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Cerner and CoverMyMeds integrate prescription prices and a patient’s ability to pay within EHR

The CoverMyMeds’ RxBenefit Clarity solution leverages information from pharmacy network and payers on patient pay and benefits.

Advocate Aurora Health uses predictive analytics to overhaul care management program

The health system’s predictive modeling platform uses 30 to 40 sources of claims data married to EHR data to reduce hospitalizations, ER visits, and lengths of stay.

Tenet and Cigna reach multi-year contract agreement

Negotiations have been ongoing for close to a year over payment rates.

Top 10 payer stories of 2018

Amazon, CVS Health and Aetna, ACA challenge and Medicare Advantage plans grabbed spotlight.

Affordable Care Act to remain in place during appeals process

The judge’s move staying his decision on unconstitutionality of ACA stabilizes the market, at least temporarily.

Top 10 Healthcare Finance News stories of 2018

Amazon leads, mergers continue, workforce lags, interoperability moves forward.

Federal judge says HHS Secretary Alex Azar exceeded legal authority in setting 340B drug payment rates

There is no current remedy to the proposed 30 percent payment cut.

Santa Clara health system and Optum tackle the most complex of complex populations

Santa Clara Medical Director Dr. Jeffrey Arnold and Optum’s Teddy Shah share a model that addresses a 90 percent Medicaid population.

Humana announces first four health systems in new incentive program

HIT program compensates physicians for improving the patient experience, safety and outcomes for Humana’s commercial members.

What hospitals need in the age of consumerism: guerrilla marketing

Don’t tell consumers how great you are. Target their needs using tech and social media instead.