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Doctors, patients, and insurers can all benefit from improved transparency in payer-provider relationships in areas ranging from costs to care management.
A family doctor ponders the conundrum of cost & care in the U.S. healthcare system after she stumbles upon a young woman covered in blood.
If you are thinking about opening a medical practice, you need to know about these three common challenges and how to overcome them.
The high cost of life-saving drugs: There's something profoundly wrong with charging whatever the traffic will bear when the alternative is certain death.
New research finds that dementia has a substantial impact on the costs and prevalence of certain common comorbid conditions compared with matched individuals without dementia.
Adding step-therapy to Medicare Advantage Part B drugs can delay access to effective medications putting patients at risk. 3 easy tweaks can mitigate the risk.
A recent study shows that value-based insurance desig reduces consumer cost-sharing for clinically indicated medications and increases adherence without changing total spending.
There's a growing number of providers committed to delivering high-value care & a group of purchasers willing to go around traditional arrangements to access it.
Even as Americans are forced to resign to healthcare costs that have reached an all-time high, it is indisputable that patients continue to pay more while receiving less. Administrative costs related to wasteful bureaucracy is a major contributor.
Sticker shock contributes to 30% of prescriptions being abandoned or not picked up at all. PBM fees, chain pharmacy clout, and rebates all contribute to a lack of transparency and unnecessarily high drug prices.
Here are 3 digital health innovations that, in their own way, streamline processes to improve efficiency and effectiveness—something we need much more of in healthcare.
As insurers ratchet up utilization management, doctors' paperwork burden increases and patients must jump through endless administrative hoops to access care.