CART-T</a>&nbsp;</p>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188707/">Radioligand therapy</a></p>
<p><a href="https://en.wikipedia.org/wiki/RNA">RNA</a></p>
<p><a href="https://www.entresto.com/">Entresto</a></p>
<p><a href="https://en.wikipedia.org/wiki/Molecular_glue">Molecular glues</a></p>
<p><a href="https://www.protein-degradation.org/">Targeted protein degradation</a></p>
<p><a href="https://en.wikipedia.org/wiki/Antisense_therapy">Antisense oligonucleotides</a></p>
<p>Small interfering RNAs: <a href="https://en.wikipedia.org/wiki/Small_interfering_RNA">siRNAs</a></p>
<p><a href="https://www.cdc.gov/cholesterol/ldl_hdl.htm">LDL cholesterol</a></p>
<p><a href="https://www.cdc.gov/coronavirus/2019-ncov/index.html">COVID</a></p>
<p><a href="https://www.accc-cancer.org/home/learn/cancer-types/hematologic-malignancies">Hematological malignancies</a></p>
<p><a href="https://www.sciencedirect.com/science/article/abs/pii/S1568997211000942">Refractory autoimmune diseases</a></p>
<p>Questions or comments?<br />Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br />Find us on social media! Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a> and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>]]>
            </description>
            <pubDate>Thu, 28 Mar 2024 09:00:00 +0000</pubDate>
                        <enclosure
                url="https://chrt.fm/track/EBC18G/media.resonaterecordings.com/prescription-for-better-access/d48f9baa-ec95-4ed4-87b6-e49690cb3c7d.mp3"
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                                    <itunes:duration>2615</itunes:duration>

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                <item>
            <title>Biosimilar&#039;s Role in Improving Patient Access</title>
            <itunes:episode>15</itunes:episode>

            
            <itunes:title>Biosimilar&#039;s Role in Improving Patient Access</itunes:title>
            <itunes:subtitle>Biosimilars are entering the market at their fastest pace ever. In this episode, we interview a renowned health economist and an expert consultant in biosimilar distribution and patient support to ...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>Biosimilars are entering the market at their fastest pace ever. In this episode, we interview a renowned health economist and an expert consultant in biosimilar distribution and patient support to explore the complex landscape of biosimilars, including examining the hurdles and breakthroughs in achieving acceptance by payers and providers and how best to improve patient access and affordability in a market dominated by established brands.</p>
<p><a href="https://www.linkedin.com/in/jason-shafrin-9310194/">Dr. Jason Shafrin, Senior Managing Director, Center for Healthcare Economics and Policy at FTI Consulting</a></p>
<p><a href="https://www.linkedin.com/in/marinasallen/">Marina Allen, SVP, Fingerpaint Market Access, Patient Support &amp; Access Strategy Leader in Pharma-Biotech</a></p>
<p><a href="https://www.fda.gov/drugs/therapeutic-biologics-applications-bla/biosimilars">Biosimilars</a></p>
<p><a href="https://www.federalregister.gov/documents/2010/12/08/2010-30713/biologics-price-competition-and-innovation-act-of-2009-meetings-on-user-fee-program-for-biosimilar#:~:text=The%20BPCI%20Act%20amends%20section,prescription%20drug%20user%20fee%20provisions.">The Biologics Price Competition and Innovation Act of 2009</a></p>
<p><a href="https://content.naic.org/cipr-topics/pharmacy-benefit-managers">PBMs (Pharmacy Benefit Managers)</a></p>
<p><a href="https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options">Medicare Advantage<br /><br /></a></p>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8014989/">Humira (biosimilars)<br /><br /></a></p>
<p><a href="https://www.hrsa.gov/opa">340B program<br /><br /></a></p>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act">Inflation Reduction Act<br /><br /></a></p>
<p><a href="https://www.medicare.gov/drug-coverage-part-d">Medicare Part D<br /><br /></a></p>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10690443/#:~:text=In%20both%20white%20and%20brown,cost%20of%20the%20drug%20itself.">"brown bagging and white bagging"<br /><br /></a></p>
<p><a href="https://costplusdrugs.com/">Mark Cuban (CostPlusDrugs)<br /><br /></a></p>
<p><a href="https://www.goodrx.com/">GoodRx<br /><br /></a></p>
<p><a href="https://www.investopedia.com/terms/a/averagesellingprice.asp">average sales price (ASP)</a> <br /><br /></p>
<p><a href="https://www.healthit.gov/faq/what-electronic-health-record-ehr">electronic health record (EHR) system</a></p>
<p>Questions or comments?<br />Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br />Find us on social media! Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a> and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 27 Feb 2024 10:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>2554</itunes:duration>

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                <item>
            <title>2024 Policy Preview: An Interview with Dr. Mark McClellan</title>
            <itunes:episode>14</itunes:episode>

