Reimbursement
The Blue Premier model ties total payments to the health systems' ability to manage costs and overall performance, as measured by industry standards.
CVS Caremark, Walmart disagreed over reimbursement rates in the commercial and managed Medicaid pharmacy network.
The two main challenges are proving the value of telehealth and promoting practice change.
Investors are more comfortable with healthcare than other sectors because it's less susceptible to fluctuating economic cycles.
The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.
Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.
NLP application embedded during coding phase allows for better compliance and more precise reimbursement.
The summer of 2018 was strong, but aside from that there were few bright spots in a year of declining volumes and profitability.
The February 19 deadline does not give ACOs enough time to consider the upside risk they'll have to take in the overhauled program, NAACOS says.
The healthcare industry is on the cusp of significant change in telehealth as both Congress and CMS have come around to virtual health's power to decrease costs.