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Tag: Health Insurance Pricing

MedPAC Recommends New Part B Pricing System | Medpage Today

MedPAC Recommends New Part B Pricing System | Medpage Today

WASHINGTON — The Medicare Payment Advisory Commission (MedPAC) voted unanimously Thursday to recommend a competitive pricing program and make other changes to reimbursement for drugs under Part B of the Medicare program. “Medicare, as a large third-party payer, always needs to take steps to make sure it’s paying the right amount,” said commission member Paul […]

Direct primary care, a no-insurance healthcare model | Business Insider

Direct primary care, a no-insurance healthcare model | Business Insider

Dr. Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016, he decided he no longer wanted a boss. He took some time off, then one day he got a call asking if he’d be up for doing a house call for a […]

Stents pricing: Govt asks hospitals to make prompt refunds | The Economic Times

Stents pricing: Govt asks hospitals to make prompt refunds | The Economic Times

NEW DELHI: No action will be taken against hospitals under the scanner for overcharging on stents if they refund the money to patients before receiving a demand notice, drug price regulator NPPA said. The National Pharmaceutical Pricing Authority (NPPA) said the matter would end there for such hospitals if there were no further complaints. “If […]

National Pharmaceutical Pricing Authority slashes stent prices by up to 85% | Times of India

National Pharmaceutical Pricing Authority slashes stent prices by up to 85% | Times of India

The National Pharmaceutical Pricing Authority on Monday fixed the ceiling price of drug eluting stents (DES) and bioresorbable stents at Rs 30,000 and that of bare metal stents at Rs 7,500. The prices will be effective from notification on February 14. This comes as a huge relief to lakhs of patients who have to undergo […]

Prices of stents likely to be capped | The Hindu

Prices of stents likely to be capped | The Hindu

Last month, a notification from Ministry of Chemicals and Fertilizers and Department of Pharmaceuticals to include coronary stents in Schedule I of the Drug Pricing Control Order triggered several discussions among the stakeholders as the drug eluting stents and bio-absorbable vascular scaffolds were listed under the same serial number. The stakeholders fear that both types […]

Advisers raise concerns about VitalityHealth PMI pricing changes | Professional Adviser

Advisers raise concerns about VitalityHealth PMI pricing changes | Professional Adviser

Private medical insurance (PMI) advisers have questioned whether VitalityHealth’s change to its pricing strategy will adversely affect customers. The health insurer announced this week that renewal premiums will now be based on an ‘ABC’ model which takes into account increasing Age; the Base medical inflation rate; and a new Claims and wellness engagement measure. The […]

Most hospitals, health systems lack consumer-centered capabilities: 5 things to know | Becker’s Hospital Review

Most hospitals, health systems lack consumer-centered capabilities: 5 things to know | Becker’s Hospital Review

2. Hospitals and health systems are applying the information they have about consumers in a broad range of areas. Marketing/communications (93 percent) and strategic planning (84 percent) are the most commonly cited areas, the study found. Respondents also indicated use in planning for facilities, products and services (75 percent); site selection (55 percent); investment (52 […]

Only 23% Have Consumer-Centered Healthcare Capabilities | RevCycle Intelligence

Only 23% Have Consumer-Centered Healthcare Capabilities | RevCycle Intelligence

Researchers found that many healthcare organizations faced significant capability gaps across the core elements of consumer-centered healthcare, including patient experience, strategic consumer insights, broad patient access, and strategic pricing. For example, most healthcare leaders (79 percent) reported that patient experience was a high priority, but only 18 percent said their level of capability was advanced. […]

Hospitals Adopt a Retail Approach to Gain Patient-Customers | AJMC

Hospitals Adopt a Retail Approach to Gain Patient-Customers | AJMC

US hospitals must compete with retail clinics, standalone surgical centers, and walk-up medical facilities for customers, so their prices must be more transparent, accessible, and defensible. In other words, health systems have to think more like retailers as they adjust their approaches to attracting and retaining consumers. With Americans facing higher deductibles and other cost-sharing […]

Most Health Systems are Unprepared for Consumerism, Survey Finds | Healthcare Informatics Magazine

Most Health Systems are Unprepared for Consumerism, Survey Finds | Healthcare Informatics Magazine

“Enabled by the internet, navigating high deductibles, managing busy lives, and focusing on staying healthy, consumers are shopping for new levels of access, convenience, and price. At the same time, the emergence of value-based payment links health system revenue to the ability to maintain consumer loyalty and to engage patients in health improvement,” the report […]