Hospital/Health-System Pharmacy

Will Trump administration welcome CMS’ mandatory cardiac bundle?HHS secretary nominee Tom Price has voiced opposition to bundled payments. One expert talks about mandatory and the possibility of voluntary bundled payments.
Five ways to close gaps in care and build a successful quality improvement programBy deploying a proactive, year-round strategy that aligns data analytics with a focused approach for addressing gaps in care, your organization can turn routine quality measurement and reporting activities into a true strategic advantage by ensuring that quality measurably improves across key metrics.
Four things to know about the 21st Century Cures ActThe 21st Century Cures Act, a landmark medical research bill, offers healthcare executives a promising future.
Eight ways Trump could change MedicaidExperts share their ideas on how President-elect Trump could change the single largest source of insurance in the country.
Insurer's foundation heart initiative addresses cardiovascular disparitiesThe Independence Blue Cross Foundation Healthy Hearts Initiative aims to improve survival rates for sudden cardiac arrest, increase CPR preparedness.
Three concepts to consider for bundled payment successThe path to bundled payment success can be daunting. Here’s three universal concepts that will promote success under the various CMS models.
Do retail clinics decrease emergency room visits?Retail clinics emerge as a way to satisfy the growing demand for healthcare created by the newly insured under the ACA, but contrary to expectations, they do not appear to be leading to meaningful reductions in low-acuity ED visits.
Medicaid MCOs must use caution when reporting dataFailure to report accurate data can result in significant penalties for Medicaid managed care plans.
P4P programs feasible in addiction settingsAlcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.
Insurer: No more prior auths for opioid addiction medsAs part of efforts to combat the opioid epidemic, Cigna removes prior authorization from medication-assisted treatment for opioid use disorder.