Tag Archives: CMS

New CMS Hospice Modification to Improve Expectations for Medications and Services

CMS Hospice modification is intended to reduce or eliminate confusion related to expected medications or services provided.

DeliverCareRx Aggressively Expanding Hospice Pharmacy Services Nationwide

DeliverCareRx, a national hospice pharmacy works with the PBM to provide services focused on patient care, nurse efficiency and improved financial performance for hospice administrators

Amedisys Planning Rapid Growth in Home Care

Amedisys plans to increase its merger and acquisition activities to purchase as many as 2,000 small home health agencies

Trusts, Busting (Telehealth and Rx Blooming?)

Last week, the Social Security and Medicare boards of trustees released their annual financial forecasts, and media reports predictably led with their scariest interpretation of those forecasts: “Hospital fund set to run out by 2026” read one typical headline. The trustees have a long-established track record of, well, let’s call it “conservative” forecasting, and nothing […]

States Begin to Take Action Against Copay Accumulator Programs

The CMS recently finalized a rule that would allow health insurers to implement copay accumulator programs to prevent drug manufacturer coupons from applying to a patient’s annual limit on out-of-pocket costs in situations where a generic drug is available. The copay “accumulator” program tracks employee use of a copay coupon and ensures the money does […]

Tabula Rasa HealthCare Acquiring PrescribeWellness

Tabula Rasa HealthCare (TRHC) is a leader in providing patient-specific, data-driven technology and solutions that enable healthcare organizations to optimize medication regimens to improve patient outcomes, reduce hospitalizations, lower healthcare costs and manage risk. TRHC provides solutions for a range of payers, providers and other healthcare organizations.  TRHC announced that it will be acquiring PrescribeWellness. […]

Telehealth Use by Skilled Nursing Growth Continues

The use of telehealth, or telemedicine, continues to grow across the skilled nursing market

Value-Based Contracting in Commercial Insurance

Background on risk-sharing and insight into risk-sharing agreements from a payer’s and manufacturer’s perspective.