Tag: Health Insurance Pricing

Colorado bill relies on transparency to lower health care prices, critics say it might not work | Denver Post

Colorado bill relies on transparency to lower health care prices, critics say it might not work | Denver Post

Let’s say you need a colonoscopy. (Sorry about that.) And let’s also say you know there’s one hospital in Colorado that quotes a price of more than $5,000 for the procedure and several that quote a price of around $1,500 and a couple more that come in with prices under $1,000. Would you choose to […]

Express Scripts Targets New Migraine Drugs to Change U.S. Pricing Dynamic | P&T Community

Express Scripts Targets New Migraine Drugs to Change U.S. Pricing Dynamic | P&T Community

The largest U.S. manager of prescription benefits is telling drug-makers that the current pricing model is broken and is taking aim at Amgen and other makers of new migraine medicines to try and fix it, according to a Reuters report. Express Scripts told Reuters it is pressing them to forego the usual strategy of setting […]

Express Scripts’ plan to change drug pricing dynamic | Fox Business

Express Scripts’ plan to change drug pricing dynamic | Fox Business

Express Scripts told Reuters it is pressing them to give up on the usual plan of setting a high U.S. list price, then lowering the cost for health plans through hefty rebates. It is also seeking a refund if the drugs don’t work within a defined timeframe. That would also bring down costs. Wall Street […]

Will the proposals for fee transparency really improve consumer access to legal services? | Today’s Conveyancer

Will the proposals for fee transparency really improve consumer access to legal services? | Today’s Conveyancer

The nature of conveyancing can lend itself to set price structures. Many firms within a comprehensive 2014 study offered fixed fee conveyancing at around 74%, with the majority of the remaining offering a combination of both fixed fees and hourly rates (22%.)[6] As well as implying that it would be a prime case for fees […]

4 Big Opportunities for Entrepreneurs to Help the U.S. Healthcare System Save Money | Entrepreneur

4 Big Opportunities for Entrepreneurs to Help the U.S. Healthcare System Save Money | Entrepreneur

4. Switch to strategic pricing. Healthcare systems need to stay up-to-date with technology while keeping costs down. The main cost areas would be maintaining the electronic records system, as well as having not just the latest, but most practical technology. This will require working with management to create suitable capital budgets. The healthcare system will have to […]

States Stepping into the Breach on Drug-Pricing Transparency | Lexology

States Stepping into the Breach on Drug-Pricing Transparency | Lexology

In recent months President Trump, Food and Drug Administration Commissioner Scott Gottlieb, and Health and Human Services Secretary Alex Azar have all spoken publicly about the need to lower prescription drug prices and make the pricing models used by the nation’s drug manufacturers more transparent to consumers.  While at the federal level there has been […]

Trump plans first major speech on drug prices next week | POLITICO

Trump plans first major speech on drug prices next week | POLITICO

President Donald Trump is set to deliver his first major speech on drug prices on April 26, revisiting an issue he campaigned on but that is unlikely to yield major legislative changes. The strategy is unlikely to call for actions of the sort Trump touted on the campaign trail like allowing the government to negotiate […]

Three Big Reasons U.S. Healthcare Spending Outpaces Other High-Income Countries | Managed Healthcare Executive

Three Big Reasons U.S. Healthcare Spending Outpaces Other High-Income Countries | Managed Healthcare Executive

Key finding #2: Per capita spending for pharmaceuticals was $1,443 in the United States, compared with a range of $466 to $939 in other nations. For several commonly used brand-name pharmaceuticals, the United States had substantially higher prices than other countries. According to a Kaiser Family Foundation report, the United States is the world leader […]

This Medical Bill Can’t Be Right, Can It? | Medscape

This Medical Bill Can’t Be Right, Can It? | Medscape

Cutting the Cost of Care A recent study in JAMA[1] revealed that the high cost of healthcare in the United States is largely related to the price of labor (higher physician and nurse salaries) and goods (including pharmaceuticals and medical devices), more utilization of expensive CT and MRI scans, and higher administrative costs. The healthcare […]

CVS To Compare Drug Prices At The Pharmacy Counter | Forbes

CVS To Compare Drug Prices At The Pharmacy Counter | Forbes

CVS Health will introduce a new effort to help customers compare drug prices for more transparency at its pharmacy counters, ratcheting up pressure on the pharmaceutical industry and drug costs. Pharmacists have long advised patients on whether a drug is covered by insurance or whether a cheaper generic is available. But CVS admits a more […]