News
Mandatory Insurance Coverage for Biomarker Testing
Cancer Group Panel Assesses Evolving Landscape For The Disease
Details >OHOS with ASCO Advocating for Congress to Pass National Prior Authorization Reform when they Return From Recess!
OHOS Members - You can help too!
Details >ASCO - 2025 Physician Fee Schedule Proposed Rule and Its Impact on Oncology
Recorded Webinar Available
Details >OHOS Monthly Reimbursement Virtual Roundtable!
You do not want to miss these monthly Zoom calls with your peers throughout Ohio. During the call we discuss top reimbursement barriers and ways to correct the problems! Zoom calls are held the 3rd Tuesday of each month! Next Call - September 17th at Noon!
Details >Federal Trade Commission Report: Pharmacy Benefit Managers: The Powerful Middlemen Inflating Drug Costs and Squeezing Main Street Pharmacies
Details >CMS Releases 2025 Proposed Rules for the Outpatient Hospitals (OPPS) and the Physician Fee Schedule (PFS)
Details >Seniors’ Access to Critical Medications Act (H.R. 5526) Goes to House Floor for Vote
Bill addresses the Stark Law which required patients to pick up medication in person, prohibiting mail delivery by practices or even pickup by a caregiver.
Details >Almost 90% of Oncology Practices Still Report Drug Shortages: New NCCN Data
Details >July Update: OHOS & Lobbyist, Matt Whitehead
Read about OHOS Day on the Hill in Columbus and the Latest Advocacy Developments
Details >June Update: OHOS & Lobbyist, Matt Whitehead
Read about OHOS Day on the Hill in Columbus and the Latest Advocacy Developments
Details >ASCO Sets Six Guiding Principles for AI in Oncology
Details >Update to ASCO-ONS Antineoplastic Therapy Administration Safety Standards Expands Scope to New Therapies and Sites of Care
Details >CMS Reopens Enhancing Oncology Model (EOM) With Payment Boost, Extends Model to 2030
Details >CMS Finalizes Rules Codifying More Prescription Drugs as Essential Health Benefits, Improving Health Equity, Addressing Biosimilar Substitutions
Details >May Update: OHOS & Lobbyist, Matt Whitehead
Read about the Latest Developments Regarding the Biomarker Bill as well as Two New Bills Just Introduced!
Details >United Healthcare, Optum, and Change Healthcare Involved in Northeast Ohio Neighborhood Health Data Breach
Details >New ASCO Guideline Recommendations Answer Key Questions About Vaccinating Adults with Cancer
Details >April Update: OHOS & Lobbyist, Matt Whitehead
Read about the Latest Developments Regarding the Ohio Prior Authorization Gold Card Bill and the Removal of Drugs - We Need Your Help To Address This!
Details >Enhancing Access: Ohio's Drug Repository Program Evolution
Details >CMS Statement on Continued Action to Respond to the Cyberattack on Change Healthcare
Providers and Hospitals can request accelerated/advanced payments!
Details >EXPLAINER: What to Know About the Change Healthcare Cyberattack
Excellent article with an overview and explanation of who Change Healthcare is, what happened and how this affects all of us.
Details >Cyberattack Paralyzes the Largest U.S. Health Care Payment System
Read About Problems in Ohio, Florida and Pennsylvania - and the National Impact of this attack!
Details >March Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about the latest developments regarding Bills concerning Prior Authorization Gold Carding and Insurance Company Non-Medical Switching.
Details >ASCO - Two Breast Cancer Guidelines Published in January
Details >CMS Releases Guidance for Code G2211
Details >February Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about what is happing on Bills related to co-pay accumulators, prior auth gold carding, biomarkers, PBMs and OHOS priorities!!
Details >New Rule Finalized - Medicaid Plans MUST Establish Electronic Prior Auth Systems and Respond Timely
Details >Do Not Miss Billing the New G2211 Code with Your Visits in 2024
Here is some information to help clear up the confusion!
Details >January Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about what is happing on Bills related to co-pay accumulators, prior auth gold carding, biomarkers, PBMs and OHOS priorities!!
Details >OHOS/ASCO Webinar
CMS Final Rules Summary - Prepare for Changes in 2024
December Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about what is happing on Bills related to co-pay accumulators, prior auth gold carding, biomarkers, PBMs and OHOS priorities!!
Details >CMS Releases Final Rules for the Physician Fee Schedule and Hospital Outpatient Departments
Medicare Physician Conversion Factor Cut 3.37% for 2024
Details >Join OHOS in Supporting House Bills 130 & 177
- PLEASE - sign on to the OHOS Prior Authorization and CoPay Accumulator Support Bills
- It's easy - Just send OHOS an email!
November Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about what is happing on Bills related to co-pay accumulators, prior auth gold carding, biomarkers, PBMs and OHOS priorities!!
Details >Oncology Changes in CPT 2024 Code Set Include Common Treatments, Lab Tests
Details >Telemedicine Flexibilities for Prescribing Controlled Medications Extended Through November 2024
Details >Use of Co-Pay Accumulators Put on Hold Pending Manufacturer Assistance, Cost-Sharing Decision by HHS
Details >House Energy and Commerce Committee Charis Announce Health Legislative Hearing on Strengthening Patient Access to Care in Medicare
Details >Takeda Voluntarily Withdrawing EXKIVITY®
Details >Court Strikes Down HHS Rule that Allowed Insurers to Not Count Copay Assistance (No Co-pay Accumulators for Branded Drugs!)
Details >October Update: OHOS & Lobbyist, Matt Whitehead - Latest Advocacy Achievements
Read about co-pay accumulators, prior auth gold carding, biomarkers, PBMs and OHOS priorities!!
Details >