Avalere: Leading Healthcare Consulting & Advisory Firm

Avalere Health. Avalere is a healthcare consulting and advisory firm specializing in strategy, policy, and data analysis for life sciences, health...

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Avalerehealth.net news digest

  • 10 months

    New Resource: Commercial Payers’ Use of Oncology Compendia

    Payers use clinical drug compendia (NCCN, AHFS, Clinical Pharmacology, DrugDex, DrugPoints, Lexi Drugs) to classify drugs and biologics in formularies and to guide medical appropriateness of use. The compendia for Medicare and Medicaid are in federal...

  • 10 months

    Expiration of Enhanced Tax Credits Would Impact 18M Americans

    In 2024, 18.9 million people ages 18–64 enrolled in health insurance plans through federal and state-based marketplaces, of which 4.9 million were between the ages of 50 and 64. The vast majority (17.3 million of those ages 18–64, including 4.5 million...

  • 10 months

    Update: Health Plans’ Perceptions of PDABs and UPLs

    Building on research released in 2024, Avalere interviewed and surveyed health plan employees to assess how health plans perceive Prescription Drug Affordability Boards’ (PDAB) upper payment limits (UPLs) and impacts on patients, providers, and other...

  • 10 months

    Navigating the Evolving World of Drug Compounding

    Drug Compounding: What is it and why do we need it?
    Drug compounding exists to fulfill an unmet medical need by providing patient access to commercially unavailable drug strengths, formulations, and combinations. Compounding pharmacies may not replicate a commercially available drug unless there is a...

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