Tag: Health Services Pricing

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 […]

Investor group pushes big pharma to report links between pricing and executive compensation | Becker’s Hospital Review

Investor group pushes big pharma to report links between pricing and executive compensation | Becker’s Hospital Review

A group of institutional investors, with more than $400 billion of assets, is urging big pharmaceutical manufacturers to begin reporting links between drug pricing strategies and executive compensation, according to Bloomberg. The Interfaith Center on Corporate Responsibility, submitted shareholder proposals at the annual meetings of Abbvie, Amgen, Biogen, Bristol Myers Squibb and Eli Lilly Co. […]

Consumers using price transparency to budget, not comparison shop | BenefitsPRO

Consumers using price transparency to budget, not comparison shop | BenefitsPRO

People looking for health care coverage aren’t using price transparency tools to shop around for cheaper providers. Instead, says a new study, they use them to plan for out-of-pocket expenses. The Accenture study, reports Modern Healthcare, gives the lie to the claim that consumers will shop around for the cheapest providers if they know the […]

Consumers use price transparency tools to financially plan, not shop around | Modern Healthcare

Consumers use price transparency tools to financially plan, not shop around | Modern Healthcare

The majority of healthcare consumers use price transparency tools to financially plan, a new survey found, contradicting claims that consumers will shop around for the cheapest providers if they know the price before obtaining care. The survey, released this week by Accenture, reported that nearly half of consumers, 46%, seek price information to budget for […]

Miami Healthcare Executives Advise National Audience About Impending Price Transparency | PRWeb

Miami Healthcare Executives Advise National Audience About Impending Price Transparency | PRWeb

The SHSMD conference attracted nearly 2,000 healthcare marketing professionals, and the event included sessions from some of the nation’s most distinguished thought leaders in the healthcare marketing and communications space, including Weinbach, Irizarry, and Klass. “Thanks to high-deductible health plans and increasing insurance premiums, the healthcare cost burden is shifting, and consumers bear a greater […]

Health minister to consider U.S. drug firms’ views in pricing overhaul | Japan Today

Health minister to consider U.S. drug firms’ views in pricing overhaul | Japan Today

“We will thrash out a drastic revision by the year-end, while hearing opinions of interested parties through Central Social Insurance Medical Council.” The council is an expert panel that advises the ministry and canvasses the views of industry representatives. Japan wants to cut healthcare costs and drug prices even if this provokes opposition from U.S. […]

Lilly Plans Cuts as Pricing Pressure Drives New-Drug Push | Bloomberg Quint

Lilly Plans Cuts as Pricing Pressure Drives New-Drug Push | Bloomberg Quint

(Bloomberg) — Eli Lilly & Co. plans to cut 8.5 percent of its workforce in a bid to free up resources to fund new drugs, amid acute pricing pressure for some of its biggest products. The Indianapolis company said some of the 3,500 job cuts will come from early retirements, with about 2,000 positions set […]

Truveris Secures $25 Million in New Funding to Help Reduce Cost and Improve Access to Prescription Medications | Digital Journal

Truveris Secures $25 Million in New Funding to Help Reduce Cost and Improve Access to Prescription Medications | Digital Journal

“Truveris’ data-driven platform enables employers to create a more symmetrical buying process for prescription drug coverage by demystifying pricing strategies in PBM contracts and driving more transparent competition,” said Tom Rodgers, SVP & Managing Director at McKesson Ventures. “It also helps Biopharma make smarter decisions about where and how it subsidizes patient assistance programs. The […]

How Healthi is using predictive analytics to promote preventive healthcare | YourStory

How Healthi is using predictive analytics to promote preventive healthcare | YourStory

The challenges “When we started we thought our biggest challenge would be taking the healthcare report and making sense of it. But what we found was that most partners we worked with had customised systems and no standard mechanisms. So the challenge was how do we talk to multiple players and get the systems to […]