Pharmacy

Pharmacy

Apr 18 | Susan Morse

CMS reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule

Rule proposes no changes to practice of silver loading as insurers start to set rates for 2020.

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Apr 16 | Susan Morse

Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says

UnitedHealth has already converted, or is in the process of converting, 8 million…

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Apr 16 | Susan Morse

Humana launches oncology model to reward integrated care

The insurer is offering providers analytics and compensation determined by metrics that address access to care, clinical status…

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Apr 15 |

Blue Cross NC $750,000 grant funds expansion of school-based telehealth

Pilot program has reduced unnecessary ER visits and early dismissals among students, many who previously lacked a…

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Apr 10 | Susan Morse

Walgreens and VillageMD partner on primary care

The Village Medical at Walgreens clinics will operate next to the retail pharmacies, providing primary care integrated with the pharmacy as…

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Apr 09 | Susan Morse

PBM execs say competition, biosimilars are solutions to lowering drug prices

The rebate rule will not solve the drug affordability problem, PBM executives told the Senate Finance Committee.

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Apr 04 | Susan Morse

Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply

Cigna and Express Scripts clients will activate the new program for participating…

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Apr 03 | Susan Morse

Anthem finds competitive edge in offering employers integrated health benefits

Large employers are increasingly interested in integrating dental, vision, pharmacy, other benefits, due to…

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Mar 20 | Susan Morse

High price of drugs is biggest issue in prescription adherence, physicians say

Only 5 percent of physicians always track whether their patients are taking their drugs, survey says.

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Mar 14 | Jeff Lagasse

Interdisciplinary education helps hospital patients better understand their medications, could reduce readmissions

Readmissions dipped at a participating facility after implementing a new…

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Featured Resources

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.

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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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.

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.

Whitepapers

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 ...

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

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