How Capitation Contracts Benefit Providers, Payers and Patients
May 11, 2023 · The Covid-19 pandemic triggered a dramatic decline in patient volume that devastated revenues for provider organizations operating under the fee-for-service (FFS) …
Beyond the Big Three PBMs - Managed Healthcare Executive
Dec 19, 2022 · By almost any measure, the PBM business is one dominated by the major players. In 2021, CVS Caremark led the industry, controlling 34% of total adjusted claims, followed by …
Five things to know about the role of GPOs in the healthcare …
Sep 14, 2017 · The debate over how to stem the rising costs of healthcare has assumed a central role in the public policy conversation. Because healthcare group purchasing organizations …
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
Sep 26, 2019 · 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, …
Managed Healthcare Executive
Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
The Next Generation of PBMs: New Technology, Simpler Business …
Aug 10, 2020 · Introduction. The COVID-19 pandemic has had a deep and profound impact on American businesses both large and small. As the country inches back to a “new normal,” …
PBMs are Creating GPOs, and Stirring Debate as to Why
Jul 12, 2022 · In 2019, Express Scripts PBM (pharmacy benefit manager) formed Ascent Health Services GPO (group purchasing organization), based in Switzerland.
Optum Rx to Provide Weight Loss Management Program
Dec 12, 2023 · Beginning Jan. 1, 2024, Optum Rx will begin offering plan sponsors a new weight management and wellness support program. Called Optum Rx Weight Engage, the program is …
PBM vs. PBA: The pros and cons - Managed Healthcare Executive
Sep 2, 2015 · SternCraig Stern, PharmD, president, Pro Pharma Pharmaceutical Consultants, Canoga Park, California, says that the demand for transparency in managing pharmacy …
Gravie Introduces First-Of-Its-Kind Zero-Copay,-Deductible …
Jul 8, 2020 · Gravie, an innovative health benefits company, recetly introduced the first-of-its-kind zero-deductible, zero-copay health plan.The new plan, called Gravie Comfort, offers 100% …