Tag: Health Insurance Pricing

Greg Walden pursues giving consumers more information on health prices | The Washington Examiner

Greg Walden pursues giving consumers more information on health prices | The Washington Examiner

A top House lawmaker wants consumers to have as much information as possible on what health services such as MRIs, pharmaceuticals, or CT scans cost. Energy and Commerce Committee Chairman Greg Walden, R-Ore., said Wednesday that he is speaking with colleagues in the Senate on greater price transparency. The remarks come a few days after […]

Smart health care shoppers are saving money and getting cash awards | Detroit Free Press

Smart health care shoppers are saving money and getting cash awards | Detroit Free Press

Insurers rolled out these cost calculators as more of their customers enrolled in high-deductible health plans that require spending hundreds or thousands of dollars out of pocket each year before insurance kicks in. It’s still to be determined whether price transparency on its own can substantially slow the rise or even lower the costs of health care, and, by extension, insurance premiums. Early research suggests that […]

Engaging Patients, Engaging the Public | Pharmaceutical Executive

Engaging Patients, Engaging the Public | Pharmaceutical Executive

Has the emphasis on pricing been too prominent in the reputation debate? The whole pricing debate does detract from what the industry is really about, which is bringing good health and longevity to people through innovation. Healthcare costs are multifactorial; aging populations, infrastructure costs and increasing wage bills all contribute to increasing societal costs.  The […]

Bill Cassidy says it’s unlikely Republicans will take another stab at Obamacare alone | Washington Examiner

Bill Cassidy says it’s unlikely Republicans will take another stab at Obamacare alone | Washington Examiner

Graham-Cassidy would convert Obamacare’s funding for the Medicaid expansion and subsidies toward the purchase of insurance to block grants, providing more flexibility to states. It would also seek to restrain Medicaid spending by giving states a fixed amount per beneficiary and controlling its rate of growth. Cassidy said that he hopes to get traction on […]

A Better Way to Disrupt Health Care | Bloomberg

A Better Way to Disrupt Health Care | Bloomberg

Amazon, Berkshire Hathaway and JPMorgan Chase say they’re putting their heads together to make health care better and less expensive for their employees. Just possibly, it’s a partnership that could disrupt the U.S. health-care system — in a good way. The market value of insurance companies and pharmacy-benefit managers dropped on the announcement, a sign […]

2018 Best in KLAS Taps Vendors for Claims Admin, Price Transparency | HealthPayer Intelligence

2018 Best in KLAS Taps Vendors for Claims Admin, Price Transparency | HealthPayer Intelligence

January 31, 2018 – The 2018 Best in KLAS report ranked the best vendor solutions for payer claims administration, care management, price transparency, and payer analytics based on five industry performance criteria. KLAS ranked vendor solutions based on sales and contracting, implementation and training, functionality and upgrade capabilities, and customer support. KLAS rankings included a mix of new and […]

Bureaucrats, not doctors, are making healthcare so expensive | Washington Examiner

Bureaucrats, not doctors, are making healthcare so expensive | Washington Examiner

This bureaucracy also distorts necessary healthcare price signals at best, and engages in outright price fixing at worst. Clear and unfettered price signals would help keep prices down because they convey vital information for patients and providers. In a free market, a high price for avocados sends the message that first, avocados should be economized […]

Trump’s HHS pick appears to be on track for confirmation | POLITICO

Trump’s HHS pick appears to be on track for confirmation | POLITICO

Azar, a former pharmaceutical executive and HHS official in George W. Bush’s administration, is expected to lead efforts to unwind the Affordable Care Act through regulation, pursue conservative change to entitlement programs long sought by Republicans and follow through on Trump’s unfulfilled pledge to tackle soaring drug prices. With many Republican lawmakers wary of waging […]

How Payers Can Build a Successful Bundled Payment Strategy | HealthPayer Intelligence

How Payers Can Build a Successful Bundled Payment Strategy | HealthPayer Intelligence

The Bundled Payments for Care Improvement (BPCI) Initiative helped cut Medicare reimbursements at participating hospitals by $3,286  during its first 21 months for lower extremity joint replacements.  The BPCI is split into four bundled payment models with different strategies for when an episode of care starts. Each of the models relies on 48 MS-DRGs codes […]

Get ready for a revived brawl over single-payer healthcare in California | LA Times

Get ready for a revived brawl over single-payer healthcare in California | LA Times

3. Prescription drugs remain in the spotlight Labor groups, consumer advocates and health insurers notched some major wins against the pharmaceutical industry in 2017. Two high-profile laws passed: increasing disclosure on how prescription drugs are priced and cutting back on the use of discount coupons, which some studies suggest help contribute to high premiums. The […]