Tag Archives: outpatient

Large Insurers Implementing White Bagging Policies

Large insurers are implementing policies requiring health care providers to get provider-administered therapies from specialty pharmacies

Insurers Using Site of Care Optimization to Reduce Specialty Drug Costs

Manufacturers are increasingly being affected by the commercial insurance market’s shift of medical coverage policies to lower-cost alternate sites

Genoa Healthcare, an OptumRx subsidiary, Continues its Growth Strategy

Genoa Healthcare is the largest provider of pharmacy, outpatient telepsychiatry and medication management services

PeaceHealth Latest to Join Health System Urgent Care Trend

Health systems are increasingly investing in express care strategies to expand their reach deeper into their communities as well as cut costs. Health systems are seeking to connect with the patient at all levels of care and are creating their own urgent care centers and often affiliating themselves with retail clinics. Urgent care centers can […]

Insurers-Hospitals Face Cost Structure Change

Knowsource.com Announces Transition to Access Market Intelligence

Insurers-Hospitals Face Cost Structure Change Insurance fundamentals (risk) that supersede the ACA are driving changes seen in coverage, and at a more rapid pace each year, resulting from ACA impacts. One of those changes has been a significant increase in the use of alternate sites of care (ASOCs) due to medical policy changes driven by […]

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; […]