Category: Healthcare Finance News

CMS proposes prior authorization update for Part D drugs

The expedited process and drug access would allow clinicians to complete the process online under new e-prescribing standards.

Healthcare leaders need the right technology philosophy, to succeed in transitioning to value-based care

The appropriate use of technology will play an important role in the switch from volume to value, but it helps to have the right approach.

Why health professionals need to be cautious on social media

Just one subtle comment expressing workplace frustration was enough for people to view someone as a less credible health professional.

Drug makers sue HHS over rule mandating they post the list price of drugs in TV ads

Rule misleads patients about their out-of-pocket costs for prescription drugs, a factor the manufacturers say HHS already concedes.

Analytics could prevent unnecessary helicopter rides for hospitals

Researchers at Case Western Reserve University are developing an analytics platform to help determine the medical necessity of using helicopters for emergency transport.

Hospitals saved an average of $11.8 million due to 340B drug discount program

Hospitals said cuts to 340B savings would force them to scale back certain programs, though the 340B program remains controversial.

AHIP wants more oversight over consolidation of hospitals and physicians

While most vertical mergers do not impair competition, it should not be assumed that all are benign or that savings are passed onto consumers, Senate Judiciary subcommittee hears.

Texas Hospital Association partners with Caravan Health in statewide accountable care organization

To get to the scale needed for value-based care requires at least 50,000 lives, Caravan says.

AI can enable value-based care – if it’s backed up by action

At Advocate Aurora Health, predictive analytics and telephonic coaching led to a 23% reduction in unnecessary utilization.

Acquisitions, partnerships with academic medical centers an emerging workforce trend for health systems, expert says

some health systems are viewing these academic medical center acquisitions as a means of getting closer to the talent pipeline.