Quick Glance- Capital Rx launches new innovative Clearinghouse Model, a new pricing framework that will itemize the actual unit cost for all drugs for the first time- The Clearinghouse Model will eliminate price variability for customers, ensuring that drug costs are the same for all customers.- Pharmacies in its retail network, which includes chains, like Walmart, Walgreens, to grocers and independent pharmacies, will be able to deliver the lowest prescription prices to customers.- While rising
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are taking
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
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Healthcare Leaders See AI As Front-Runner in Reducing Risks
Healthcare leaders see artificial intelligence (AI) as the front-runner in reducing risks, while they view online media as the riskiest technology, according to results of an annual survey by The Doctor Company. Conducted at a national summit of nearly 100 healthcare leaders to address some of the most pressing issues in healthcare. To understand what concerns these leaders have and generate meaningful conversations during the summit, participants were surveyed prior to the summit.Among the key
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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How Tech Giants are Helping Providers Reinvent Patient Care
Healthcare costs are on the rise, and they show no signs of leveling off. According to the latest data available from the Centers for Medicare and Medicaid Services, healthcare spending in the United States reached $3.5 trillion in 2017, or $10,739 per person. Those costs are projected to rise by about five percent year-over-year.
As expenditures continue to skyrocket, healthcare providers are looking to new technologies and care strategies that can help them treat patients more effectively at a
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Tufts Health Plan and Harvard Pilgrim Health Care to Merge
Harvard Pilgrim Health Care and Tufts Health Plan announced their intent to merge their nonprofit organizations. The new organization, yet to be named, will become one of the region’s largest nonprofit health services organizations and will serve close to 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island. Combined offerings include offering employer-sponsored plans; Medicare and Medicaid plans; Qualified Health Plans; and plans for those who are dually
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Connecticut Launches State-Wide Hospital Quality Scorecard & Cost Estimator
The Connecticut Office of Health Strategy (OHS) has launched a state-wide online hospital quality scorecard and cost estimator solution called Healthcare CT to assist residents in making informed decisions concerning their healthcare among healthcare providers. The website has interactive tables and graphs that allow consumers to search, sort, and filter by entity, quality measure, health topic, and rating. In addition, the solution promotes cost transparency in healthcare improves access to
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Kaiser Appoints First Chief Digital Officer, Teladoc’s New COO, Castlight Health CEO, Other Health IT Appointments
Kaiser Permanente has appointed Prat Vemana as its first chief digital officer for Kaiser Foundation Health Plan and Hospitals. In this newly created role, Vemana will lead the ongoing development and execution of Kaiser Permanente's digital vision and strategy, in collaboration with internal health plan, hospital, and medical group teams.
Atlantic Health System has named Dr. Sylvia Romm as Chief Innovation Officer. In her new role, Romm will be responsible for building new partner
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Health Catalyst IPO Journey: Future Opportunities & Challenges to Watch
Last week saw Health Catalyst common stock begin trading on the Nasdaq Global Select Market. This marks the culmination of a journey that started 11 years ago and provides a great illustration of a start-up that has maximized the potential of the move in healthcare to value-based care. However, the IPO comes at a time where there is some uncertainty gripping the markets it targets and there are several key challenges for Health Catalyst to overcome in order to drive future success. Here’s our
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