Curatio Scientia Advisors in collaboration with Armory Hill Advocates releases the “2023 Patient Access: State Legal and Regulatory Environment Survey”

Given the dynamic nature of state government activity we sought to validate the following:

• Patient access to prescription drug therapy is greatly affected by various state and local policy and regulatory parameters.

• There is no formalized process or aggregating compendium, at the state level, specifically monitoring policy and regulatory parameters that impact patient access to, and affordability of, drug therapies.

• Timely insights into legislation and regulations pertaining to patient access, particularly for high-cost drug therapies will enable more effective decisions regarding the patient’s journey and drug product lifecycle.

Please fill in the below information, hit submit and you will be provided a link to download the report.

While every provider of the Medicare program is a candidate for an audit, typically, the UPIC audit selection is based on consumer complaints or data analysis. A consumer complaint comes from the company’s employees or the beneficiaries.

Meanwhile, data analysis will search for a large number or mix of cases. Those cases will involve patients who’ve received hospice care, stayed in acute care facilities or had extended home visits.

Learn more about how Armory Hill Advocates helped a pain management client that had a UPIC audit.  

The Centers for Medicare and Medicaid Services (CMS) created the UPIC (formerly ZPIC) audit to identify and stop fraud and abuse in Medicare and Medicaid.

The main goal of a UPIC is to help CMS:

• Find fraud, abuse, and waste
• Perform regional Medicare and Medicaid data analysis
• Complaint resolution
• Investigate suspected fraudulent activities

The UPIC uses the above and additional techniques to identify Medicare and Medicaid program weaknesses and vulnerabilities.

Learn more about how Armory Hill Advocates has helped clients that have had a UPIC audit.