Monthly Archives | October 2015

Health Payors, Health Care professionals working together on Cancer

Historically, the public has reacted to a cancer diagnosis with special alarm: “Despite significant improvements in treating many types of cancer, the diagnosis is often received on the part of a patient and his or her family with a sense of doom and panic,” Managed Healthcare Executive recently noted.   Their health insurers, in turn, […]

Changes Ahead for Insurers, with Implications for IROs

As we reach the last quarter of 2015, it’s worth taking a look at some of the important regulatory changes that will affect health insurers next year and in 2017.   Earlier this year, the Department of Health and Human Services released the Notice of Benefit and Payment Parameters for 2016 final rule, which contains […]

Health Care Players Making Big Plans in 2015

An ongoing wave of mergers and acquisitions in health care is poised to leave fewer players on the field, where they will exert newfound heft and power. Observers are debating what role the Affordable Care Act has played in these shifts, and how a potential “arms race” between larger providers and insurers might play out […]

HealthCare Seeking Solutions for Specialty Drugs Costs

The Centers for Medicare & Medicaid Services predicted that spending on prescription drugs would rise by 6.8 percent in 2014.   Their estimate was a bit off.   Instead, spending on prescription medications leaped by 13 percent to $374 billion, according to a recent paper from the IMS Institute for Healthcare Informatics. It was the […]