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New Reimbursement May Level Playing Field for BiosimilarsThe new Bipartisan Budget Act of 2018 (to be in effect on January 2019) institute new reimbursement guidelines for biosimilars under the Medicare coverage gap discount program that remove disincentives for biosimilar uptake and level the playing field for the future market place.
Latest:
New Reimbursement May Level Playing Field for BiosimilarsThe new Bipartisan Budget Act of 2018 (to be in effect on January 2019) institute new reimbursement guidelines for biosimilars under the Medicare coverage gap discount program that remove disincentives for biosimilar uptake and level the playing field for the future market place.
Latest:
New Reimbursement May Level Playing Field for BiosimilarsThe new Bipartisan Budget Act of 2018 (to be in effect on January 2019) institute new reimbursement guidelines for biosimilars under the Medicare coverage gap discount program that remove disincentives for biosimilar uptake and level the playing field for the future market place.
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4 Ways You Can Keep PHI SecureWhat are the best ways for healthcare executives to keep protected health information secure? Here are some tips.
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Innovation Isn’t So Hard After AllWhat a movie can teach you about innovation in your organization.
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CMS to Cover Next-Gen Sequencing for Cancer: Implications for MCOsIn a decision reached through the joint FDA/CMS Parallel Review process, CMS has granted national Medicare coverage to next-generation sequencing tests approved or cleared by the FDA as companion diagnostics for cancer therapies. This is clearly a win for Medicare beneficiaries and some NGS test providers-but is it also good news for MCOs?
Latest:
CMS to Cover Next-Gen Sequencing for Cancer: Implications for MCOsIn a decision reached through the joint FDA/CMS Parallel Review process, CMS has granted national Medicare coverage to next-generation sequencing tests approved or cleared by the FDA as companion diagnostics for cancer therapies. This is clearly a win for Medicare beneficiaries and some NGS test providers-but is it also good news for MCOs?
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Closing Care Gaps: Chart Chasing Has Become ObsoleteFor far too long, chart chasing was the best method health plans had to improve HEDIS® measures and Medicare Star ratings. Now, there is a better way.
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Top 3 Problems with Healthcare Organizations’ Content StrategiesVirtually all healthcare leaders recognize the value of content creation, yet the use of a well-defined content strategy is rare. Here’s how to get yours.
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Top 3 Problems with Healthcare Organizations’ Content StrategiesVirtually all healthcare leaders recognize the value of content creation, yet the use of a well-defined content strategy is rare. Here’s how to get yours.
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A Look at the Two Sides of Bundled PaymentsWhy some health plans have mixed feelings on adopting bundled payments and what it can become.
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Top 3 Opportunities for Artificial Intelligence in HealthcareRapid advances in the availability of big data and in machine learning offer significant opportunities to improve the healthcare system.
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Three Areas That Benefit From Provider-Led Health PlansStarting or strengthening a provider-led health plan leads to true integration, resulting in quality care.
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How Healthcare Organizations are Rethinking Executive CompensationHow one public trust healthcare system overhauled its overall compensation program and successfully transformed its financial operations.
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Top 3 Capabilities Health Execs Need in Care Management TechnologyThe right technology will enable increased population health efficiencies while simultaneously reducing the resource burden associated with managing that effort. Here are three specific capabilities to look for.
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How Pharma Reference Pricing Can Contain Healthcare CostsReference pricing models are emerging as increasingly popular approaches for lowering drug costs.
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CMS Reevaluates Stark Law in Response to Value-Based Care InitiativesAn RFI presents an important opportunity for the healthcare industry to educate CMS on current experiences and challenges.
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Four Data-Driven Best Practices for Reaching PatientsMarketing analytics can help drives decision making in healthcare. Here’s four best practices healthcare marketers should live by.
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Five Diabetes Factors Health Execs Should Care AboutPatients with diabetes care a lot about everything from price to choice-and you should too.
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Six Factors Holding Payers Back from Improving Star RatingsHere’s how payers can build an action plan to directly address their Health Outcomes Survey and CAHPS Star measures, and thus impact their overall Ratings.
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Five Healthcare Leadership Needs Fueled by Value-Based CareValue-based reimbursement models require different leadership to align the practice and move it forward around a team-based model of care.
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How the Stark Law is an Obstacle to Care CoordinationThe 30-year old regulation is in desperate need of modernization to fall in line with the changing needs of healthcare.
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What Health Execs Need to Know about Tissue-Agnostic Cancer Drug TrialsBasket trials are designed to test therapies that target a specific genetic mutation found in the tumor, regardless of tumor histology. This emerging trend raises a number of key questions for the industry.
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Dynamic Schedule Process Benefits Hospitals, Providers, and PatientsInaccurate forecasting of the time needed with patients can result in many negative effects, starting with a basic inability to accommodate for individual patient variability.
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U.S. Is an Outlier When It Comes to Maternal Mortality — and Not in Good WayThe U.S. maternal mortality is 10 times higher than the rate in countries such as Australia and Japan.
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Three Things Healthcare Executives Need to Know About the Retail EnvironmentThe importance of the retail setting as a hub for health engagement is increasing. Here’s three things you need to know about it.
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Community Organization Model Tackles Veterans’ Mental Health IssuesA group of community providers around Charlotte, North Carolina, joined to create a special workgroup to ensure that veterans have the best possible support to lead healthy lives.
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What Patients Want Healthcare Providers to Teach ThemHere is the one surprising thing that improves patients’ ability to effectively manage their own health.