            
            <itunes:title>2024 Policy Preview: An Interview with Dr. Mark McClellan</itunes:title>
            <itunes:subtitle>Scott and Mark welcome Dr. Mark McClellan, a distinguished health policy expert who has served as the Commissioner of the FDA and the Administrator of CMS, to look ahead at the major policy activit...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>Scott and Mark welcome Dr. Mark McClellan, a distinguished health policy expert who has served as the Commissioner of the FDA and the Administrator of CMS, to look ahead at the major policy activities in 2024. They discuss how the government's role as regulator and purchaser of drugs will influence the drug industry and the patient's ability to access and afford medicines this year. They also discuss the challenges and opportunities for improving public health and the emerging role of artificial intelligence.</p>
<p><a href="https://www.linkedin.com/in/mmcclellanduke/">Dr. Mark McClellan, PhD, Director and Professor of Business, Medicine and Policy at the Duke-Margolis Center for Health Policy at Duke University</a></p>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act">IRA</a></p>
<p><a href="https://www.medicare.gov/drug-coverage-part-d">Medicare Part D</a></p>
<p><a href="https://en.wikipedia.org/wiki/Pharmacy_benefit_management">Pharmacy Benefit Managers (PBMs)</a></p>
<p><a href="https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options">Medicare Advantage</a></p>
<p><a href="https://www.fda.gov/about-fda/fda-organization/robert-califf">FDA commissioner Rob Califf</a>&nbsp;</p>
<p><a href="https://ryanwhite.hrsa.gov/about/parts-and-initiatives/part-b-grants-states-territories">The Ryan White HIV/AIDS Program (RWHAP) Part B</a></p>
<p><a href="https://en.wikipedia.org/wiki/Medicare_Prescription_Drug,_Improvement,_and_Modernization_Act">Medicare Modernization Act</a> <br /><br /></p>
<p><a href="https://www.fda.gov/">FDA</a></p>
<p><a href="https://www.fda.gov/about-fda/fda-organization/office-regulatory-affairs">FDA's Office of Regulatory Affairs</a></p>
<p><a href="https://www.cms.gov/">Centers for Medicare &amp; Medicaid Services (CMS)</a>&nbsp;</p>
<p><a href="https://www.cdc.gov/">Centers for Disease Control and Prevention (CDC)</a></p>
<p><a href="https://openloophealth.com/blog/understanding-the-per-member-per-month-pmpm-model">Per Member Per Month (PMPM) billing</a>&nbsp;</p>
<p>Questions or comments?<br />Email us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br />Find us on social media! Follow us on <a href="https://twitter.com/RX4BetterAccess">X</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a>, <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a> and <a href="https://www.threads.net/@prescriptionforbetteraccess">Threads</a>.</p>
<p><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 30 Jan 2024 10:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>2971</itunes:duration>

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                <item>
            <title>Episode 13:  The Sustainability of Innovation: An Interview with Rachel King, CEO, BIO</title>
            <itunes:episode>13</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Episode 13:  The Sustainability of Innovation: An Interview with Rachel King, CEO, BIO</itunes:title>
            <itunes:subtitle>In our 2023 podcasts, there have been a series of revelations about the complexity and unintended consequences related to drug access and affordability. This episode explores the essential underlyi...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In our 2023 podcasts, there have been a series of revelations about the complexity and unintended consequences related to drug access and affordability. This episode explores the essential underlying tension between the notion that affordability and access are deteriorating while science is advancing so rapidly. We interview Rachel King, CEO of Biotechnology Innovation Organization (BIO), to explore the priorities for the industry and how the challenges related to patient access and affordability could jeopardize innovation for patients today and in the future.</p>
<p><a href="https://www.linkedin.com/in/rachel-king-35697220/"><span style="font-weight: 400;">Rachel King, CEO, BIO (Biotechnology Innovation Organization)&nbsp;</span></a></p>
<p><a href="https://www.linkedin.com/in/john-f-crowley/"><span style="font-weight: 400;">John Crowley, Executive Chairman, Amicus Therapeutics</span></a></p>
<p><a href="https://publichealth.berkeley.edu/people/james-robinson/"><span style="font-weight: 400;">James Robinson PhD, MPH, Chair, Health Policy and Management Division, Berkeley School of Public Health</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act"><span style="font-weight: 400;">The Inflation Reduction Act</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Orphan_Drug_Act_of_1983"><span style="font-weight: 400;">Orphan Drug Act</span></a></p>
<p><a href="https://www.govtrack.us/congress/bills/118/s3131/text"><span style="font-weight: 400;">Orphan Cures Act</span></a></p>
<p><a href="https://www.investopedia.com/articles/markets/070215/what-pharmacy-benefit-management-industry.asp"><span style="font-weight: 400;">PBM (pharmacy benefit management)</span></a></p>
<p><a href="https://www.medicare.gov/drug-coverage-part-d"><span style="font-weight: 400;">Medicare Part D</span></a></p>
<p><a href="https://www.healthinsurance.org/glossary/step-therapy/"><span style="font-weight: 400;">Step Therapy</span></a></p>
<p><a href="https://www.cff.org/intro-cf"><span style="font-weight: 400;">Cystic Fibrosis Foundation</span></a></p>
<p><span style="font-weight: 400;">Therapies mentioned in this episode:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092015/#:~:text=RNAi%20is%20a%20self%2Ddefense,an%20antiviral%20agent%20in%20plants."><span style="font-weight: 400;">RNAi</span></a></li>
<li style="font-weight: 400;" aria-level="1"><a href="https://www.genome.gov/genetics-glossary/antisense#:~:text=Antisense%20is%20the%20non%2Dcoding,the%20synthesis%20of%20a%20protein."><span style="font-weight: 400;">Antisense</span></a></li>
<li style="font-weight: 400;" aria-level="1"><a href="https://www.modernatx.com/power-of-mrna/modernas-mrna-platform?tc=ps_au5z90q&amp;cc=1001&amp;utm_source=google&amp;utm_medium=search&amp;utm_campaign=bnd+corporate&amp;gclsrc=aw.ds&amp;&amp;gclid=CjwKCAiA-P-rBhBEEiwAQEXhHxEjWDKpPRjPsBD9fIT40X5u4kxJtP4ytrcbkmRVYX4K_4TUw_5WdRoCRCQQAvD_BwE"><span style="font-weight: 400;">mRNA</span></a></li>
<li style="font-weight: 400;" aria-level="1"><a href="https://en.wikipedia.org/wiki/Monoclonal_antibody"><span style="font-weight: 400;">Monoclonal antibody</span></a></li>
</ul>
<p><span style="font-weight: 400;">Email us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a><span style="font-weight: 400;">.</span><span style="font-weight: 400;"><br /></span><span style="font-weight: 400;">Find us on social media! We&rsquo;re on X as @RX4BetterAccess, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">.</span></p>]]>
            </description>
            <pubDate>Fri, 22 Dec 2023 10:00:00 +0000</pubDate>
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                                    <itunes:duration>2122</itunes:duration>

