Five things to know about the role of GPOs in the healthcare …
WEBSep 14, 2017 · Based on our analysis, the following are 5 things to know about GPOs, their business model and role in the supply chain, and their impact on healthcare costs and competition: 1. GPOs source and negotiate prices for products and services. GPOs help source and negotiate prices for drugs, medical devices, and other products and services on …
Managed Healthcare Executive
WEBStudy eases some of the concern about Crohn's disease and ulcerative colitis creating undue infection risk. Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
How Capitation Contracts Benefit Providers, Payers and Patients
WEBMay 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to optimizing the patient/member experience within a narrower network of providers, and a robust digital infrastructure. Lynn Carroll is the chief operating officer of HSBlox, an ...
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
WEBSep 26, 2019 · The Biggest Issues Facing Healthcare Today. Healthcare executives rank the top 10 transformational themes for 2020. More than 100 C-suite and director-level executives voted on and then ranked the top 10 critical challenges, issues, and opportunities they expect to face in the coming year, during the 2019 HCEG Annual Forum.
PBMs are Creating GPOs, and Stirring Debate as to Why
WEBJul 12, 2022 · PBMs are Creating GPOs, and Stirring Debate as to Why. The Big Three all set up group purchasing organizations recently, but some industry observers question the timing of the move and who will benefit. In 2019, Express Scripts PBM (pharmacy benefit manager) formed Ascent Health Services GPO (group …
Eight Ways to Reduce Healthcare Administrative Costs
WEBOct 14, 2019 · The healthcare industry currently spends 12 cents of every dollar on administrative costs-costs that could be better spent on patient care. Here are eight ways that health insurers and hospitals can put the squeeze on administrative costs. 1. Simplify provider engagement. Given the complexity of the …
Study Finds Drug Coverage Changes in Medicare Part D Plans
WEBAug 22, 2024 · The number of both the standalone prescription drug plans (PDP) and the low-income subsidy (LIS) benchmark plans in Medicare Part D decreased between 2023 and 2024, according to a new review from Avalere. Of the 801 prescription drug plans offered in 2023 across the United States, 95 were no longer offered in 2024, which is a decrease of 12%.
MHE Publication - Managed Healthcare Executive
WEBMHE April 2022. Volume: 32. Issue: 4. View Issue. |. Download Issue. 1 2 3>. Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
Beyond the Big Three PBMs - Managed Healthcare Executive
WEBDec 19, 2022 · But beyond the big three PBMs is a swarm of some 60 smaller, up-and-coming PBMs. Even if they are operating in a small slice of the pie relative to the towering dominance of the big three, the PBM pie is growing rapidly. The global PBM market is projected to increase from $495 billion in 2022 to $740 billion by 2029 (a 50% jump), according to a ...
About Us - Managed Healthcare Executive
WEBhome / about. Managed Healthcare Executive ® is the leading resource for payer decision-makers. We provide industry news, market trends and peer-inspired insights about improving outcomes, enhancing the patient experience and lowering the cost of care. We are source of timely, accurate information about value-based care, cost-effectiveness ...