The Insulin-PBM Rebate Kickback Scheme Appears to Be Coming to an End
Last year, on March 3, 2022, in what I believe was a fantastic accomplishment relatively early in Aaron Kowalski ' s tenure as CEO, the JDRF and Civica, Inc. (via the company ' s CivicaScript operating unit) jointly announced Civica ' s intention to commercialize biosimilars of the three bestselling insulin analogues at an affordable price of $30/vial or $55/box of five insulin pens. The Civica press release can be seen athttps://www.businesswire.com/news/home/20220303005321/en/Civica-to-Manufacture-and-Distribute-Affordable-Insulin/ and a concurrent press release from JDRF can be seen athttps://www.prnewswire.com/news-rel...
Source: Scott's Web Log - March 14, 2023 Category: Endocrinology Tags: Eli Lilly and Company 2023 Civica CivicaRx CivicaScript drug prices FTC insulin insulin prices JDRF Novo Nordisk Novo Nordisk Pharma Source Type: blogs
Technology of Digitized Patient Intake Forms
This article has shown the techniques used by one company to make it simple. (Source: EMR and HIPAA)
Source: EMR and HIPAA - March 14, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Ambulatory Communication and Patient Experience EMR-EHR Health IT Company Healthcare IT Cam Holt Forms Healthcare APIs Healthcare Forms Healthcare Intake Healthcare Waiting Room Patient Intake patient registration Source Type: blogs
Podcast Episode Recommendation: Politico Pulse Check, Episode 398
My followers may recall that I have previously shared a particular podcast (the episode I sharedhttps://blog.sstrumello.com/2023/01/podcast-episode-recommendation-politico.html was about Mark Cuban Cost Plus Drug Company), specifically a podcast known as Politico Pulse Check. For a quick refresher, Politico describes its Pulse Check podcast this way: " Politico Pulse Check delivers the latest news in healthcare with sharp policy analysis and a dose of real-world perspective " . In other words, " Pulse Check " is about healthcare and healthcare policy emanating from Washington, DC.Anyway, on February 23, 2023, Politico Puls...
Source: Scott's Web Log - March 13, 2023 Category: Endocrinology Tags: 2023 Congress PBM ' Pharmacy Benefit Managers politico rebate reform Source Type: blogs
Why we don't get what we pay for
Before I take up the subject of this post, a note about commenting. I wish I could publish more comments but most of them are ridiculous or off topic. For example, I wrote a post about Kanye West. He was the subject of the post. It was about him. And I get a comment to the effect of Why won ' t I talk about Black antisemitism? WTF? I post about the high cost of health care in the U.S. and I get a comment about total federal revenues and the federal budget deficit. BTW, obviously federal revenues will generally increase over time because the economy and the population grow. Also you have to adjust for inflation. But that ' ...
Source: Stayin' Alive - March 10, 2023 Category: American Health Source Type: blogs
Mental Health and Wellbeing Platform, Spectrum.Life Raises a Further €5 million
Spectrum.Life, a leading provider of mental health and wellbeing services for insurers, employers, employees, and students is pleased to announce the successful completion of a €5 million raise, resulting in a total of €9 million raised for the company. The round, again led by Act Venture Capital, included strong participation from existing and new investors.
This investment comes at a time when alternative and new approaches to mental health provision are of critical importance as traditional channels are increasingly overburdened and waiting lists in the sector continue to grow.
Spectrum.Life has set itself apart fro...
Source: EMR and HIPAA - February 27, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT ACT ACT Venture Capital Clinical Efficacy Debbie Rennick Digital Health EAP Health IT Funding Health IT Fundings Health IT Investment Holistic Care mental health Mental Wellbeing Spectrum.Life Source Type: blogs
Last in Line: Hospitals Brace for a Chilly 2023
BY JEFF GOLDSMITH
As they emerge from the COVID pandemic, US hospitals have a terrible case of Long COVID. They experienced the worst financial performance in 2022 in this analyst’s 47 year memory. As the nation recovers from the worst inflation in forty years, hospitals will find themselves locked in conflict with health insurers over contract renewals that would reset their rates to the actual delivered cost of care. “Last in line” in the US battle with inflation, hospitals will be exposed to public criticism when they attempt to recover from pandemic-induced financial losses.
