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5 Steps to Achieving URAC Specialty Pharmacy Accreditation

August 20, 2014 by Abby Norman

specialty pharmacy

Patients with multiple sclerosis, rheumatoid arthritis, cancer, hemophilia and other complex chronic disorders rely on specialty pharmacies to prepare and disperse their treatments. Specialty pharmacies that achieve the highest level of URAC accreditation indicate that they are devoted to the highest level of quality.[read more]

Visions of Care

August 20, 2014 by Christine Kapsa, NP, DNP

Americans want doctors who care about them, not just for them. Yes, we do want clinicians to be competent and skilled. But above all, we want doctors who genuinely care about our lives, listen to our concerns and allay our anxieties. So the visions of doctoring offered by two physician writers last week presented a jarring contrast.[read more]

To Up Patient Satisfaction, Hospital Supply Chain Units Need Better IT and Technology

August 20, 2014 by Shahid Shah

hospital / shutterstock

I’ve been looking at hospital supply chain automation and the IT surrounding it for a number of years now. Starting with Cardinal Health but then moving on to help a number of other vendors in the space, I’ve felt that there’s not been enough next-generation tech being applied to the low margin, high volume business of hospital supply management.[read more]

15 Reasons Your Claims May Have Been Denied

August 19, 2014 by Abby Norman

claim denial

A claim could have been denied for many reasons. The question is, could any of them been prevented? Many claim denials are completely avoidable – and in fact, there are practical ways you can combat claim denials. Review the following common claim denial reasons and begin reducing claim denials and boosting profits![read more]

Health Insurance Benefits: Can You Have It Your Way?

August 19, 2014 by Nicole Fisher

As the percentage of large employers that consider a shift to defined contribution and/or private exchange increases, the number of options – and flexibility in those options – must also increase. Consideration for those options rose last year from 14% to 18% among large employers (500+ employees).[read more]

FICO Blows Off Medical Debt for Credit Score: It's About Time

August 18, 2014 by David E Williams

photo: CircaSassy / photopin cc

FICO, the company that measures credit risk, just made two important changes to the way it calculates the FICO Score. First, debt consumers repay after it goes to collection won’t count against them. Second, FICO will downgrade the importance of medical debt.[read more]

7 Ways to Reduce ER Admissions and Readmissions

August 18, 2014 by Abby Norman

ER revolving door

For many hospitals, the emergency room is the busiest place for both staff and patients. Overcrowding, long wait times and inefficient care plague a lot of U.S. hospitals, and there is a growing need for solutions. But there are certainly steps you can take to reduce the over-utilization of emergency services at your hospital.[read more]

Can Savvy Marketing Solve the Problem of Low Clinical Trial Recruitment?

August 18, 2014 by Dan Stempel

Low recruitment problems?

It’s not that manufacturers and pharmaceutical companies are not willing to spend money on recruitment; in reality, enrollment marketing comprises about 40% of their clinical trial budgets. The problem lies more in the fact that they are trying to recruit tech-savvy patients with old fashioned marketing strategies.[read more]

Are ACOs Just HMOs in Disguise?

August 17, 2014 by Abby Norman

ACOs vs. HMOs / shutterstock

Even though on the surface it would appear that there are some meaningful similarities between ACOs and HMOs, the truth is, HMOs won’t survive in today’s healthcare climate - but the evolution of ACOs will, and it will lead healthcare to a transformation and focal shift that it desperately needs.[read more]

Scrutinizing Adherence Must Not Be Shortsighted

August 17, 2014 by Kenneth Thorpe

Medicare / shutterstock

Considering how critical taking medications as prescribed is to managing chronic diseases effectively, it should be no surprise that improving patient adherence to medicines can deliver great value. This truth makes the conclusions of an article in Health Affairs’ about declining medication adherence rates in Medicare Part D particularly troubling.[read more]

Better Health IT: Is Sending Docs to Tech School the Answer?

August 17, 2014 by Bill Crounse

health IT

I’m all for education and career improvement. I’m just not sure that the best way to improve Health IT is to get more physicians trained in IT so they can move into IT roles. Goodness knows the time and education required to become, and continue to perform as, a really good clinician is demanding enough.[read more]

6 Ways to Reduce Healthcare Costs Through Specialty Pharmacy

August 16, 2014 by Linda Ringquist

specialty pharmacy

Specialty pharmacy drugs are not new. Cancer treatments, for example, have been around for a long time. However, the costs associated with these drugs are contributing to the out of control healthcare spending trends. In order to reduce these costs, many mechanisms can be put into place.[read more]