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The Value of Transparency in Payer-Provider Relationships

Doctors, patients, and insurers can all benefit from improved transparency in payer-provider relationships in areas ranging from costs to care management.
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A Tale of Cost & Care: Blood on the Sidewalk

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.

Opening a Medical Practice? Here’s How to Overcome the Challenges

If you are thinking about opening a medical practice, you need to know about these three common challenges and how to overcome them.
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Your Money or Your Life? The High Cost of Life-Saving Drugs

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.
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What is the Impact of Dementia on Comorbid Conditions?

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.
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How to Fix Part B Drug Fail-First Policies that Harm Seniors

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.
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Lowering Cost-Share for High Value Meds Improves Adherence

A recent study shows that value-based insurance desig reduces consumer cost-sharing for clinically indicated medications and increases adherence without changing total spending.
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High-Value Healthcare: Is It the Wave Of The Future?

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.
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The State of U.S. Healthcare: An Iron Cage of Bureaucracy

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.
American money and pills drug pricing

The Crazy Way Drugs are Priced and What Can Be Done...

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.
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Squeezing Out The Waste with Digital Health Innovation

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.
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When Insurers Save, Patients and Doctors Pay

As insurers ratchet up utilization management, doctors' paperwork burden increases and patients must jump through endless administrative hoops to access care.