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                <item>
            <title>Episode 12: How Alternative Funding Programs Exploit Patient Assistance Programs</title>
            <itunes:episode>12</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Episode 12: How Alternative Funding Programs Exploit Patient Assistance Programs</itunes:title>
            <itunes:subtitle>In this episode, we investigate the rise of Alternative Funding Programs (AFPs) that bypass coverage for vital specialty drugs.&amp;nbsp; Kyle Crowell, an expert consultant on AFPs, discusses how payer...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, we investigate the rise of Alternative Funding Programs (AFPs) that bypass coverage for vital specialty drugs.&nbsp; Kyle Crowell, an expert consultant on AFPs, discusses how payers avoid their responsibility for costs by collaborating with third-party companies to exclude specific drug coverage and directing patients towards manufacturer-sponsored patient assistance programs (PAPs).&nbsp; Patient advocate, Amy Niles from the PAN Foundation, describes how the mounting tension caused by AFPs are leaving patients to navigate the uncertain waters of their medication coverage and access, potentially risking their health and even their lives.</p>
<p><a href="https://www.linkedin.com/in/kylecrowell/">Kyle Crowell, Principal (Partner) at ZS Associates</a></p>
<p><a href="https://www.linkedin.com/in/amy-niles/">Amy Niles, Chief Advocacy and Engagement Officer, PAN Foundation</a></p>
<p><a href="https://www.cms.gov/medicare/coverage/prescription-drug-coverage/patient-assistance-program#:~:text=Pharmaceutical%20manufacturers%20may%20sponsor%20patient,any%20existing%20prescription%20drug%20coverage.">Patient Assistance programs (PAPs)</a></p>
<p><a href="https://healthpolicytoday.org/2023/06/12/what-alternative-rx-funding-programs-mean-for-patients/#:~:text=With%20alternative%20funding%20programs%2C%20companies,coverage%20of%20high%2Dcost%20drugs.">Alternative funding programs (AFPs)</a></p>
<p><a href="https://www.pharmaceuticalcommerce.com/view/afp-caution-flag-for-patients">&ldquo;AFP Caution For Patients&rdquo;</a></p>
<p><a href="https://www.zs.com/insights/zs-analysis-of-alternative-funding-programs">&ldquo;Pharma faces tough choices as alternative funding programs exploit charitable giving&rdquo;</a></p>
<p><a href="https://www.medicare.gov/drug-coverage-part-d">Medicare Part D</a></p>
<p><a href="https://www.statnews.com/pharmalot/2023/05/11/abbvie-lawsuit-patients-jnj-pfizer-bristol-payers-insurance/">&ldquo;AbbVie sues a behind-the-scenes company for exploiting its patient assistance program&rdquo;</a></p>
<p><a href="https://www.ftc.gov/">Federal Trade Commission</a></p>
<p><a href="https://www.linkedin.com/in/carl-schmid-225546131/">Carl Schmidt from the HIV and Hepatitis Policy Institute</a></p>
<p><a href="https://hivhep.org/wp-content/uploads/2023/10/Schmid-ppt-copay-conf-Oct-2023-revised.pdf">Copay Accumulator Adjustment Programs Lawsuit</a></p>
<p>Like this episode and want to hear more? Listen to past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></p>
<p>Do you have a prescription for better access? Share your comments and episode ideas with us at:<br /><a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a>.<br /><br />Find us on social media! We&rsquo;re on X as @RX4BetterAccess, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a> and <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>.</p>
<p>&nbsp;</p>]]>
            </description>
            <pubDate>Thu, 16 Nov 2023 10:00:00 +0000</pubDate>
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                                    <itunes:duration>2400</itunes:duration>

