Healthcare
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N.C. Healthy Opportunities Pilot Platform Integrates Medicaid Eligibility Verification
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The North Carolina Department of Health and Human Services' Healthy Opportunities Pilot Program (HOP) recently implemented the ability to verify member ...

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A primer on brand-name prescription drug contracting – Healthcare Economist
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The above is the title of a useful manual of Kenney and Keast (2024). Below I summarize some key points. Provide an overview of pharmacy contracts ...

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APG’s Susan Dentzer: We’ve Got to Inspire PCPs Forward Into Value-Based Care
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The press release jointly released by the two senators' offices began: “As part of their continued work to address primary care challenges and reform physician ...

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At Senate Hearing, Experts Call for More Dental Coverage in Medicare, Medicaid
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At a May 16 hearing of the U.S. Senate Committee on Health, Education, Labor and Pensions, experts argued for adding comprehensive dental coverage to Medicare ...

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Honoring Lyme Disease Awareness Month with a Multi-Year Plan to Change the Lyme Disease Status Quo
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As part of Lyme Disease Awareness Month in May, the U.S. Department of Health and Human Services launched the Lyme Innovation Initiative and LymeX Innovation ...

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WEDI: HHS Should Create Office of National Cybersecurity Policy
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The Working Group on Electronic Data Interchange (WEDI) says the Department of Health and Human Services (HHS) should create an Office of National ...

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President Biden’s Lower Cost Prescription Drug Law is Promoting Women’s Economic Security
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Imagine facing the daily challenges of managing your chronic illness and then discovering that the medication vital to your well-being has a price out of your ...

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RAND Study Confirms Higher Reimbursement from Private Payers
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According to a new RAND report, prices paid to hospitals during 2022 by employers and private insurers averaged 254 percent of what Medicare would have paid. ...

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Part 3 – Healthcare Economist
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See my previous posts on negotiating IRA prices in drug selection (Part 1) and sending manufacturer data (Part 2). Today we will talk about the ...

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EHR Association Makes Recommendations on SDOH Data Capture
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An EHR Association working group has made recommendations on how social determinants of health (SDOH) data should be captured in electronic health records. ...

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Part 1 – Healthcare Economist
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CMS launched Guidance on Negotiating IRA Prices last week. Below are some highlights on how medications will be selected. What medications are eligible ...

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Syphilis Is a Public Health Priority
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As a sexually transmitted infection (STI), syphilis is a public health threat in the United States and has reached crisis level. Syphilis cases in the United ...

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