Would delinking PBM reimbursement from rebates save money?

According to a Health Affairs Scholar paper by Geoffrey Joyce out this month, the answer is ‘yes’. He writes: Most PBM contracts tie their compensation to a percentage of a drug’s list price, creating a financial incentive to favor high-cost, high-rebate drugs on plan formularies at the expense of lower-cost generics and biosimilars. Furthermore, the…

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Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs

July has seen a slew of executive hires, exits and layoffs across the healthcare sector. For example, Aledade and Teladoc Health welcomed new executives, and DexCom and Community Health Systems announced that their CEOs are departing. There were also layoffs at organizations including Best Buy Health, the VA and Sarepta Therapeutics. The post Healthcare Moves:…

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KFF Health News’ ‘What the Health?’: Next on Kennedy’s List? Preventive Care and Vaccine Harm

The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…

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MedCity Pivot Podcast: How the Right Payment Tech Can Foster Better Payer-Provider Relationships

Yusuf Qasim, president of payments optimization at Zelis, talks about how his company’s platform is seeking to rebuild the healthcare payment process. The platform aims to eliminate unnecessary manual work for both payers and providers. Watch or listen now! The post MedCity Pivot Podcast: How the Right Payment Tech Can Foster Better Payer-Provider Relationships appeared…

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APIs in Healthcare – Magic in the Air

Picture each patient with a computational model of their health where each treatable parameter (like weight, blood pressure, heart rate, exercise, inflammation, and blood chemistry) serves both as a marker for diagnosis and as an opportunity for treatment. The post APIs in Healthcare – Magic in the Air appeared first on MedCity News.

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