August 20, 2015

DSN recently sat down with KPMG's Larry Kocot — who now heads up KPMG’s Center for Healthcare Regulatory Insight — to discuss the future of payment system reforms.

August 20, 2015

There are very logical reasons that a growing number of health systems, large payers and insurers continue to embrace the retail clinic model: cost and quality.

July 28, 2015

The National Association of Chain Stores commented this week on the Centers for Medicare and Medicaid Services’ proposed regulations guiding the use of managed care in Medicaid and in the Children’s Health Insurance Program.

June 12, 2015

Through ACAP, Diplomat gains access to  13 million lives in Medicaid, Medicare, CHIP and other public programs.

June 3, 2015

CVS Health's MinuteClinic has expanded its ability to serve even more people throughout Ohio by becoming an in-network provider with a healthcare insurance plan serving 340,000 members through government sponsored health programs throughout the state.

May 5, 2015

A new poll finds that while most healthcare executives support value-based reimbursement, few would abandon fee-for-service entirely. 

March 4, 2015

In a meeting with nearly two dozen leaders representing consumers, insurers, providers and business leaders, Health and Human Services Secretary Sylvia Burwell on Jan. 26 announced measurable goals and a timeline to move the Medicare program, and the healthcare system at large, toward paying providers based on the quality of care they give patients.

January 28, 2015

Several of the nation’s largest healthcare systems and payers on Tuesday announced a powerful new private-sector alliance dedicated to accelerating the transformation of the U.S. healthcare system to value-based business and clinical models.

January 27, 2015

Health and Human Services Secretary Sylvia Burwell announced goals and a timeline to move the Medicare program toward paying providers based on the quality of care they give patients.


January 21, 2015

Rite Aid subsidiary Health Dialog announced Tuesday a multi-year agreement with CDPHP, a New York-based health plan.

January 20, 2015

Partner up or risk being left behind. That’s the choice facing more and more pharmacy groups grappling with accountable care, outcomes-based reimbursement and risk-sharing collaborative health networks. 


December 15, 2014

A study conducted by Cigna and Safeway shows that reference-based pricing can help control lab costs when individuals are supported with education and an online shopping tool.

October 13, 2014

Quality associated with Medicare Advantage and the Part D Prescription Drug Program is on the rise, according to a Centers for Medicare and Medicaid Services blog post published Friday.

August 22, 2014

AllazoHealth earlier this week released a two-part survey outlining current trends in managed care organization medication adherence intervention programs.

June 27, 2014

SilverScript Insurance Co., a CVS Caremark company, has entered into collaborations with seven accountable care organizations across the country.

May 20, 2014

The Centers for Medicare & Medicaid Services on Monday issued final regulations for the Medicare Advantage and prescription drug benefit (Part D) programs.

April 24, 2014

More than two-thirds of the U.S. population now live in localities served by accountable care organizations, and more than 40% live in areas served by two or more.

March 24, 2014

A new analysis from Avalere Health released Monday found that consumers purchasing insurance through exchanges are twice as likely to face utilization management controls on prescription medications compared with people enrolled in employer-sponsored insurance plans.

February 18, 2014

The federal agency in charge of Medicare is pushing for a major overhaul of its Medicare Part D drug benefit program for seniors.

January 30, 2014

Walgreens announced that it is expanding its relationship with technology company Inovalon to implement its patient assessment tool and technology platform to support improvements in care, quality and risk score accuracy programs across more than 400 Healthcare Clinics at select Walgreens locations.

January 9, 2014

Administering high-touch, expensive and complex medications to patients intravenously in their homes — or in a setting other than a hospital — is essentially a large-scale bid to “reduce costs by transferring non-self-administered drugs to the most cost-effective and clinically appropriate site of care,” said pharmacist Michael Einodshofer, senior director of specialty strategy and innovation at Walgreens Specialty Pharmacy.

January 7, 2014

Employees will benefit from better coordination between their wellness programs and accountable care organization networks, according to as many as 92% of HR professionals recently surveyed by BioIQ.

January 6, 2014

The ability of most accountable care organizations to promote optimal use of medications has not yet been developed, according to a new study.

October 23, 2013

A privately owned pharmacy benefit manager has named BioPlus Specialty Pharmacy as one of its top providers, BioPlus said Wednesday.