Susan Morse
Minor differences in co-payments sometimes mask exponential differences between similar generic formulations.
By empowering patients with a single access point to all their data, the exchange also benefits providers and payers.
Providers get a reduced wait time in the prior authorization process, which is usually manual and paper-based.
The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.
Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.
NLP application embedded during coding phase allows for better compliance and more precise reimbursement.
DOJ also filed a motion to stay the Affordable Care Act appeals case until after funding is restored.
The February 19 deadline does not give ACOs enough time to consider the upside risk they'll have to take in the overhauled program, NAACOS says.
The healthcare industry is on the cusp of significant change in telehealth as both Congress and CMS have come around to virtual health's power to decrease costs.
CMS wants to make the rule actionable so that consumers and physicians consider price, creating comparison shopping that creates provider competition.