Pharmacy

Pharmacy

Aug 19 | Jeff Lagasse

Drug price forecast projects 4.5 percent increase in hospital drug spending for 2020

Pharmaceutical costs are already a large share of most health organizations' budgets and this…

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Aug 14 | Susan Morse

Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says

Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts,…

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Aug 13 | Susan Morse

Blue Cross Blue Shield of Arizona, Sempre Health partner to influence prescription drug behavior

Medication adherence and refilling on time reward members through copay discounts.

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Aug 08 | Susan Morse

Medicare to cover expensive CAR T-cell cancer therapy, but questions remain on full cost to hospitals

The therapy costs $375,000 or $475,000, with hospital stays due to adverse effects…

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Aug 07 | Susan Morse

Aetna helps drive CVSHealth's 175% net income increase for quarter

CVSHealth continues to make inroads into traditional healthcare, with HealthHUBS in 1,500 locations by 2021.

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Aug 06 | Susan Morse

CVSHealth uses analytics to expand diabetes program, launch hypertension model

The goal is to reduce the incidence of diabetes in a given population by 58% in three years.

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Aug 06 | Susan Morse

Anthem's PBM IngenioRx is attracting outside insurers

In the build-out of IngenioRx, Anthem has opened a 24/7 pharmacy care center in Las Vegas that will offer dedicated specialty patient…

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Jul 31 | Susan Morse

HHS and FDA propose plan for importation of prescription drugs from other countries

Manufacturers have wanted to offer lower cost versions but were locked into contracts with other parties…

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Jul 29 | Susan Morse

Senate Finance drug pricing bill faces opposition in full Senate

Prescription Drug Pricing Reduction Act passes in bipartisan effort in committee, but full Senate approval may mean bill…

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Jul 23 | Jeff Lagasse

Critical heart drug too pricey for some Medicare patients

Even with insurance, the cost to Medicare patients may be more than $1,600 a year, which may prohibit some from even taking the drug…

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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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News

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. ...

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.

Whitepapers

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 ...

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 ...

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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