Imagine there are no PBMs. It’s easy if you try
(By Sally Welborn and Pramod John for STAT) Americans are divided on many fronts: tariffs, building walls, and how to
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Health Care Finance
CalPERS Health Chief Wields The Power Of Data To Tame Costs
(By Alex Leeds Matthews for California Healthline produced by Kaiser Health News) As prices for drugs and procedures soar, and
Read MoreProposed payment changes could influence hospitals’ acquisition strategies
(By Kelly Gooch and Ayla Ellison for Becker’s Hospital Review) CMS’ 2019 Medicare Outpatient Prospective Payment System proposed rule, which calls
Read MoreSupport for drug companies to put prices in consumer ads
In a letter of support for the Defense, Labor, Health and Human Services and Education Appropriations Act for 2019, or
Read MoreMedicare could have saved $925M by swapping brand-name combo drugs for generics
(By Alia Paavola for Becker’s Hospital Review) Brand-name combination drugs may be more expensive than buying each drug separately, and
Read MoreAbout 30 hospitals a year are closing with no end in sight
According to the American Hospital Association, hospitals have been closing at a rate of about 30 a year. For patients
Read MoreThese 6 drugmakers froze price hikes in response to Trump’s criticism
(By Alia Paavola for Becker’s Hospital Review) The pharmaceutical industry is facing increased pressure from President Donald Trump, lawmakers and
Read MoreStarting in 2020, Medicare Advantage plans will have the flexibility
Medicare Advantage plans will have the flexibility to target non-medical health-related services to those members who have chronic care conditions
Read MoreAfter-hours telemedicine services reduced avoidable hospitalizations
According to a case study published in the American Journal of Managed Care (AJMC), found one New York skilled nursing
Read MoreMedicare overpaid millions for radiation therapy planning services, OIG says
(By Kelly Gooch for Becker’s Hospital Review) Hospitals received up to $25.8 million in inappropriate Medicare reimbursement for outpatient intensity-modulated
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