A number of clinicians and payers have been enforcing hard limits on opioid doses, regardless of the patient’s situation.
Category: Healthcare Finance News
Certain hospitals turn away ambulances when the patient is more like to be poor, study shows
Private hospitals are more likely to enact an ambulance diversion if a nearby public hospital is already turning away ambulances.
United States remains the largest market for medical devices, at more than $150 billion
One of the components fueling the growth includes powered devices such as pacemakers and MRI machines.
States bring price fixing lawsuit against Teva and other drug makers
Teva colluded with 20 competitors on 86 generic drugs to avoid price erosion and keep inflated prices high, lawsuit says.
Machine learning overtakes humans when it comes to predicting death or heart attack
Machine learning advances go above and beyond what has presently been achieved in medicine, the findings showed.
AMA files motion to testify in CVS and Aetna merger
The DOJ and CVS Health are seeking to block certain testimony they say is outside the scope of review.
Mental health patients insured by marketplace health plan less likely to receive a medical appointment
Success was highest for those with employer coverage while marketplace enrollees were statistically more likely to run into trouble.
Private health plans pay 241 percent more than Medicare, RAND report says
Study recommends employers pressure health plans and hospitals to shift to contracts based on a multiple of Medicare or other prospective case rates.
Health plan customer satisfaction challenged by new era of empowered healthcare consumers
A big challenge for health plans is addressing member expectations based on their experiences in other industries.
President Trump calls for an end to surprise medical bills
AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.
