JT Lew, PharmD, MBA, managed care pharmacist at MultiCare Health System, spoke to the impacts of processes such as prior authorization and step therapy requirements in the realm of multiple sclerosis ...
This past May, Moody’s Investors Service put out a red flag to hospitals. The credit rating agency said if hospitals and health systems want to have a shot of success in the future, they will have to ...
Achieving successful payer-provider relationships is increasingly important for hospitals and health systems as they negotiate value-based care contracts. As a foundation to any negotiation, you must ...
John Michael O'Brien, PharmD, MPH, discussed the changes in managed care over the past 30 years to commemorate the 30th anniversary of The American Journal of Managed Care®. Over my 30 years in health ...
Losing money after providing care for a patient. This happens to us daily across thousands of post-acute care facilities in our country. We might provide a patient with two weeks of our best clinical ...
California hospices face a real problem! Some managed healthcare plans are not paying their bills. Since Medi-Cal shifted the patient care and the associated reimbursements to private insurers, some ...
2025 AUG 19 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Fresh data on Managed Care are presented in a new report. According to news reporting from Cambridge, ...
Reprinted with the permission from Surgical Management Professionals, as published in the Spring 2012 Issue of the SMP Connection, www.smpsd.com. Effective initial negotiation and ongoing maintenance ...
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