FierceHealthIT

JANUARY 3, 2024

A “pivotal year for price transparency” closed out with most—but not all—of the healthcare industry publishing their data publicly and at a higher quality, price transparency data startup Turquoise | A state-of-the-industry report released Thursday found steady improvements in the number of organizations releasing price data, as well as the comprehensiveness (..)

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Healthcare IT Today

JANUARY 31, 2024

Price Transparency is the Foundation for Eliminating the Financial Complexity of Healthcare Turquoise Health , an end-to-end healthcare pricing platform, today announced a $30M Series B investment led by Adams Street Partners , with participation from Yosemite , as well as existing investors Andreessen Horowitz and BoxGroup.

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FierceHealthIT

DECEMBER 5, 2023

CVS Health is overhauling the way it reimburses its pharmacies for prescription medications as the healthcare industry faces increased scrutiny for high drug prices. | CVS Health is overhauling the way it reimburses its pharmacies for prescription medications as the healthcare industry faces increased scrutiny on high drug prices.

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Electronic Health Reporter

MARCH 27, 2024

By Derek Reis-Larson, senior vice president, claims pricing services, MultiPlan.

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FierceHealthIT

DECEMBER 18, 2023

Legal experts indicated they will be paying close attention to lawsuits surrounding the Medicare drug price negotiation program and Braidwood v. Preventative services covered under the Affordable Care Act and the Medicare drug price negotiations program are two legal questions that will play out next year.

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FierceHealthIT

JANUARY 5, 2024

In his first earnings call since taking over as CEO of Walgreens, Tim Wentworth signaled the drugstore retail giant is exploring new pharmacy models as cost-plus drug pricing gains momentum. |

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FierceHealthIT

SEPTEMBER 8, 2023

A trio of House committees unveiled new legislation (PDF) Friday to lower costs and increase transpar | Several house committees dropped new legislation Friday meant to improve price transparency for patients and employers. Here's what they're proposing.

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FierceHealthIT

APRIL 25, 2024

Both painted an unflattering picture of post-merger prices and were refuted by the hospital lobby.

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Health Populi

FEBRUARY 28, 2022

This is not a new phenomenon, but is revisiting us in the convergence of the coronavirus pandemic, supply chain challenges and consumer price inflation, and the latest factor in the energy pricing market: Russia’s invasion of Ukraine, and subsequent impact on the energy market and downstream price effects, ever upward.

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FierceHealthIT

DECEMBER 14, 2023

The Biden administration is cracking down on pharmaceutical companies as part of its price-fighting measures under the Inflation Reduction Act. | The Biden Administration announced Thursday a list of 48 Part B drugs with prices that rose faster than the rate of inflation in the final quarter of 2023.

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FierceHealthIT

DECEMBER 15, 2023

Certainly Health, a new patient-facing platform focused on upfront prices, has received $2.3 million in funding. Certainly claims to be the first marketplace for patients to book doctors with their insurance while avoiding any surprise bills. It's free for patients.

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FierceHealthIT

SEPTEMBER 19, 2023

Patients checking their local hospital’s website for the cost of medical services may not find the same prices as those who called on the phone, according to a newly published study. |

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Health Populi

JULY 9, 2019

“It’s the prices stupid,” Uwe Reinhardt and Gerard Anderson and colleagues asserted in the title their seminal Health Affairs manifesto on U.S. judge blocked , in the literal last-minute, a DHHS order mandating prescription drug companies to publish “retail prices” of medicines in direct-to-consumer TV ads.

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Health Policy 278

Health Populi

APRIL 25, 2023

The latest Health Care Cost and Utilization Report from the Health Care Cost Institute (HCCI) details health spending in 2021, dissecting the change in terms of utilization of services and prices by category. The post Health Care Financing: How Inflation and Health Care Prices Could Hit the U.S.

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FierceHealthIT

SEPTEMBER 21, 2023

Federal regulators have accused a major Texas-based anesthesia provider and its parent private equity firm of a decade-long, three-pronged scheme to suppress competition and drive-up prices. |

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Healthcare IT Today

JUNE 21, 2022

This week’s chat will be hosted by John Lynn (@techguy) from @hcittoday on the topic “Price Transparency” Most of you probably know about the CMS hospital price transparency rule that hospitals must post their pricing in […].

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Healthcare IT Health IT 93

FierceHealthIT

SEPTEMBER 13, 2023

Pharmaceutical companies are waging war against federal agencies over one of the Inflation Reduction Act’s major provisions allowing Medicare to negotiate 10 drugs to reduce out-of-pocket costs for | Legal experts question whether the Inflation Reduction Act is within its rights to enforce its drug pricing negotiation provision.

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FierceHealthIT

AUGUST 1, 2023

Experts believe recent price transparency initiatives from the Centers for Medicare & Medicaid Services (CMS) are a step in the right direction but ultimately fall short of making the impact al | Price transparency initiatives could help consumers make better decisions with their wallets, but experts have tempered expectations of the real-world (..)

