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America is facing a crisis with rising healthcare costs, especially when it comes to the costs of prescription drugs. Drug costs are skyrocketing—especially generic drugs whose costs logically could be expected to remain flat or even decrease. Although many factors contribute to rising healthcare costs, attention is beginning to focus on the largely hidden role played by pharmacy benefit managers (PBM).

Over the last three and a half decades, PBMs have expanded their behind-the-scenes role as claims administrators to become power players in a trillion-...

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"It’s important to understand the difference between adding physician workforce to an area with a clinical deficiency and creating a service line. Integration of that workforce into an established service line must result in alignment and congruency—it has to be done with clear goals and outcome metrics."
Gregory Kasper, president, Jobst Vascular Institute, ProMedica, Toledo, Ohio

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Succeeding as a nonprofit health system in the rapidly consolidating provider market is a challenge. Margins are tight and the financial leaders of these organizations are constantly tasked with finding reliable sources to drive revenue.

These executives need to balance short-term goals with expectations for long-term stability. There are several other factors that contribute to...

Health system executives are taking note of the significant impact data has already had on their respective systems and what they can expect going forward. Rather than playing catch up, some leaders are taking proactive steps to better understand big data and implement strategies to make it work for their bottom line.

Whether that is analyzing the numerous characteristics of their patient populations, ensuring accountability for the data provided, or diligently monitoring the flow of data across all systems, leaders are honing their skills by...

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