Hospital/Health-System Pharmacy

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.
Four ways clinical decision support can improve outcomesThe advantages of using an advanced clinical decision support system fall into four general “reducing” categories. Here they are.
Three ways to rein in drug costs regardless of who becomes presidentIt’s time for stakeholders to cooperate in order to limit the wasted spending on prescription medications and chart a path to collectively improving value derivation.
Biosimilars and interchangeable biologics: News to watchBiosimilars in the United States are slowly gaining traction, but widespread confusion and legal barriers remain.
Health execs must brace for autoimmune drug changesA comprehensive understanding of this rapidly increasing drug class is essential to integrate pharmacy and medical claim information.
Four reasons why a hospital should open an integrated pharmacyWhen is retail right? Consider these four benefits that will impact the bottom line.