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R.I.P rebate rule: Centerpiece plucked from Trump’s drug pricing blueprint

July 17th, 2019 | Posted in Uncategorized

BY STEVEN PORTER  |   Health Leaders Media An ambitious proposal that threatened to kill the rebates pharmacy benefit managers (PBM) negotiate with drug manufacturers has instead been left for dead. President Donald Trump decided to withdraw the rebate rule after a thorough review, a White House spokesperson told The Wall Street Journal and other news outlets Thursday morning. While the PBMRead More

Did a health plan deny a client care? You can fight back

July 17th, 2019 | Posted in Uncategorized

By Bernard J. Wolfson | Kaiser Health News Have you (or a client) ever stepped up to the pharmacy cash register only to learn your new prescription will cost you hundreds of dollars — instead of your typical $25 copay — because insurance doesn’t cover it? Or received a painfully high bill for a medical testRead More

Encourage conversation about costs between clinician and patient

June 19th, 2019 | Posted in Clinical Trends, Consumer Focus, Insurance Coverage

By Alexandra Wilson Pecci | HealthLeaders Media Many revenue cycle leaders want to be the gatekeepers of cost information, but clinicians need to have those conversations, too. Clinicians should be able to discuss healthcare costs with patients and need tools for doing so. That’s the key takeaway from a research partnership between the Robert Wood Johnson Foundation, AvalereRead More

Empower patients, get paid: Hospitals are learning to welcome advocates

May 14th, 2019 | Posted in Advocacy 101, Consumer Focus

BY ALEXANDRA WILSON PECCI  |   HealthLeaders Media Whether they’re on-staff patient counselors inside hospitals, or working independently for patients, advocates are increasingly important care team members. Advocates can guide patients through healthcare experiences, including care goals and financial responsibilities. In-house advocates Since patients often have complex care needs and their care is followed by multiple teams, sometimes communication amongRead More

Happy patient, happy hospital: Health systems increase patient engagement with advocates

April 16th, 2019 | Posted in Business Development, Consumer Focus

BY ALEXANDRA WILSON PECCI  |   HealthLeaders Media Patient advocates—individuals who guide patients through healthcare experiences, including care goals and financial responsibilities—are increasingly becoming part of hospital patient care teams. That includes on-staff patient counselors inside hospitals, as well as independent patient advocates, a relatively new profession that’s seen major growth as demand for advocates has increased over the pastRead More

CMS wants input on selling health insurance across state lines

March 20th, 2019 | Posted in Insurance Coverage

BY John Commins  |   HealthLeaders Media The Centers for Medicare & Medicaid Services wants suggestions on how to “eliminate regulatory, operational and financial barriers” that hinder the sale of health insurance plans across state lines. “Americans are in desperate need of more affordable health insurance options,” CMS Administrator Seema Verma said Wednesday in a media release announcing the request forRead More