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            <title>Episode 11:  Obesity Week 2023:  An Interview with Dr. Angela Fitch, President, Obesity Medicine Association</title>
            <itunes:episode>11</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Episode 11:  Obesity Week 2023:  An Interview with Dr. Angela Fitch, President, Obesity Medicine Association</itunes:title>
            <itunes:subtitle>Patients are experiencing remarkable weight loss thanks to the new generation of GLP-1&amp;rsquo;s and the downstream health benefits may go well beyond diabetes. In spite of the dramatic results for p...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>Patients are experiencing remarkable weight loss thanks to the new generation of GLP-1&rsquo;s and the downstream health benefits may go well beyond diabetes. In spite of the dramatic results for patients, insurance plans have started to put up more barriers and are even denying the drugs on a more consistent basis. For this special Obesity Week 2023 episode, we interview Dr. Angela Fitch, President of the Obesity Medicine Association, a faculty member at Harvard Medical School and most recently a Co-Founder and Chief Medical Officer for knownwell, a new obesity-focused primary care company.</p>
<p>Show Notes:</p>
<p><a href="https://www.linkedin.com/in/angelafitchmd/">Dr. Angela Fitch, President, OMA</a></p>
<p><a href="https://obesityweek.org/"> Obesity Week</a></p>
<p><a href="https://obesitymedicine.org/"> Obesity Medical Association </a></p>
<p>Dr. Fitch&rsquo;s patient care center: <a href="https://www.knownwell.co/">Knownwell </a></p>
<p>Seeking treatment for obesity? Find a clinician <a href="https://obesitymedicine.org/find-obesity-treatment/">here</a> or <a href="https://obesitycareproviders.com/">here</a>.</p>
<p><a href="https://www.govinfo.gov/app/details/BILLS-118hr4818ih">The Treat and Reduce Obesity Act of 2023</a></p>
<p>The drugs discussed in this episode:&nbsp;</p>
<ul>
<li><a href="https://www.ncbi.nlm.nih.gov/books/NBK551568/">GLP-1</a> (Glucagon-like peptide-1)&nbsp;</li>
<li><a href="https://www.wegovy.com/">Wegovy</a> (Semaglitude)</li>
<li><a href="https://www.victoza.com/">Victoza</a> (Liraglutide)</li>
</ul>
<p>An article on the use of &ldquo;bootlegged&rdquo; Semaglitude: <a href="https://www.medpagetoday.com/special-reports/exclusives/99625">Demand Rising for 'Bootlegged' Weight-Loss Drug | MedPage Today </a></p>
<p>Questions or comments?</p>
<p>Email us at <a href="mailto:comments@prescriptionforbetteraccess.com.">comments@prescriptionforbetteraccess.com. </a></p>
<p>Find us on social media! We&rsquo;re on X as @RX4BetterAccess, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a> and <a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw">YouTube</a>.</p>]]>
            </description>
            <pubDate>Tue, 17 Oct 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>3324</itunes:duration>

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                <item>
            <title>Episode 10:  Empowering Employers to Improve Patient Access</title>
            <itunes:episode>10</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Episode 10:  Empowering Employers to Improve Patient Access</itunes:title>
            <itunes:subtitle>Employers are discovering this fall that they are expected to shoulder a 6% health insurance increase for 2024. What can employers do to combat the accelerating cost of health insurance without jeo...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>Employers are discovering this fall that they are expected to shoulder a 6% health insurance increase for 2024. What can employers do to combat the accelerating cost of health insurance without jeopardizing access to vital drugs? In this podcast episode, we talk with Matt Ohrt, a former HR executive who achieved a 20% reduction in health insurance costs for his employer. Matt has a new book and new company to help other self-funded employers strategically lower their sponsored health insurance costs for 2024 while ensuring employees have optimal access to care and treatments. This is an essential listen for employers seeking to balance cost-efficiency with the provision of comprehensive, high-quality healthcare benefits to their employees.</p>
<p><a href="https://www.linkedin.com/in/matt-ohrt-6a1335b"><span style="font-weight: 400;">Matt Ohrt, Co-founder, Chief Healthcare Officer, Self Fund Health</span></a></p>
<p><a href="https://selffundhealth.com/aboutus"><span style="font-weight: 400;">Self Fund Health</span></a></p>
<p><a href="https://www.merrillsteel.com/"><span style="font-weight: 400;">Merrill Steel</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://www.verywellhealth.com/what-is-direct-primary-care-4777328"><span style="font-weight: 400;">How Does Direct Primary Care Work?</span></a></p>
<p><span style="font-weight: 400;">Matt Ohrt&rsquo;s book: </span><a href="https://www.goodreads.com/book/show/185376148-save-your-company"><strong>&nbsp;&ldquo;</strong><span style="font-weight: 400;">Save Your Company: Don't Feed the Beast: The Employer Healthcare Success Formula&rdquo;</span></a></p>
<p><span style="font-weight: 400;">Like this episode and want to here more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><br /><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Fri, 29 Sep 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2505</itunes:duration>

