Policy and Legislation
The formulary includes about 100 drugs, including insulin, and is expected to expand.
Study shows MFA could realize $450 billion in savings and prevent 68,000 deaths per year, though implementation costs would be high.
Providers warned to stay vigilant as financial and political incentives remain strong to bring False Claims Act cases.
Decreasing the percentage of primary care delivered out-of-network across all ACOs by 0.1% could save Medicare $45 million a year.
New Jersey legislators told the governor they want CarePoint finances and transactions closely watched, in light of allegations of financial irregularities.
For the second year in a row, residents say making sure people with mental health problems can get treatment is their top healthcare priority.
International Society for Telemedicine & eHealth (ISfTeH) Board Member Rajendra Pratap Gupta says that the future will see the rise of fitness wearables along with patients managing their own health to a much greater degree.
Authors call for allowing Medicare to directly negotiate drug prices with manufacturers, which is currently prohibited by law.
Insurers should be required to maintain robust networks, or the trend towards out-of-network services will accelerate, physicians say.
The group said such a policy would lower administrative costs and reduce barriers to healthcare access.