Plus, the agreement would have required the industry to pass along all rebates to the health plan sponsors, which include insurers and employers, in the commercial insurance market. It would also have effectively eliminated so-called “spread pricing,” in which the PBMs withhold part of the pay...
The International Monetary Fund (IMF), which oversees the global monetary system and lends money to economically troubled nations, has also specified an assessment methodology with the same name as the Optum one. Its framework focuses on accuracy, reliability, consistency and other data quality attri...
"The news of Brian Thompson's death has shocked and deeply saddened all of us. I knew him to be a visionary leader who developed innovative ideas to take on some of the nation's greatest challenges. His death is a great loss for our country and for the health care industry. Our heart...
The Key To AI Success? Don’t Start With The Technology Katie LinfordDecember 23, 2024 With all the relentless buzz about AI, it’s easy to start with the tool and then go searching for a way to use it. The problem with that is y...
Business experts predict that the upcoming Trump administrationwill be conduciveto greater M&A activity. Latshaw thinks this will be true for the pharmaceutical industry, resulting in larger, better-funded drug companies. “Most of the M&A activity in the space has been driven either by late-stage...
' billing records, which in turn are essential for efficient and error-free revenue cycle management. Many vendors develop RCM systems, either as standalone products or integrated with electronic health record (EHR) systems, including GE Healthcare, Accenture, Experian Health, Cerner and Optum360....
Many technology companies in the industry also provide proprietary solutions and paid services for (semi-)automated clinical coding including Deloitte90, Optum91, Capita92 and CHKS93. However, the research access and inner working of the systems are usually not available, leaving it hard to ...
The opaque industry secretly inflating prices for prescription drugs The job of the PBM is to save money on your medications. But The New York Times found that the three biggest PBMs are often making you pay more than you should. Here’s what to know about your PBM and how to find out...
What Companies Are In The Health Care Field? | Top 10 Biggest Healthcare Companies. There are diverse employment opportunities in the health care industry. Whether you work in insurance, corporate health care, IT and engineering or as a medical practitio
"This latest attack is just more evidence that the status quo isn't working and we have to take steps to shore up cybersecurity in the health industry," said Sen. Mark Warner (D-Va.), the chair of the Senate Select Committee on Intelligence and a longtime advocate for stronger cybersecu...