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            <title>Physician Offices: Fighting for Patient Access</title>
            <itunes:episode>9</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Physician Offices: Fighting for Patient Access</itunes:title>
            <itunes:subtitle>Many of the most beneficial therapies are prescribed or administered within physician offices yet these providers face a multitude of challenges attempting to get authorization and coverage. In thi...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>Many of the most beneficial therapies are prescribed or administered within physician offices yet these providers face a multitude of challenges attempting to get authorization and coverage. In this podcast, we interview a practice manager who is not only on the frontlines of the battle to help patients but is also an award-winning advocate for access. This episode will explore the barriers faced by providers and their offices and what can be done to win the day-to-day battles with insurance companies and PBM&rsquo;s so patients can access and remain on treatment.</p>
<p><a href="https://drbaak.com/administrative-team"><span style="font-weight: 400;">Julie Baak, Practice Manager, Arthritis Center</span></a></p>
<p><a href="https://drbaak.com/"><span style="font-weight: 400;">Arthritis Center</span></a></p>
<p><a href="https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648"><span style="font-weight: 400;">Rheumatoid Arthritis</span></a></p>
<p><a href="https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/symptoms-causes/syc-20354076"><span style="font-weight: 400;">Psoriatic Arthritis</span></a></p>
<p><a href="https://www.mayoclinic.org/diseases-conditions/reactive-arthritis/symptoms-causes/syc-20354838"><span style="font-weight: 400;">Reactive Arthritis</span></a></p>
<p><a href="https://arthritis-research.biomedcentral.com/articles/10.1186/s13075-019-2050-4"><span style="font-weight: 400;">The importance of ultrasound in identifying and differentiating patients with early inflammatory arthritis: a narrative review.</span></a></p>
<p><a href="https://www.arthritis.org/news/growing-shortage-rheumatologists-arthritis-special"><span style="font-weight: 400;">Growing Shortage of Rheumatologists &ldquo;Very Concerning&rdquo;</span></a></p>
<p><span style="font-weight: 400;">Like this episode and want to here more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><br /><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 10 Aug 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2961</itunes:duration>

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                <item>
            <title>Washington&#039;s Influence on Patient Access</title>
            <itunes:episode>8</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Washington&#039;s Influence on Patient Access</itunes:title>
            <itunes:subtitle>This episode delves into the intricate web of Washington&#039;s influence on patient access, exploring the multifaceted factors that shape healthcare legislation, policies and their impact on patients, ...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>This episode delves into the intricate web of Washington's influence on patient access, exploring the multifaceted factors that shape healthcare legislation, policies and their impact on patients, other key stakeholders and drug pricing. With an insightful interview from one of Washington&rsquo;s top healthcare experts, listeners gain insight to the complexities of legislation, such as the Affordable Care Act and Inflation Reduction Act. This is certainly the &ldquo;wonkiest&rdquo; podcast episode as we attempt to provide an understanding of the current landscape of patient access and look ahead to how Washington's decisions will shape the future of patient access.</p>
<p><a href="https://avalere.com/team/lance-grady"><span style="font-weight: 400;">Lance Grady, Executive Vice President, Avalere</span></a></p>
<p><a href="https://avalere.com/"><span style="font-weight: 400;">Avalere</span></a></p>
<p><a href="https://www.cardinalhealth.com/en.html"><span style="font-weight: 400;">Cardinal Health</span></a><span style="font-weight: 400;">.</span></p>
<p><a href="https://www.hhs.gov/coronavirus/covid-19-public-health-emergency/index.html"><span style="font-weight: 400;">Public Health Emergency (PHE)</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://www.iqvia.com/locations/united-states/blogs/2023/04/the-impact-of-amp-cap-removal-on-medicaid-drug-prices"><span style="font-weight: 400;">AMP cap</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://en.wikipedia.org/wiki/Affordable_Care_Act"><span style="font-weight: 400;">The Affordable Care Act (ACA)</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://www.cms.gov/priorities/innovation/about"><span style="font-weight: 400;">Innovation Center</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://www.irs.gov/inflation-reduction-act-of-2022"><span style="font-weight: 400;">The Inflation Reduction Act (IRA)</span></a><span style="font-weight: 400;">&nbsp;</span><a href="https://www.cms.gov/"><span style="font-weight: 400;">CMS</span></a> </p>
<p><span style="font-weight: 400;">Like this episode and want to here more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><br /><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 06 Jul 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>3233</itunes:duration>

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            <title>Tackling Copay Accumulators and Maximizers</title>
            <itunes:episode>7</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Tackling Copay Accumulators and Maximizers</itunes:title>
            <itunes:subtitle>In this podcast, we interview a consultant and a leading patient advocate to better understand and explore the challenges of copay accumulator and maximizer programs for specialty drugs. We discuss...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>In this podcast, we interview a consultant and a leading patient advocate to better understand and explore the challenges of copay accumulator and maximizer programs for specialty drugs. We discuss the difference between the two programs and their impact on the various stakeholders including the overwhelming burden placed on patients. We also discuss the legal issues and potential policy changes that could eliminate these programs or minimize their impact on patients. Ultimately, our goal is to shed light on this important issue and identify strategies for improving access to critical medications for patients who need them.</p>
<p><a href="https://www.linkedin.com/in/carl-schmid-225546131/"><span style="font-weight: 400;">Carl Schmid, Executive Director, HIV And Hepatitis Policy Institute</span></a></p>
<p><a href="https://www.linkedin.com/in/lauren-crawford-shaver/"><span style="font-weight: 400;">Lauren Crawford Shaver, Senior Managing Director, FTI Consulting</span></a></p>
<p><a href="https://hivhep.org/"><span style="font-weight: 400;">HIV And Hepatitis Policy Institute</span></a></p>
<p><a href="https://www.fticonsulting.com/experts/lauren-crawford-shaver"><span style="font-weight: 400;">FTI Consulting</span></a></p>
<p><a href="https://www.hiv.gov/federal-response/pacha/about-pacha/"><span style="font-weight: 400;">President's Advisory Council on HIV/AIDS</span></a></p>
<p><a href="https://content.naic.org/"><span style="font-weight: 400;">National Association of Insurance Commissioners.</span></a><span style="font-weight: 400;">&nbsp;</span></p>
<p><a href="https://www.hhs.gov/"><span style="font-weight: 400;">Department of Health and Human Services (HHS)</span></a></p>
<p><a href="https://www.mmitnetwork.com/what-is-copay-maximizers/"><span style="font-weight: 400;">What are co pay maximizers?</span></a></p>
<p><span style="font-weight: 400;">Like this episode and want to here more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><br /><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Thu, 01 Jun 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2616</itunes:duration>

