Tag Archives: ACA

Key Strategic Trends that Impact Healthcare Decision-Making and Stakeholder Roles in the New Marketplace

By John Santilli, MBA, and F. Randy Vogenberg, PhD, RPh After the passage of the Affordable Care Act (ACA) in 2010, market changes beyond those already in play began to emerge. Traditional roles, responsibilities, and authority could now be tested or altered as a result of some sections of the ACA. One result is that […]

The Changing Roles of P&T Committees: A Look Back at the Last Decade and a Look Forward to 2020

Originally published at Pharmacy & Therapeutics – November 2014   http://www.nxtbook.com/nxtbooks/medimedia/pt_201411/src/forms/PT_November_2014_iframe_live.html#/38 Market and regulatory changes in the last 10 years, as well as the Affordable Care Act, have resulted in significant modifications to health care delivery models.  Traditionally, P&T committees limited the impact of their decisions to the populations associated with their hospital or health plan; […]

ACA is Limiting Patient Access to Cancer Centers

Some of America’s best cancer hospitals are off-limits to many of the people now signing up for coverage under the nation’s new health care program, according to a recent story in the Washington Post. An Associated Press survey found examples coast to coast. Seattle Cancer Care Alliance is excluded by five out of eight insurers […]

Brokers and EBCs React to Market Changes

Major shifts in the health care market, including the increasing adoption of private exchanges, continue to disrupt the health care landscape as we’ve known it. Those benefit managers and advisers who embrace the change ahead and adapt to it will be the ones that are successful, according to Employee Benefit News. Access Market Intelligence’s quarterly […]

Tier 2 is Dead! Consumerism is having an effect on sales.

It’s not just Health Care Reform that is turning the world of health care upside down. The cost shift to both the employee/consumer is dramatic and having an effect on sales.  The old paradigm of success being defined as having Tier 2 access is no longer valid. The out of pocket burden for the employee/consumer […]