Category: Healthcare Finance News

Decision support can guide clinicians to prescribe lower cost alternatives

Minor differences in co-payments sometimes mask exponential differences between similar generic formulations.

Healthcare executives should invest in value-based care technologies now, Deloitte says

The consultancy advises hospital executives to ramp up technology initiatives to support new payment models now

Patient-directed Utah Health Information Network increases engagement and care management

By empowering patients with a single access point to all their data, the exchange also benefits providers and payers.

ZappRx and Bayer partner to improve access to specialty medications

Providers get a reduced wait time in the prior authorization process, which is usually a manual and paper-based.

How capital for hospital renovations can be freed by unloading medical office buildings, other real estate

Many hospitals and health systems are reluctant to relinquish control of medical office buildings, but doing so can free up much-needed capital.

Humana, Tenet Healthcare reach new deal restoring in-network access

Tenet’s CEO said the exclusion of Humana patients had an adverse effect on the system, with adjusted patient admissions dropping when Humana patients were excluded.

CVS Caremark, Walmart clash over reimbursement rates

The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.

Seniors more likely to switch Medicare Advantage plans in 2019, survey shows

Low out-of-pocket costs, prescription drug coverage and in-network access to providers were some of the factors.

Supreme Court hears case over disproportionate share hospital payments

Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.

Healthcare added more jobs than other sectors in 2018, and the growth outlook is strong

By the end of the year, there were about 16 million people working in healthcare — about 11 percent of all jobs in the overall economy.