Supply Chain
Optum will assume responsibility for ProHealth Care's rev cycle management, IT, informatics, analytics and inpatient care management.
Rebates and fees received by PBMs account for 42% of every dollar spent on brand medicines in the commercial market, report says.
The initiative is designed to lower prescription medication costs by roughly $500 million annually once the model is fully implemented.
Hospitals need a holistic dashboard of financial indicators that align with how revenues get recognized, says Premier CEO Mike Alkire.
Reporting supply chain issues will now be voluntary, meaning the agency will likely have an incomplete picture of potential shortages.
Contracts with managed care plans would include a report on spread pricing, CMS says.
The House Committee on Oversight and Accountability will take up the role of pharmacy benefit managers on Tuesday, May 23.
Big Pharma spends millions attempting to deflect blame, limit competition, and undermine patients' bargaining power, AHIP says.
While the intent is to ensure a steady supply of masks, some pharmacy partners may have limited or no remaining N95s for donation.
The B2B arm of Amazon is targeting the 20% of hospital nonclinical spend.