Tag Archives: Medicare

Hospital, Trends

Trusts, Busting (Telehealth and Rx Blooming?)

Posted on by Greg Judd

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 […]

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Pharmacy Benefit Managers

Anthem Accelerating IngenioRx Roll-Out

Posted on by John Santilli
25
Apr

Anthem, Inc. established a new pharmacy benefits manager called IngenioRx in October 2017 and entered into a five-year agreement with CVS Health’s Caremark subsidiary to begin offering PBM solutions. In January 2019, Anthem terminated the Express Scripts PBM Agreement earlier than the original expiration date of December 31, 2019 due to the recent acquisition of […]

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Health Insurance

Centene Looking for Growth Beyond WellCare

Posted on by John Santilli
28
Mar

Centene Corp. announced that it will buy fellow Medicaid insurer WellCare Health Plans in an estimated $17.3 billion deal. When finalized, the two insurers would cover nearly 22 million people in Medicare, Medicaid and the ACA exchanges. Centene CEO Michael Neidorff will serve as chairman and CEO of the merged company. Centene’s shareholders would own […]

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Medication therapy management

Tabula Rasa HealthCare Acquiring PrescribeWellness

Posted on by John Santilli
08
Mar

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. […]

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Uncategorized

Telehealth Applications Patient Care

Posted on by John Santilli

Telehealth Applications Patient Care Rita M. Marcoux, RPh, MBA; F. Randy Vogenberg, PhD, RPh, FASHP June 2016, Vol 7, No 5 – Employers’ Perspective – Value-Based Cancer Care The term telehealth is used interchangeably with telemedicine by some organizations. However, telemedicine is typically associated with the delivery of traditional clinical diagnosis and monitoring by using […]

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Trends

Impact of Commercial Insurance in 2017

Posted on by John Santilli
Clinical trial collaborations – an idea whose time has come
20
May

Impact of Commercial Insurance in 2017 – Considerable attention and planning has been focused on the Medicare market, but as we see from the chart below, Medicare represents approximately 13% of the total population.   Employer 49% Medicaid 19% Medicare 13% Uninsured 10% Non-Group 6% Other Public 2% (Source: Kaiser Family Foundation) A recent Mercer […]

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Market Intelligence

Long-Term Care Acute Hospitals Represent a Growing Market

Posted on by AMI
24
Jun

There are approximately 400 long-term acute care hospitals in the United States. Long-term acute care hospitals include critically ill patients who may live there for months or longer. According to the New York Times, the cost of long-term acute care is substantial, about $26 billion a year in the United States, and by one estimate […]

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