Gregory A. Freeman is a contributing writer.
After rising in past years, IT budgets are showing signs of flattening out for some hospitals. Health leaders will have to decide whether their goals require spending more.
Some strategies are showing promise but require time for real change to occur. Recent CMS moves may be slowing the momentum.
Expensive specialty drugs are increasingly falling under medical benefits rather than pharmacy. This means health plans end up paying more for overutilization that could have been avoided.
A health plan model that rewards providers for meeting quality and cost targets saves money and improves patient outcomes, Humana reports.
A three-month limit was originally intended to close a loophole in Obamacare coverage requirements. The Trump administration's removal of that restriction has insurers rushing to satisfy consumers who need this option.
A nonprofit health plan provides beneficiaries low-cost access to medication-assisted treatment. The insurer also implements prescription restrictions and physician education.
The 340B program is intended to help safety net hospitals, but some others have taken advantage. A lack of transparency and accounting led to deep cuts for all participants.
A recent survey indicates Americans have been following the debate over the Affordable Care Act, and they’re worried. Their top concerns involve being left without coverage if the law changes.
Two states saw record premium increases. Employers are reacting by shifting more expenses to employers.
A recent report indicates a 6% increase in healthcare payments tied to APMs over a year, but a deeper dive into the data suggests a smaller impact. Conclusion? Fee-for-service still dominates.