Insights & Analysis
There’s one constant in healthcare: change. Count on us to break down the trends so you can stay up to date. Follow our take on each piece of this deep, intertwined, and often perplexing industry to find opportunities and practical approaches to move healthcare forward.
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Solving the Long-Term Care Cost Problem
Avalere research shows that enrollment in a voluntary long-term care insurance program would not be large enough to shift our financing system from Medicaid to private insurance.
2013 Part D Enrollees Attracted by Preferred Pharmacy Networks
The shift toward low-premium plans with preferred pharmacy networks is indicative of an increasingly competitive market, but don't expect that to mean decreased overall costs.
Act Now to Avoid 2015 VBP Program Cuts
Reducing your hospital's MSPB score is an important first step in preparing to manage your patients' post-discharge costs.
Tracking Gaps in State Specialty Pharmacy Reimbursement
New Medicaid payment methodologies inadequately reimburse specialty pharmacies by failing to account for drug costs and high-touch pharmacy services.
Exchange Strategy Critical to Recouping Reimbursement Losses
Hospitals aligned with top payers in the exchanges in their service areas will be well-positioned to benefit from increased volumes and revenues once exchanges start in January 2014.