Pharmacy

Pharmacy

Sep 17 | Susan Morse

Cigna launches Evernorth, in a rebrand of its health services portfolio

Evernorth's use of data and analytics will provide a platform for health solutions, including for those without…

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Sep 14 | Jeff Lagasse

Trump signs executive order on drug pricing, prompting pushback from stakeholders

"Most favored nation" approach would break from GOP free-market orthodoxy by tying Medicare…

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Sep 09 | Susan Morse

AstraZeneca puts COVID-19 vaccine trial on hold after volunteer becomes ill

The company says it is working to expedite the review of the single event to minimize any potential impact on the…

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Sep 08 | Susan Morse

AHIP addresses infrastructure and cost issues associated with a COVID-19 vaccine

Insurers can use their member data to help identify which people meet the criteria to be eligible for the…

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Sep 02 |

Humana taps Salesforce Health Cloud to launch coordinated care platform

Humana and Salesforce also plan to develop healthcare solutions using the Healthcare Innovation Lab, based in…

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Aug 26 |

HAP and Henry Ford collaboration creates new health plan for Michigan businesses

The plan, called Pivotal, offers customizable benefit options, access to more than 9,500 providers, free…

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Aug 25 | Jeff Lagasse

Mail delays may affect medication supply for nearly 1 in 4 Americans over 50

Nearly one in four people aged 50 to 80 said they receive at least one medication by mail.

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Aug 25 | Susan Morse

Humana sues QuivvyTech for alleged telemarketing scam

Humana says it was billed millions of dollars for fraudulent prescription claims and members received unwanted expensive creams.

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Aug 21 | Jeff Lagasse

AHA has sent letters to drug companies expressing 'profound concern' about undermining 340B

The group said these actions are being taken at a time when hospitals are in the midst of a…

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Aug 21 | Jeff Lagasse

Telehealth effectively providing revenue stop-gap for U.S. hospitals, finds Fitch

Virtual care is keeping revenue flowing in part by improving providers' ability to bill for these…

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Featured Resources

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

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UPDATED: List of 2020 Medicare Advantage star ratings

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Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

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Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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