Hospital payment rates f...
Source: The Health Care Blog - February 23, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy The Business of Health Care Clinician Shortage COVID-19 Inflation Jeff Goldsmith Long Covid National Health Service Source Type: blogs
AIOps Improving Service Assurance for the Healthcare Industry
The following is a guest article by Chris Menier, President of VIA AIOPS at Vitria Technology.
For healthcare providers and payers, improving the experience of members and patients requires replacing disconnected legacy systems with agile infrastructure and applications. Clinicians, technicians, and administrators can be more efficient and effective. Digital transformation of systems and platforms is changing the way hospitals and clinics are serving patients and the way insurers are acquiring and servicing members. Cloud and 5G is the powerful business platform for digital transformation and critical to adopting new techn...
Source: EMR and HIPAA - February 23, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops 5G AIOps Artificial Intelligence Augmented Reality Chris Menier Dan Schneider DevOps Digital Transformation Healthcare Sce Source Type: blogs
AIOps Improving Service Assurance for the Healthcare Industry
The following is a guest article by Chris Menier, President of VIA AIOPS at Vitria Technology.
For healthcare providers and payers, improving the experience of members and patients requires replacing disconnected legacy systems with agile infrastructure and applications. Clinicians, technicians, and administrators can be more efficient and effective. Digital transformation of systems and platforms is changing the way hospitals and clinics are serving patients and the way insurers are acquiring and servicing members. Cloud and 5G is the powerful business platform for digital transformation and critical to adopting new techn...
Source: EMR and HIPAA - February 21, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Health IT Company Healthcare IT Hospital - Health System IT Infrastructure and Dev Ops 5G AIOps Artificial Intelligence Augmented Reality Chris Menier Dan Schneider DevOps Digital Transformation Healthcare Sce Source Type: blogs
Matthew ’s health care tidbits: Medicare Advantage is now a provider fracking contest
Each time I send out the THCB Reader, our newsletter that summarizes the best of THCB (Sign up here!) I include a brief tidbits section. Then I had the brainwave to add them to the blog. They’re short and usually not too sweet! –Matthew Holt
Yes it’s time to talk Medicare Advantage (MA). It’s been a huge couple of weeks for the world of MA. On the commercial side, CVS bought the biggest pure play MA provider, Oak Street Health for $10bn. This pissed me off as if they paid $2 a share more I’d have made a profit on the stock I foolishly bought “on a dip” in 2021.
But this amazed many of us on ...
Source: The Health Care Blog - February 20, 2023 Category: Consumer Health News Authors: matthew holt Tags: Matthew Holt The Business of Health Care ChenMed CMS CVS Humana Medicare Advantage Oak Street Health UnitedHealth Group Source Type: blogs
The Business of Diabetes: Dexcom Spends Big on Super Bowl Ad to Hype New G7 Claiming " Feels Like Magic " ; But the Ad Isn't Magic
This month was the U.S. NFL ' s Super Bowl #57; the two teams which played one another were the Philadelphia Eagles and the Kansas City (Missouri) Chiefs, and the Kansas City Chiefs were the winners in a close game throughout. For a moment, let ' s just overlook that Kansas City ' s team name is rooted in the same racism against indigenous native Americans (after all, the team ' s logo is an arrowhead, which was created by native Americans) the same view ultimately forced the old Washington Redskins to change the team name to the Washington Commanders), and let ' s instead focus on this year ' s game advertising. But Misso...
