Congress recently began hearings on proposals to combat opioid abuse. Our policy analyst weighs in.
The jury is still out on tiered provider networks. While effectiveness is frequently a criterion for including a specific drug on a preferred drug list, thus far, quality is only playing a small part in designing provider tiers.
A veteran of nearly 25 years in the managed care industry, as well as a decorated veteran of the Vietnam war, Paul Caliendo is the founder and president/CEO of Preferred Medical Claim Solutions (PMCS).
He's an anomaly in our nation's capital: a leading health policy maker who enjoys almost unanimous support and admiration.
Seniors mount campaign to ensure lower drug prices
AAHP and HIAA become AHIP
Cost resurgence provides plans with an opportunity to prove value
New administrator urged to investigate government's Medicare education campaign
Analysis of the April DTR chart
On Finance: Employers and insurance providers look to disease management to curb rising healthcare costs
Is DM best delivered through traditional FFS Medicare or through competing private plans?