Category: Modern Healthcare

Are GPOs, PBMs part of the drug cost problem or the solution?

The middlemen of group purchasing organizations and pharmacy benefit managers remain a central part of the drug pricing and shortage debate.

Data Points: Competition holds generic-drug prices at bay

Availability of generic drugs can impact prescription prices dramatically, but supply challenges and questions about profitability may hinder those savings.

KPC Group offers $610M for four Verity Health hospitals

California-based Verity wants to implement a public auction where other buyers could outbid KPC for Francis Medical Center in Lynwood, St. Vincent Medical Center in Los Angeles, Seton Medical Center in Daly City and Seton Coastside in Moss Beach.

Opioid deaths linked to drug marketing to physicians, study

New research shows a link between increased opioid marketing to physicians and higher opioid prescribing rates and elevated overdose deaths in the U.S. It’s one of the first studies to make that link.

CMS approves Arizona’s tough Medicaid work requirement

Arizona will suspend coverage for non-disabled Medicaid expansion enrollees who fail to report work activities for a single month.

MedPAC members consider arbitration to control drug prices

Medicare Payment Advisory Commission members say the panel needs to explore how to lower hospitals’ drug prices covered under Medicare Part A, with some members floating binding arbitration as a possibility.

CVS and Walmart resolve short-lived reimbursement dispute

CVS Health and Walmart said they have resolved a contract dispute and inked a new multiyear contract that allows certain CVS pharmacy benefit management customers to continue filling prescriptions at Walmart drugstores.

Senate health committee leaders introduce key funding bill

Senate health committee GOP Chair Lamar Alexander and top Democrat Patty Murray introduced five-year funding for community health centers and other key healthcare funding under the panel’s jurisdiction.

NYC Health & Hospitals proposes changes to charity-care payments

Previous cuts to the DSH program brought NYC Health & Hospitals to the brink of being unable to pay its workforce on time in fall 2017. Now, it wants to change the state formula altogether.

New York maternal mortality review board aimed at clinical, social change

New York currently ranks 30th in the country when it comes to maternal mortality rate. The state’s executive budget calls for legislation to create a maternal mortality review board.