Pharmacy

Pharmacy

Apr 02 | Susan Morse

AHIP supports federal regulation of PBMs in Supreme Court case

Should states win their case to regulate how PBMs contract with pharmacies, plan costs will rise, AHIP says.

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Apr 02 | Susan Morse

Humana is expediting claims processing and prior authorization during COVID-19 pandemic

Prior authorization requirements have hindered freeing up hospital beds due to delays in getting…

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Mar 27 | Jeff Lagasse

Mayo Clinic is studying antimalarial drug for COVID-19 treatment

Some of the medications being used to treat COVID-19 are known to increase cardiac risk in some people.

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Mar 25 | Jeff Lagasse

Potential COVID-19 drugs see flood of demand, prompting Vizient to recommend government action

The recommendations center on redirecting the supply of the drugs from retail pharmacy settings…

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Mar 20 | Jeff Lagasse

Nonprofit healthcare sector sees negative financial outlook due to COVID-19; positive outlook expected for pharma

Because there's such a high level of uncertainty, the risk of a more…

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Mar 19 | Susan Morse

Scipher Medicine has developed a blood test expected to save payers billions each year

Optum Ventures is among companies investing $25 million, betting on the company's ability to show…

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Mar 17 | Jeff Lagasse

Prescription Drug Pricing Act would save more than $94 billion in the first decade, CBO says

The savings are due in part to strict price-reporting controls on pharmaceutical companies and…

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Mar 04 | Susan Morse

BCBS Kansas City partners for two IT engagement solutions

Insurers are increasingly looking for ways to engage members for early interventions and better health outcomes that lower costs.

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Mar 04 | Jeff Lagasse

Drug prices rose three times faster than inflation over the last decade, even after discounts

Inflation-adjusted list prices increased by 159% from 2007 to 2018, while net prices increased…

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Feb 20 | Susan Morse

Oscar Health offers $3 a month drug prescriptions

The formulary includes about 100 drugs, including insulin, and is expected to expand.

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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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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.

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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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