Pharmacy

Pharmacy

Jan 14 | Susan Morse

Cigna + Oscar to launch health plan for small businesses

The partnership will offer integrated medical, behavioral, and pharmacy services benefits.

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Jan 10 | Susan Morse

Of $3 billion DOJ recovered in fraud, $2.6 billion attributable to healthcare

Over $2.1 billion arose from lawsuits filed by whistleblowers under the qui tam provisions of the False Claims…

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Dec 31, 2019 | Jeff Lagasse

Fewer than half of California pharmacies provide correct drug disposal info

The accuracy of drug disposal information was all over the map, depending largely on whether the call was fielded…

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Dec 27, 2019 | Susan Morse

Omnicare and parent company CVS Health accused of prescription drug fraud

Lawsuit alleges Omnicare pushed invalid drugs out the door as quickly as possible to make more money.

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Dec 20, 2019 | Susan Morse

PillPack, BCBS of Massachusetts offer direct integration for drug delivery

A digital option allows members to switch to PillPack directly from their Blue Cross MyBlue member app or website.

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Dec 19, 2019 | Jeff Lagasse

Extending Medicare Part D rebates to beneficiaries would save seniors $29 billion over 7 years

In contrast, taxpayers would face additional costs if manufacturer rebates were directly…

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Dec 18, 2019 | Susan Morse

HHS releases proposed rule to import drugs from Canada to lower the price for consumers

Drug companies have said they are hamstrung by the current pharmacy benefit manager system, says HHS…

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Dec 17, 2019 | Susan Morse

Sutter Health | Aetna to offer house calls and virtual care

Insurers are increasingly getting into provider care as a way to reach members, integrate care, and lower costs.

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Dec 16, 2019 | Susan Morse

Three drug bills attempt to cap costs

The Senate Finance Committee's bill would cancel planned cuts to Medicaid disproportionate-share hospital payments for 2020 and 2021.

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Dec 16, 2019 | Jeff Lagasse

Humana set to acquire Enclara Healthcare, extend comprehensive care strategy

Among Humana's goals are to cover the pharmacy-related needs linked to hospice care, and simplify the mail…

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Featured Resources

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.

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?

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.

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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. ...

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.

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.

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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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