Pharmacy

Pharmacy

Dec 06, 2017 | Jeff Lagasse

Group calls for government negotiation of drug prices, prevention of 'pay-for-delay' agreements

Report says U.S. could achieve lower prices for prescription drugs by consolidating its…

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Dec 06, 2017 | Jeff Lagasse

Medication errors reduced when pharmacy staff take drug histories in ER

Injuries resulting from medication use are among the most common types of inpatient injuries at U.S. hospitals,…

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Dec 04, 2017 | Susan Morse

Aetna, CVS merger sparks talk of Humana eyeing deal with Walmart

The combination of Aetna's analytics and CVS' pharmacy business has the potential to reshape the entire health plan…

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Dec 04, 2017 | Susan Morse

CVS Health to acquire Aetna for $69 billion

The integrated payer and pharma company represents direct competition to providers as the new organization aims to offer lower-cost, more…

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Dec 01, 2017 | Susan Morse

FDA approves first breakthrough-designated test to detect extensive number of cancer biomarkers

CMS said it would cover the test to make the targeted therapy options available to healthcare…

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Nov 30, 2017 | Susan Morse

Cigna-HealthSpring and Lyft partnership touts big savings

Transportation to doctor's appointments and the pharmacy focuses on making sure MA members get needed care, medication for…

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Nov 29, 2017 | Jessica Davis

Hearing for HHS nominee Azar dominated by drug pricing issue

Both sides of the aisle -- and even the former Eli Lilly exec himself -- expressed concerns over the ballooning drug prices and…

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Nov 28, 2017 | Susan Morse

Insurers concerned essential benefit benchmark changes would increase their cost

Insurers, providers, pharma urge CMS to reconsider allowing states to set essential health benefit benchmarks.

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Nov 21, 2017 | Shefali Luthra, Kaiser Health News

Massachusetts grabs spotlight by proposing new twist on Medicaid drug coverage

Massachusetts wants the power to negotiate discounts for the drugs it purchases and to exclude drugs with…

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Nov 17, 2017 | Susan Morse

Bipartisan bill would reverse CMS rule slashing 340B drug payments

Bill would negate a Centers for Medicare and Medicaid Services rule cutting $1.6 billion for drugs purchased by certain…

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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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Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

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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 ...

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.

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 ...

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