Source: Scott's Web Log - February 18, 2023 Category: Endocrinology Tags: Business of Diabetes 2023 Abbott Advertising business strategy CGM CGMS Dexcom Freestyle Libre Super Bowl Source Type: blogs
Dexcom Spends Big on Super Bowl Ad to Hype New G7 Claiming " Feels Like Magic " ; But Formulary Exclusions Aren't Magic
This month was the U.S. NFL ' s Super Bowl #57; the two teams which played one another were the Philadelphia Eagles and the Kansas City (Missouri) Chiefs, and the Kansas City Chiefs were the winners in a close game throughout. For a moment, let ' s just overlook that Kansas City ' s team name is rooted in the same racism against indigenous native Americans (after all, the team ' s logo is an arrowhead, which was created by native Americans) the same view ultimately forced the old Washington Redskins to change the team name to the Washington Commanders), and let ' s instead focus on this year ' s game advertising. Whil...
Source: Scott's Web Log - February 18, 2023 Category: Endocrinology Tags: Business of Diabetes 2023 Abbott Advertising business strategy CGM CGMS Dexcom Freestyle Libre Super Bowl Source Type: blogs
Wisconsin Medicaid Expansion — Is the Risk Worth the Reward?
Marc JoffeIn his new budget, Governor Evers is once again proposing that Wisconsin expand its Medicaid program to take advantage of additional subsidies available under the 2010 Affordable Care Act. Senators and Assembly Members should carefully consider the long ‐term risks of expansion before accepting this proposal.From a short ‐term budgetary perspective, Medicaid expansion seems like a great deal for Wisconsin. The federal government covers 90% of the costs for providing medical care for individuals in the expansion population compared to60.66% (in 2024) for those currently eligible for Medicaid an...
Source: Cato-at-liberty - February 15, 2023 Category: American Health Authors: Marc Joffe Source Type: blogs
Mark Cuban Cost Plus Drug Company ( " MCCPDC " ) PBC May Be Able to Say " Mission Accomplished " Even if Sales Stop Growing
On January 19, 2022, a startup called theMark Cuban Cost Plus Drug Company ( " MCCPDC " )opened its doors to the American public as a new online pharmacy and generic manufacturing startup. Initially, MCCPDC was also planning to launch its own Pharmacy Benefit Manager, but it later scrapped those plans, instead announcing several PBM partnerships with some PBM startups which do not engage in " spread pricing " , including on generic, biosimilar and " authorized generic " drugs. The company bears the name of its famous principal investor, multibillionaire Mark Cuban, who is perhaps best known as both owner of the NBA te...
Source: Scott's Web Log - February 7, 2023 Category: Endocrinology Tags: authorized generic 2023 Alex Oshmyansky authorized generics Biosimilar biosimilars Cost Plus costplus drug company drug prices drug pricing generic drugs mark cuban Mark Cuban Cost Plus Drug Company Source Type: blogs
The solution to Canadian physicians ’ administrative burdens: Invest in human resources
“Be the change you want to see in the world.” – Gandhi In Canada, the vast majority of physicians are part of the public health system. One of the biggest complaints among these physicians is the administrative burden they face, including filling out forms for insurance companies, workers’ compensation boards, and the government. This problem
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The solution to Canadian physicians’ administrative burdens: Invest in human resources originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 6, 2023 Category: General Medicine Authors: Jean Paul Brutus, MD Tags: Physician Practice Management Source Type: blogs
Medsi Raises USD $10M in Debt-Financing Round to Onboard First 30,000 Mexican Customers Currently on the Waitlist for its “Health Assurance” Super App
Fast-expanding healthcare marketplace, Medsi, aims to solve big challenge of Latin American gap in access to affordable care via first-of-its-kind offering focused on the Mexico market first
With only a tiny fraction of Mexicans having health insurance or access to the necessary credit or savings, a medical emergency can be a catastrophic event as evidenced by the recent COVID-19 pandemic that hit Mexico harder than the rest of North America. It’s why Medsi chose Mexico as its “ground zero.”
Today, Medsi – a “fintech meets healthtech” marketplace that makes healthcare services, information, and pricing more ...
Source: EMR and HIPAA - February 3, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Affordable Care CAPEM Mexico Health IT Funding Health IT Fundings Health IT Investment Jose Pepe Cabrera Manuel Villalvazo Medsi Medsi Credit App Medsi’s 24/7 Medical Concierge™ Services Mexico H Source Type: blogs
