How Capitation Contracts Benefit Providers, Payers and Patients
May 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to …
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
Aug 27, 2024 · Article. The monthly price of the 2.5 mg Zepbound single-dose vial is $399 and the 5 mg dose is $549, which Lilly officials said is in line with the savings program for without …
Beyond the Big Three PBMs - Managed Healthcare Executive
Dec 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 …
Five things to know about the role of GPOs in the healthcare …
Sep 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 …
Express Scripts to Remove Humira from Commercial Formularies
Aug 26, 2024 · Beginning in 2025, Express Scripts will remove Humira (adalimumab) from its commercial formularies, favoring instead several biosimilars. Biosimilars that will be available …
PBMs are Creating GPOs, and Stirring Debate as to Why
Jul 12, 2022 · PBMs are Creating GPOs, and Stirring Debate as to Why. The Big Three all set up group purchasing organizations recently, but some industry observers question the timing of …
Conferences - Managed Healthcare Executive
Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
FHIR Interoperability: What is it and Why Should We Care?
Jun 11, 2020 · Article. Fast Healthcare Interoperability Resources, or FHIR, is a long-awaited interoperability rule that will enable seamless, on-demand information exchange of clinical …
CVS CEO Karen Lynch Takes over Day-to-Day Management of Aetna
Aug 7, 2024 · Aetna president Brian Kane has left CVS Healthcare, and CEO Karen Lynch will assume direct leadership of the company’s Health Care Benefits segment. The move was …
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
Sep 26, 2019 · The Biggest Issues Facing Healthcare Today. Healthcare executives rank the top 10 transformational themes for 2020. More than 100 C-suite and director-level executives …