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                <item>
            <title>PBM Perspective:  An Interview with Industry Veteran Mesfin Tegenu</title>
            <itunes:episode>6</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>PBM Perspective:  An Interview with Industry Veteran Mesfin Tegenu</itunes:title>
            <itunes:subtitle>Pharmacy benefit managers (PBM&amp;rsquo;s) manage the drug benefits for millions of Americans and as a result, they can have a positive or negative impact on patient access. Mesfin Tegenu, an early pi...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>Pharmacy benefit managers (PBM&rsquo;s) manage the drug benefits for millions of Americans and as a result, they can have a positive or negative impact on patient access. Mesfin Tegenu, an early pioneer in the PBM industry, is interviewed by Scott and Mark and offers his candid perspective on what PBM&rsquo;s do, their impact on stakeholders and how the PBM industry could evolve over the next few years to better serve patients, employers, health plans and government payers.</p>
<p><a href="https://www.linkedin.com/in/mesfin-tegenu-74b074a5/"><span style="font-weight: 400;">Mesfin Tegenu, CEO, Chairman, RxParadigm</span></a></p>
<p><a href="https://rxparadigm.com/about-us/"><span style="font-weight: 400;">RxParadigm</span></a></p>
<p><a href="https://www.investopedia.com/articles/markets/070215/what-pharmacy-benefit-management-industry.asp"><span style="font-weight: 400;">PBM (pharmacy benefit management)</span></a></p>
<p><a href="https://en.wikipedia.org/wiki/Pharmacy_management_system"><span style="font-weight: 400;">PMS (pharmacy management services)</span></a></p>
<p><a href="https://www.medscape.com/viewarticle/940796"><span style="font-weight: 400;">Vanquishing Hepatitis C: A Remarkable Success Story</span></a></p>
<p><span style="font-weight: 400;">Like this episode and want to here more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><br /><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 09 May 2023 09:00:00 +0000</pubDate>
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                                    <itunes:duration>2785</itunes:duration>

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                <item>
            <title>Understanding ICER: An interview with founder Dr. Steven Pearson</title>
            <itunes:episode>5</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Understanding ICER: An interview with founder Dr. Steven Pearson</itunes:title>
            <itunes:subtitle>In this episode, we interview Dr. Steven Pearson, the founder and President of the Institute for Clinical and Economic Review (ICER). Over the past 16 years, ICER has evolved from a Harvard researc...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>In this episode, we interview Dr. Steven Pearson, the founder and President of the Institute for Clinical and Economic Review (ICER). Over the past 16 years, ICER has evolved from a Harvard research program to the independent authority on cost-effectiveness and value of new drugs. Dr. Pearson has been an advocate of &ldquo;Fair Pricing for Fair Access&rdquo; and in January 2023, ICER published their 2nd Annual Assessment of Barriers to Fair Access Within US Commercial Insurance Prescription Drug Coverage.</p>
<p><a href="https://icer.org/who-we-are/people/leadership-staff/steven-d-pearson-md-msc-frcp/"><span style="font-weight: 400;">Dr. Steven Pearson,</span><span style="font-weight: 400;"> Founder, President, Institute for Clinical and Economic Review (ICER)</span></a></p>
<p><span style="font-weight: 400;"><br /></span><a href="https://icer.org/"><span style="font-weight: 400;">Institute for Clinical and Economic Review (ICER)</span></a></p>
<p><a href="https://icer.org/news-insights/press-releases/icer-publishes-second-annual-assessment-of-barriers-to-fair-access-within-us-commercial-insurance-prescription-drug-coverage/"><span style="font-weight: 400;">Barriers to Fair Access Report&nbsp;</span></a></p>
<p><a href="https://www.drugchannels.net/2023/04/four-trends-that-will-pop-250-billion.html"><span style="font-weight: 400;">Gross-to-Net Bubble</span></a></p>
<p><span style="font-weight: 400;">Like this episode and want to hear more? Check out our past episodes <a href="https://prescriptionforbetteraccess.com/episodes/">here!</a></span></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 18 Apr 2023 14:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>2836</itunes:duration>

