Clinical CareCalifornia Achieves $345M in Cost Avoidance Through Federal Clinical Practice Initiative
Practice transformation networks engage 9,800 physicians who serve 5.9 million patients in The Golden State.
StrategyWorried About Costs of Complex Conditions, Employers Flock to Centers of Excellence
More than three-quarters of large and 'jumbo' employers report using a Centers of Excellence strategy, according to an Optum survey.
Clinical CareNHIS: Diabetes Drug Costs Spur Non-Adherence
18% of patients younger than 65 say they can't afford to take meds as prescribed.
FinanceSpecialty Drugs Account for 40% of Employers' Drug Costs
A survey found that specialty drugs have an outsized impact on employer prescription drug spending.
Clinical CareTrump Administration Hits Brakes On Law To Curb Unneeded Medicare CT Scans, MRIs
Critics worry the delays come at a steep cost: Medicare paying for millions of unnecessary exams and patients subject to...
FinanceEmployers to Combat Rising Health Benefit Costs With Virtual Care Solutions
Nearly 40% of employers indicated that a more focused strategy on high cost claims was a top priority for 2020.
Louisiana Signs Up for 'Subscription' to Hep C Treatment
Deal with drug company will cap the states' treatment costs.
Class-Action Lawsuit Seeks To Let Medicare Patients Appeal Gap in Nursing Home Coverage
Observation patients may have to pay a larger share of the hospital bill than if they were admitted to the...
FinanceTo Save Money, American Patients And Surgeons Meet In Cancun
Hospital costs in the U.S. are so high that it made financial sense for a surgeon from Milwaukee and a...
Where Tourism Brings Pricey Health Care, Locals Fight Back
In an area where average emergency room claims reached 842% of Medicare rates, residents of a Colorado county found relief...
FinanceLack of Price Transparency Biggest Factor to Negative Patient Experience
Patients are seeking a more seamless process at hospitals, but often lack the proper financial literacy.
Finance1.3% of Enrollees Account for Nearly 20% of Spending in Larger Employer Health Plans
Enrollees with 'persistently high spending' over three years averaged almost $88,000 in health spending in 2017.