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A Health Care Blog Bringing You the Latest Industry News & Trends

Scott Martin In today’s American healthcare system, employers can’t order Lipitor directly from Pfizer for their employees. Instead, employers and employees are forced to buy drugs through a middleman, the pharmacy benefits manager (PBM). Fingers have long been pointed in both directions to blame the other for...

David Contorno “No one is telling you that what it takes to be successful has changed……until NOW” -Jim Keenan, author of Not Taught “Five percent of the people think; ten percent of the people think they think; and the other eighty-five percent would rather die than think”...

Nick Soman, CEO of Decent Originally posted 9/20/2018 on Hackernoon Americans hate their health insurance more than everything but Comcast. Literally: the industry gets a lower net promoter score than any other except TV and internet service. Net promoter score (NPS) by U.S. industry We hate our health insurance...

https://www.youtube.com/watch?v=HjtpR2KodNs Eric Haberichter's organization, Access HealthNet, develops episodic case rates (i.e., procedural bundles) for employers, health plans and providers. Here's a quick 4.5 minute overview of this next generation reimbursement methodology. Click here to see the next Valid Points article: Tids n Bits. ...

Linda Riddell, VP, Strategic Initiatives, Validation Institute No Pain, Still Pills? Claims for almost 30 percent of physician office visits where an opioid is prescribed do not have a pain-related condition listed among the first five diagnoses, according to a recent Annals of Internal Medicine article....