HITN Praises Real-Time Drug Pricing Proposal in Part D Rule

WASHINGTON, DC (November 27, 2018): Health IT Now - a broad-based coalition of patient groups, provider organizations, employers, and payers supporting the use of data and health information technology to improve healthcare - announced its support today for a provision in the Centers for Medicare and Medicaid Services' (CMS) newly proposed Part D rule requiring participating insurance plans to provide prescribers with real-time access to drug pricing data by 2020. 

Specifically, the rule proposes that plan sponsors would "implement an electronic real-time benefit tool (RTBT) capable of integrating with prescribers’ e-Prescribing (eRx) and electronic medical record (EMR) systems," noting that "RTBTs have the ability to make beneficiary-specific drug coverage and cost information visible to prescribers who want  to consider that information at the point-of-prescribing."

Health IT Now Senior Director of Government Affairs Catherine Pugh released the following statement supporting this provision in the proposed rule:

"In a 21st-century healthcare system, clinicians must be able to make informed prescribing decisions that consider patients' financial costs, and patients deserve the opportunity to know what to expect before they reach the pharmacy counter. Technology has an answer to this challenge," said Catherine Pugh, HITN Senior Director of Government Affairs. "Implemented properly, the real-time drug pricing provision in the proposed rule can be a powerful disruptor that leverages the capability of health IT to create more informed consumers, improve medication adherence, and ultimately lower prescription drug costs. We applaud CMS for offering this patient-centered solution and urge its inclusion in the final rule."