Category: Healthcare Finance News

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.

Smoking cessation efforts may reduce avoidable hospital readmissions

Smoking cessation efforts could ultimately be a strong investment that allows the hospital to retain more reimbursement dollars.

2018 cohort of newly-certified physician assistants is the youngest and largest yet

The data also shows encouraging employment opportunities for PAs, with most receiving multiple job offers.

More 4 star or higher plans in Medicare Advantage and Part D star ratings, CMS says

There are 1,200 more MA plans than in 2018 and in 2020 a greater number rate 4 stars or more, CMS says.