MHA, Evernorth’s Express Scripts to Boost Value for LTC Pharmacies
TL/DR –
Managed Health Care Associates, Inc. (MHA) has made a deal with Express Scripts to build on their existing three-year contract to address dispensing fee levels impacted by Maximum Fair Price (MFP) based reimbursement for drugs included under the Inflation Reduction Act (IRA). The new agreement will implement an enhanced reimbursement model to deliver value to Long-Term Care (LTC) pharmacies and facilities and ensure patient access to care for managing complex conditions. The enhancements, expected to be implemented later this year, come at a time when LTC pharmacies serving medically complex patients continue to face pressures to maintain high levels of patient care and support in a challenging healthcare environment.
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Managed Health Care Associates, Inc. and Express Scripts Broaden Contractual Agreement
PARSIPPANY, N.J., Jan. 21, 2026 – Managed Health Care Associates, Inc. (MHA), a leading pharmacy services administrative organization, announced they are extending their agreement with Express Scripts, a national pharmacy benefit services provider. The expanded contract aims to develop an improved reimbursement model that would benefit Long-Term Care (LTC) pharmacies and facilities while maintaining patient access to necessary care.
New Enhancements in Reimbursement Model
The enhancements to the reimbursement model are set to be unveiled later this year. These changes come as LTC pharmacies, serving some of the most medically complex patients in the nation, grapple with the demands of providing top-tier patient care in a challenging healthcare environment.
Benefits Envisaged for MHA Member LTC Pharmacies
The new reimbursement model promises several key benefits for MHA member LTC pharmacies:
- Enhanced predictability and transparency
- Business stability
- Consideration of needs across different care settings
- Focus on LTC Pharmacy patient health outcomes funded by Plan Sponsors
- Alignment with both CMS direction and plan sponsor objectives
Russell Procopio, Executive Vice President, Head of Revenue & Commercial, MHA commented on the update, “This agreement signifies a substantial progression for LTC pharmacy reimbursement. Our partnership with Express Scripts is at its most robust, and we’re looking to fortify it further by committing to a market-leading reimbursement model that benefits our members when they need it the most.”
About MHA
Managed Health Care Associates, Inc. (MHA) is a leading health care services and software company catering to the unique needs of alternate-site healthcare providers. MHA offers expertise in Group Purchasing, Managed Care and Payor Contracting, Reimbursement Management, Specialty Pharmacy Solutions, Pharmaceutical Data Analytics, Consultant Pharmacy Software and Legislative Advocacy. MHA’s innovative health care services and solutions help members augment operational efficiency, stimulate business growth, and optimize patient care. Visit www.mhainc.com for more information.
For any queries or comments regarding this press release, please email at [email protected]
SOURCE: Managed Health Care Associates, Inc.
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