local payer eligibility criteria

Russian translation: критерии соответствия требования для местного плательщика

04:28 Mar 2, 2024
English to Russian translations [PRO]
Medical - Medical (general) / asthma
English term or phrase: local payer eligibility criteria
Consider local payer eligibility criteria* comorbidities and predictors of response when choosing between available therapies
Maria Kopteva
Russian Federation
Local time: 23:03
Russian translation:критерии соответствия требования для местного плательщика
Explanation:
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Note added at 1 hr (2024-03-02 05:45:31 GMT)
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Или "местные критерии соответствия требования для плательщика". В зависимости от контекста и общего смысла документа.
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Alieksei Seniukovich
Poland
Local time: 22:03
Grading comment
4 KudoZ points were awarded for this answer



Summary of answers provided
4критерии соответствия требования для местного плательщика
Alieksei Seniukovich
Summary of reference entries provided
hawkwind

  

Answers


1 hr   confidence: Answerer confidence 4/5Answerer confidence 4/5
критерии соответствия требования для местного плательщика


Explanation:
!

--------------------------------------------------
Note added at 1 hr (2024-03-02 05:45:31 GMT)
--------------------------------------------------

Или "местные критерии соответствия требования для плательщика". В зависимости от контекста и общего смысла документа.

Alieksei Seniukovich
Poland
Local time: 22:03
Specializes in field
Native speaker of: Native in RussianRussian
PRO pts in category: 642
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Reference comments


2 hrs
Reference

Reference information:
https://www.cms.gov/research-statistics-data-and-systems/sta...
Program D’s client-payers identify MTM eligible patients based on each payer’s eligibility criteria.
While many commercial payers offer Program D services to all their employees (i.e. no eligibility criteria), Medicare Part D plans offer MTM to only a subset of their enrollees – those who meet the three criteria of having multiple drugs, multiple chronic conditions, and drug costs exceeding $4,000 – and most plans further refine this by including only patients with specific chronic conditions and drugs.

https://www.annallergy.org/article/S1081-1206(19)30087-0/ful...
Cost must be considered when choosing a biologic, including the ability to satisfy local payer eligibility criteria and the responsibility the patient as well as the payer will bear, including society for those receiving government insurance support.

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Note added at 2 hrs (2024-03-02 06:36:17 GMT)
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Сами критерии отбора пациентов плательщиком за препарат на с.24
https://ginasthma.org/wp-content/uploads/2019/04/GINA-Severe...

hawkwind
Russian Federation
Works in field
Native speaker of: Native in RussianRussian
PRO pts in category: 546
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