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                <item>
            <title>Understanding Drug Pricing: An Interview with Health Economist James Robinson</title>
            <itunes:episode>4</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Understanding Drug Pricing: An Interview with Health Economist James Robinson</itunes:title>
            <itunes:subtitle>In this foundational episode about drug pricing, we interview Dr. Jamie Robinson, the Leonard D. Schaeffer Professor of Health Economics, and Director of the Berkeley Center for Health Technology a...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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                <![CDATA[<p>In this foundational episode about drug pricing, we interview Dr. Jamie Robinson, the Leonard D. Schaeffer Professor of Health Economics, and Director of the Berkeley Center for Health Technology at the University of California, Berkeley. Dr. Robinson is the author of 3 books and 150 peer-reviewed articles on health economics and drug pricing.</p>
<p><a href="https://publichealth.berkeley.edu/people/james-robinson/"><span style="font-weight: 400;">James Robinson PhD, MPH, Chair, Health Policy and Management Division, Berkeley School of Public Health</span></a></p>
<p><strong>Clarification on term &ldquo;drug pricing&rdquo;:</strong></p>
<p><span style="font-weight: 400;">Nomenclature for this episode refers to the price of drugs from wholesale acquisition or list price. Other prices include the price of patient cost sharing or hospital/physician administered medication.</span></p>
<p><a href="https://www.fda.gov/drugs/biosimilars/overview-health-care-professionals?utm_source=google&amp;utm_medium=paidsearch&amp;utm_campaign=biosimilars-aug2023&amp;gclid=CjwKCAjwvrOpBhBdEiwAR58-3HaZtiuBYf5ooYAipH3-0NhjxcWrZZz90y3Sah64PdoJBIQgERubIhoCPdoQAvD_BwE"><span style="font-weight: 400;">Biosimilars</span></a></p>
<p><a href="https://www.fda.gov/media/154912/download"><span style="font-weight: 400;">Generics Versus Biosimilars</span></a></p>
<p><a href="https://content.naic.org/cipr-topics/pharmacy-benefit-managers"><span style="font-weight: 400;">PBMs (Pharmacy Benefit Managers)</span></a></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas and show topics with us at </span><a href="mailto:comments@prescriptionforbetteraccess.com"><span style="font-weight: 400;">comments@prescriptionforbetteraccess.com</span></a></p>
<p><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://shorturl.at/kuvwT"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>
<p><br /><br /><br /><br /></p>]]>
            </description>
            <pubDate>Tue, 28 Mar 2023 09:00:00 +0000</pubDate>
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                url="https://chrt.fm/track/EBC18G/media.resonaterecordings.com/prescription-for-better-access/d5ca6d9f-3437-4a02-9bd9-7c6205c1ba8e.mp3"
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                                    <itunes:duration>2791</itunes:duration>

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                <item>
            <title>Breaking Down Barriers:  An Interview with Peyton Howell</title>
            <itunes:episode>3</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Breaking Down Barriers:  An Interview with Peyton Howell</itunes:title>
            <itunes:subtitle>This episode features an interview with Peyton Howell discussing the evolution of patient access over the past three decades, the creation of the hub industry, and the continuing challenges faced b...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>This episode features an interview with Peyton Howell discussing the evolution of patient access over the past three decades, the creation of the hub industry, and the continuing challenges faced by pharma companies and service providers in supporting patient access to medications.</p>
<p><a href="https://www.parexel.com/about-us/management-team/peyton-howell"><span style="font-weight: 400;">Peyton Howell, Chief Operating and Growth Officer, Parexel</span></a></p>
<p><a href="https://www.parexel.com/"><span style="font-weight: 400;">Parexel</span></a></p>
<p><a href="https://www.lashgroup.com/"><span style="font-weight: 400;">Lash Group</span></a></p>
<p><a href="https://www.gene.com/"><span style="font-weight: 400;">Genentech</span><span style="font-weight: 400;"><br /></span></a></p>
<p><a href="https://www.fda.gov/about-fda/center-biologics-evaluation-and-research-cber/what-are-biologics-questions-and-answers"><span style="font-weight: 400;">Biologics</span><span style="font-weight: 400;"><br /></span></a></p>
<p><a href="https://www.forbes.com/sites/forbestechcouncil/2021/12/21/how-automation-is-transforming-healthcare-jobs/?sh=4390da491d5a"><span style="font-weight: 400;">How Automation Is Transforming Healthcare Jobs</span></a></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? Share your ideas and show topics with us at </span><span style="font-weight: 400;"><a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a></span></p>
<p><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>]]>
            </description>
            <pubDate>Tue, 07 Mar 2023 10:00:00 +0000</pubDate>
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                                    <itunes:duration>2366</itunes:duration>

