Beyond the Big Three PBMs - Managed Healthcare Executive
WEBDec 19, 2022 · But beyond the big three PBMs is a swarm of some 60 smaller, up-and-coming PBMs. Even if they are operating in a small slice of the pie relative to the towering dominance of the big three, the PBM pie is growing rapidly. The global PBM market is projected to increase from $495 billion in 2022 to $740 billion by 2029 (a 50% jump), according to a ...
The Improving Patient Access Podcast - Managed Healthcare …
WEBNov 13, 2020 · MHE Launches New Improving Patient Access Podcast. MHE Staff. November 12th 2020. Starting this week, the editors of Managed Healthcare Executive® are launching a new, twice-a-month podcast about how those barriers can removed, lowered, or worked around so all patients get the healthcare they need. Read More.
The Impact of Medicare Advantage Employer Group Waiver Plans
WEBMay 10, 2024 · Flexibility: Employer Group Waiver Plans can adapt to meet retiree needs and respond to emerging healthcare trends, ensuring that beneficiaries receive tailored and relevant care. Health Equity and Social Risk Factors: MA plans play a crucial role in advancing equity and reducing health disparities within Medicare, ensuring that all ...
Five things to know about the role of GPOs in the healthcare …
WEBSep 14, 2017 · Based on our analysis, the following are 5 things to know about GPOs, their business model and role in the supply chain, and their impact on healthcare costs and competition: 1. GPOs source and negotiate prices for products and services. GPOs help source and negotiate prices for drugs, medical devices, and other products and services on …
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
WEBAug 27, 2024 · Article. The monthly price of the 2.5 mg Zepbound single-dose vial is $399 and the 5 mg dose is $549, which Lilly officials said is in line with the savings program for without insurance. Lilly has released a single-dose vial version of Zepbound (tirzepatide) for self-pay patients. The single-dose is available in 2.5 mg and 5 mg doses.
How Capitation Contracts Benefit Providers, Payers and Patients
WEBMay 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to optimizing the patient/member experience within a narrower network of providers, and a robust digital infrastructure. Lynn Carroll is the chief operating officer of HSBlox, an ...
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
WEBSep 26, 2019 · The Biggest Issues Facing Healthcare Today. Healthcare executives rank the top 10 transformational themes for 2020. More than 100 C-suite and director-level executives voted on and then ranked the top 10 critical challenges, issues, and opportunities they expect to face in the coming year, during the 2019 HCEG Annual Forum.
The Next Generation of PBMs: New Technology, Simpler Business …
WEBAug 10, 2020 · New PBM entrants have emerged to bring new technology, a simpler business model, and more transparency. I propose to lay out a road map of where we are today and a guide to the market dynamics in the making. PBM background. The PBM industry began in the 1990s to meet the needs of the employer-based health benefit market.
PBMs are Creating GPOs, and Stirring Debate as to Why
WEBJul 12, 2022 · PBMs are Creating GPOs, and Stirring Debate as to Why. The Big Three all set up group purchasing organizations recently, but some industry observers question the timing of the move and who will benefit. In 2019, Express Scripts PBM (pharmacy benefit manager) formed Ascent Health Services GPO (group …
Population Health and HIV PrEP - Managed Healthcare Executive
WEBFeb 15, 2022 · There are a number of population health challenges in terms of people who might be eligible for PrEP or on it. The first is raising awareness of PrEP, particularly in communities where there have been high rates of new HIV infections, such as the southeastern United States, and where PrEP use has …