Reimbursement
Insurer is investing in at-home and hospice organizations and is focusing on senior primary care through Walgreens partnership.
Some drug companies pay less than what they would otherwise owe by introducing a new drug formulation, HHS Secretary Alex Azar says.
Automating core administrative functions equates to unlocking $15 million in operating income for every 100 full-time employees, Accenture says.
Administrator Seema Verma says it's time for ACOs to take on downside risk, in a proposal that would save Medicare $2.2 billion over 10 years.
Amazon's tidal wave through healthcare industry continues as company is in talks to open primary care pilot clinic for select employees with plans to broaden access next year.
The 2018 benefit year will now determine risk adjustment payments to insurers, using the statewide average premium.
'One nut that we haven't really cracked is how we effectively engage patients,' says bundled payment expert.
AMCs show higher cost per case statistics and were hit with more penalties from value-based programs, survey says.
Starting in 2019, insurers may use step therapy to choose the least expensive drug first before moving on to another prescription.
The agreement will drive down costs through the monitoring of chronic conditions, preventative screenings, a connected EHR and virtual visit options.