Five things to know about the role of GPOs in the healthcare …
WEBSep 14, 2017 · Based on our analysis, the following are 5 things to know about GPOs, their business model and role in the supply chain, and their impact on healthcare costs and competition: 1. GPOs source and negotiate prices for products and services. GPOs help source and negotiate prices for drugs, medical devices, and other products and services on …
How Capitation Contracts Benefit Providers, Payers and Patients
WEBMay 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to optimizing the patient/member experience within a narrower network of providers, and a robust digital infrastructure. Lynn Carroll is the chief operating officer of HSBlox, an ...
AMCP Annual - Managed Healthcare Executive
WEBBriana Contreras. March 24th 2023. Melissa Andel of CommonHealth Solutions spoke at the AMCP annual meeting today in San Antonio about the ins and outs of the Inflation Reduction Act. She shared her discussion highlights the Act's plans of cost shifting in healthcare and the Medicare part-D benefit re-design.
Beyond the Big Three PBMs - Managed Healthcare Executive
WEBDec 19, 2022 · But beyond the big three PBMs is a swarm of some 60 smaller, up-and-coming PBMs. Even if they are operating in a small slice of the pie relative to the towering dominance of the big three, the PBM pie is growing rapidly. The global PBM market is projected to increase from $495 billion in 2022 to $740 billion by 2029 (a 50% jump), according to a ...
Three Experts Share Formulary Management Advice
WEBJan 12, 2020 · Formulary management activities are an essential component for effectively managing medication utilization, according to experts. A survey of hospital CEOs found that 57% are concerned about the high prices and insufficient reimbursement for medications. Separately, 51% of executives said innovative approaches to expense reduction was one of ...
Chronic Health Conditions and Access to Care - Managed …
WEBMar 21, 2024 · The state of healthcare access among patients in the United States with a chronic health condition was graded a 75.8 C, based on the 2024 State of Patient Access report by the PAN Foundation.. Accessing affordable healthcare in the U.S. remains a significant challenge that has only worsened by systemic issues …
How Value-based Care Changes the Provider Staffing Model
WEBSep 9, 2019 · The Bureau of Labor Statistics reports that the median pay for medical assistants in 2018 was $16.16 per hour-a dramatic savings from the $34.48-per-hour pay made by registered nurses. Additionally, the study did not uncover any correlation to higher levels of productivity in practices with a more diverse skill mix.
Health policy changes could affect reimbursement: What to know
WEBFeb 12, 2017 · Significant health policy changes that could affect reimbursement are on the horizon, according to a new report. A survey of Vizient’s member hospital C-suite and pharmacy executives recently asked hospital leaders about their opinions on the future of the Affordable Care Act (ACA) and other healthcare policies under the new Administration.
Nine best practices in healthcare IT governance
WEBAug 10, 2016 · Ensure governance support. Given the likely intense daily demands placed on organizational leaders serving on IT steering committees and subcommittees, it’s important that these members have access to proper support. These might include sufficient administrative staffing, back-office systems, research access, and technical infrastructure.
Top Strategies for ACO Success - Managed Healthcare Executive
WEBNov 9, 2019 · Any ACO can get ready for downside risk in three years. Here’s how to get it done. 1. Take a strong population health approach rooted in robust primary care. Succeeding in value-based payment means transforming the way care is delivered. All members of the care team, including office staff, need to do things differently.