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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.
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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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Blood on the Sidewalk: A Tale of Cost & Care

A Family Doctor ponders the conundrum of cost & care in the U.S. Healthcare System when she stumbles upon a young woman covered in blood.
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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.
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How To Get Lower Drug Prices Now and In The Future

Insured patients' share of drug costs has continued to increase, but there are some strategies that they can use to get lower prices.
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US Healthcare Ranks Dead Last Compared to 10 Other Countries

The U.S. ranked last in a study of the health system performance of 11 high-income countries. The only measure we excelled in was the percent of GDP we spent to deliver such dismal results.

Think You’re Getting Good Healthcare? You’re Probably Not

Robert Pearl, former CEO of the Permanente Medical Group is the author of Mistreated: Why We Think Were Getting Good Health Care—and Why We're Usually Wrong, a book that explores what must be done to fix the broken U.S. healthcare system.
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Rising Cost of Drugs Threatens the Health of Millions

Prescription drug expenditures are nearly 20% of healthcare costs and are expected to increase more even as pending health insurance reform threatens coverage for millions.