Category: Healthcare Finance News

Sleep apnea treatment associated with lower healthcare costs

PAP adherence also was associated with a significantly lower number of emergency department visits and inpatient stays.

Solving the social determinants requires the right tech and a better payment model

One the biggest challenges is that the payment system isn’t aligned with paying for social determinants across cross sector collaborations.

FDA approves record number of generic drugs, claiming savings to the healthcare system

The FDA is also approving greater numbers of complex generic drugs, which are more difficult to replicate and traditionally lack competition.

Medicaid rebates central to the concern over 340B drug program, survey shows

Different states have different methods for identifying 340B drugs billed to programs, findings showed.

Physician-led accountable care organizations outperform hospital-led counterparts

On average, physician-led ACOs produced almost 7 times the amount of Medicare savings per beneficiary than hospital-led ACOs.

Hospital bottom lines could benefit from more clinical integration in the supply chain

A tiny fraction of healthcare executives, 5%, said clinical integration is their supply chain’t top priority.

Telehealth eliminates time and distance to save money

In the age of consumerism, virtual visits meet consumers where they are, says Anthem executive.

Federal requirements for sharing patient medical records pose challenges, opportunities

Only 18% of the executives surveyed at U.S. healthcare companies say they are "very familiar" with new regulations.

Expanding biosimilars market holds potential for significant savings to state Medicaid programs

The anticipated savings would increase in a scenario in which biosimilars made up a larger portion of the total market share.

Medication adherence a big factor in Medicare Advantage star ratings

The bonus pool size is currently $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.