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Healthcare IT Today

JULY 21, 2023

Check it out: The hospital pricing method means NO upfront prices, only estimates & surprise bills after you get care. This one comes from the Power to the Patients group. I don’t know much about them, but if this video is any indication of their work, I will need to learn more.

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Healthcare IT 72

FierceHealthIT

JUNE 22, 2023

Physician-owned general acute care hospitals charge less than other non-physician-owned facilities in their region for several common shoppable care services, according to a new analysis published | A new analysis of competing hospitals' published prices adds fuel to the debate over whether Congress should lift the Affordable Care Act's ban (..)

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FierceHealthIT

AUGUST 21, 2023

In a federal lawsuit, AARP is supporting Medicare’s new ability to negotiate drug prices with pharmaceutical companies, ahead of CMS naming the first 10 prescription drugs next month. The nation’s leading lobbying group for older Americans is supporting the U.S. |

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Health Populi

JUNE 17, 2022

Those looking for better taste and more natural or organic products traded up; those trading “down” sought lower prices at the same level of quality. The post In a Heat Wave (and Heating Up Prices), Ice Cream and Health Top of Mind – McKinsey Update appeared first on HealthPopuli.com.

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Healthcare IT Today

JANUARY 9, 2024

First-Of-Its-Kind Marketplace for Insured Patients to Book Health Providers Without Surprise Bills Certainly Health , a healthcare marketplace for booking medical and cosmetic care with upfront prices, announces today that it has received $2.3M in funding led by Pacific 8 Ventures , Y-Combinator , and other institutional and angel investors.

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Mobi Health News

JANUARY 11, 2024

The proposed class action lawsuit alleges the pharmacy benefits manager worked with rival PBMs to exert its influence in the market and fix reimbursement rates and fees.

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Mobi Health News

AUGUST 15, 2019

Users can search for the price of a procedure at providers in their area and then book an appointment through the app.

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FierceHealthIT

AUGUST 10, 2023

Medicare Part D drug prices have increased by an average of 226% since market entry. A report from AARP broke down how popular brand-name drugs have continued to rise in price and exceed inflation. These 25 drugs are responsible for $80.9 billion in total Part D spending in 2021. |

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FierceHealthIT

JULY 11, 2023

Price transparency has been a key focus for policymakers looking to address rising health costs, but experts say breaking through that black box won't solve the problem wholesale.

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FierceHealthIT

MAY 10, 2023

PBM, pharma play blame game over drug pricing at hearing pminemyer Wed, 05/10/2023 - 16:10

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FierceHealthIT

JUNE 6, 2023

This week on "Podnosis," you'll hear from Ge Bai, a Johns Hopkins health policy and economics researcher, who will chat about her work exploring healthcare prices. | 'Podnosis': Will price transparency move the needle on rising healthcare prices and Q1 financial trends

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Health Policy 63

LeanIX

APRIL 3, 2023

SaaS management will become even more pressing in the coming days as the collapse of Silicon Valley Bank drives up SaaS application prices. We consider how you can mitigate the costs.

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FierceHealthIT

OCTOBER 19, 2023

A new study released in JAMA Health Forum quantified how pharmacies and wholesalers use spread pricing to earn profit. Of the $11.8 billion spent on 45 generic drugs by Medicare Part D in 2021, 70% went to intermediary gross profit, according to a new study. |

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Medicare 81

FierceHealthIT

JULY 26, 2023

In a largely harmonious Senate Committee on Finance markup hearing, members supported bipartisan efforts to rein in pharmacy benefit managers (PBMs) that they say operate without transparency to dr | The Senate wants to improve transparency surrounding pharmacy benefit managers and bring down prescription drug prices for the average person.

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FierceHealthIT

APRIL 18, 2023

Report: Hospitals, payers making strides on price transparency compliance dmuoio Tue, 04/18/2023 - 09:49

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FierceHealthIT

MAY 11, 2023

Senate panel advances bill that would ban spread pricing pminemyer Thu, 05/11/2023 - 12:40

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FierceHealthIT

JANUARY 26, 2023

Reforms needed to make voluminous insurer price data usable: report rking Thu, 01/26/2023 - 14:54

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FierceHealthIT

OCTOBER 30, 2023

and prices were the highest in the upper Midwest and Southeast, according to health payer Humana’s negotiated rat | In a first-of-its-kind study, researchers found that the cost of patient office visits varied by region, with the highest costs typically in the upper Midwest and Southeast.

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Electronic Health Reporter

NOVEMBER 15, 2021

The article Putting A Price on Transparency: The Patient Payment Challenge for Payers and Providers appeared first on electronichealthreporter.com. The healthcare revenue cycle is an unnecessarily complex tangle of patients, providers, employers, and insurance companies.

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