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MHA and Evernorth's Express Scripts Announce Collaboration to Expand Reimbursement Value for Long-Term Care Pharmacies

The 2026 model aims to improve financial predictability and patient access for long-term care pharmacies amid evolving reimbursement policies, aligning with CMS and plan sponsor objectives.

  • On Jan. 21, 2026, Managed Health Care Associates, Inc. and Express Scripts announced a joint commitment to implement an enhanced LTC pharmacy reimbursement model, building on their prior three-year contract.
  • As the nation's leading post-acute GPO, Managed Health Care Associates, Inc. provides group purchasing and reimbursement management services that underpin its role as the first Medicare Part D Reimbursement Network in the LTC market.
  • The companies listed expect benefits including improved predictability, greater stability, and increased focus on LTC patient outcomes, with Procopio stating 'The relationship between MHA and Express Scripts has never been stronger.'
  • To help pharmacies manage IRA impacts, the model addresses dispensing fee levels reflecting Maximum Fair Price to support LTC pharmacies serving medically complex patients.
  • With pressures mounting on LTC pharmacies, the rollout of enhancements in 2026 is expected, and Russell Procopio stated 'The relationship between MHA and Express Scripts has never been stronger.
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MHA and Evernorth's Express Scripts Announce Collaboration to Expand Reimbursement Value for Long-Term Care Pharmacies

PARSIPPANY, N.J., Jan. 21, 2026 /PRNewswire/ -- Managed Health Care Associates, Inc. (MHA), the nation's leading post-acute group purchasing organization (GPO) and pharmacy services administrative organization (PSAO), and the first Medicare Part D Reimbursement Network in the Long-Term Care (LTC)…

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PR Newswire broke the news in United States on Wednesday, January 21, 2026.
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