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                <item>
            <title>Patient Voices: The Value and Challenges of Access</title>
            <itunes:episode>2</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Patient Voices: The Value and Challenges of Access</itunes:title>
            <itunes:subtitle>In this episode, co-hosts Mark Hansan and Dr. Scott Howell interview two patients who share their personal journeys, how medicine has helped them, their challenges related to access, and how both a...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode, co-hosts Mark Hansan and Dr. Scott Howell interview two patients who share their personal journeys, how medicine has helped them, their challenges related to access, and how both are making a difference for patients.</p>
<p><a href="https://globalliver.org/who-we-are/"><span style="font-weight: 400;">Donna Cryer, JD, CEO, Founder of the Global Liver Institute</span></a></p>
<p><a href="https://www.linkedin.com/in/reidjewettsmith/"><span style="font-weight: 400;">Reid Jewitt Smith, Ph.D., Patient Advocate and Career Educator</span></a></p>
<p><a href="https://globalliver.org/"><span style="font-weight: 400;">Global Liver Institute</span></a></p>
<p><a href="https://www.mayoclinic.org/diseases-conditions/cystic-fibrosis/symptoms-causes/syc-20353700"><span style="font-weight: 400;">Cystic Fibrosis</span></a></p>
<p><a href="https://www.vrtx.com/"><span style="font-weight: 400;">Vertex Pharmaceuticals&nbsp;</span></a></p>
<p><span style="font-weight: 400;">Medications discussed in this episode:</span></p>
<ul>
<li style="font-weight: 400;" aria-level="1"><a href="https://www.trikaftahcp.com/"><span style="font-weight: 400;">Trikafta</span></a></li>
</ul>
<p><a href="https://www.benefitspro.com/2020/11/04/decoupling-what-is-it-and-how-could-it-reshape-american-health-care/?slreturn=20230916160506"><span style="font-weight: 400;">Decoupling: What is it, and how could it reshape American health care?</span></a></p>
<p><span style="font-weight: 400;">Do you have a prescription for better access? </span></p>
<p><span style="font-weight: 400;">Share your ideas and show topics with us at</span></p>
<p><span style="font-weight: 400;"><a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a></span></p>
<p><span style="font-weight: 400;">Follow us on social media! We&rsquo;re on </span><a href="https://www.youtube.com/channel/UCYmufvyPSLLqaXWCfX7TiEw"><span style="font-weight: 400;">YouTube</span></a><span style="font-weight: 400;">, </span><a href="https://www.linkedin.com/in/rxbetteraccess/"><span style="font-weight: 400;">LinkedIn</span></a><span style="font-weight: 400;"> and @RX4BetterAccess (X)</span></p>]]>
            </description>
            <pubDate>Wed, 15 Feb 2023 10:00:00 +0000</pubDate>
                        <enclosure
                url="https://chrt.fm/track/EBC18G/media.resonaterecordings.com/prescription-for-better-access/450507f1-6cf9-40ef-a1c6-eff4de9f2b9c.mp3"
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                                    <itunes:duration>2816</itunes:duration>

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                <item>
            <title>2023:  Looking Ahead in Patient Access</title>
            <itunes:episode>1</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>2023:  Looking Ahead in Patient Access</itunes:title>
            <itunes:subtitle>In this episode Mark and Scott interview Dave Moules, former Pfizer SVP, Payer and Channel Access to look at the year ahead in patient access.
David Moules, former Pfizer SVP, Payer and Channel Ac...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this episode Mark and Scott interview Dave Moules, former Pfizer SVP, Payer and Channel Access to look at the year ahead in patient access.</p>
<p><a href="https://www.linkedin.com/in/david-moules-14587016/">David Moules, former Pfizer SVP, Payer and Channel Access</a></p>
<p><a href="https://en.wikipedia.org/wiki/Inflation_Reduction_Act">The Inflation Reduction Act</a></p>
<p><a href="https://www.hhs.gov/healthcare/about-the-aca/index.html">The Affordable Care Act&nbsp;</a></p>
<p><a href="https://www.hrsa.gov/opa">340B Drug Pricing Program</a></p>
<p><a href="https://aspe.hhs.gov/sites/default/files/documents/bd5568fa0e8a59c2225b2e0b93d5ae5b/aspe-insulin-affordibility-datapoint.pdf">Insulin Affordability and the Inflation Reduction Act</a></p>
<p>Do you have a prescription for better access? </p>
<p>Share your ideas with us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a></p>
<p>Follow us on social media! We&rsquo;re on <a href="https://shorturl.at/kuvwT">YouTube</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a> and @RX4BetterAccess (X)</p>]]>
            </description>
            <pubDate>Tue, 31 Jan 2023 16:30:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>3081</itunes:duration>

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                <item>
            <title>Podcast Preview: Getting to Know Your Co-hosts</title>
            <itunes:episode>0</itunes:episode>

                            <itunes:season>1</itunes:season>
            
            <itunes:title>Podcast Preview: Getting to Know Your Co-hosts</itunes:title>
            <itunes:subtitle>In this preview episode, you will have the opportunity to get to know co-hosts Mark Hansan and Dr. Scott Howell and why they have come together to launch the interview-focused podcast to help impro...</itunes:subtitle>
            <itunes:episodeType>full</itunes:episodeType>
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            <description>
                <![CDATA[<p>In this preview episode, you will have the opportunity to get to know co-hosts Mark Hansan and Dr. Scott Howell and why they have come together to launch the interview-focused podcast to help improve patient access to medicines.</p>
<p><a href="https://www.linkedin.com/in/markhansan/">Mark Hansan, Co-founder and Executive Chairman, CareMetx, LLC</a></p>
<p><a href="https://www.linkedin.com/in/scott-howell-26a959ab/">Dr. Scott Howell, Healthcare and biopharma teacher, researcher, and advisor</a></p>
<p><a href="https://prescriptionforbetteraccess.com/">Prescription For Better Access website</a></p>
<p>Do you have a prescription for better access? </p>
<p>Share your ideas with us at <a href="mailto:comments@prescriptionforbetteraccess.com">comments@prescriptionforbetteraccess.com</a></p>
<p>Follow us on social media! We&rsquo;re on <a href="https://shorturl.at/kuvwT">YouTube</a>, <a href="https://www.linkedin.com/in/rxbetteraccess/">LinkedIn</a> and @RX4BetterAccess (X)</p>]]>
            </description>
            <pubDate>Mon, 23 Jan 2023 10:00:00 +0000</pubDate>
                        <enclosure
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                                    <itunes:duration>972</itunes:duration>

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