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How PBM execs want to reform the Rx pricing system

April 10, 2019

Executives from five of the nation's largest pharmacy benefit managers (PBMs) during a Senate Finance Committee hearing on Tuesday said they would support legislation to reform PBMs' current drug pricing system by increasing transparency and prohibiting PBMs from charging Medicare and Medicaid higher rates for prescription drugs than pharmacies.

Meet 'Charlie,' the homeless patient who helped cut hospital use by 44%

April 10, 2019

Charlie was a homeless resident in Clearlake, California, who in just one year racked up 25 hospital visits and 16 emergency transports, and he also was the first patient to join Project Restoration—an initiative that helped Charlie recover, reduced his hospital use, and ultimately saved the health system money.

How CMS wants to ease Medicare Part D plans' transition to proposed rebate rules

April 9, 2019

If CMS moves forward with proposed changes to eliminate certain prescription drug rebates in Medicare and Medicaid plans, the agency will launch a two-year demonstration program to ease Medicare Part D plans' transition.

Amazon is now accepting payment from HSAs and FSAs. And that's a big deal, according to industry stakeholders.

March 28, 2019

Amazon is now allowing consumers to use pre-tax income from health savings accounts and flexible savings accounts.

EConsults are becoming more popular in health care, but there's still some unknowns

March 28, 2019

A growing number of primary care doctors are replacing in-person specialist consults with electronic consultations—a practice that can "free up capacity in crowded health systems" and reduce wait times for other patients, according to health economist Austin Frakt.

Should FDA regulate EHRs? Media investigation highlighting EHR-related patient harm raises the question.

March 26, 2019

Outgoing FDA Commissioner Scott Gottlieb on Wednesday called for greater scrutiny of electronic health record (EHR) systems, after an investigation by Kaiser Health News and Fortune identified thousands of patient injuries, including some deaths, tied to EHRs.

How Geisinger became a 'destination' for care for Walmart, Lowe's and other big employers

March 25, 2019

Geisinger Health Interim President and CEO Jaewon Ryu recently sat down with Harvard Business Review's Gardiner Morse to share what it takes to be a "center of excellence" and contract with employers throughout the country to provide high-value care for specified conditions.

More than 200 providers have withdrawn from BPCI model—but experts aren't worried

March 22, 2019

CMS on Thursday announced that the number of hospitals and physician groups participating in Medicare’s new voluntary bundled-payment model declined by 16% over the program’s first five months.

US adults are trying to cut their Rx drug costs. See how, charted.

March 21, 2019

Around 11% of U.S. adults skipped medication doses in order to reduce their prescription drug costs, including just over one-third of uninsured adults, according to a data brief from CDC's National Center for Health Statistics.

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