Posts filed under ‘Payer Reimbursement’

Reference Pricing — Coming soon to a health plan near you?


There is great interest in reference pricing in the US for select medical procedures and branded drugs. While only 10% of mid-sized and large employers are utilizing reference pricing, more than 2/3 of employers have an interest in this payment technique. If it takes hold, there is a potential impact on utilization, revenue and quality of care that manufacturers will need to address.

Continue Reading November 11, 2015 at 6:00 PM Leave a comment

Gene therapy — The price is right?


The introduction of the first gene therapy presents challenges for payers. These costly therapies will require new approaches in terms of pricing benchmarks and reimbursement methodologies.

Continue Reading October 2, 2015 at 4:32 PM Leave a comment

Managed Care Musings-Tips for better payer research


Managed Care Musings-Tips for better payer research

Continue Reading July 21, 2015 at 12:33 PM Leave a comment

MedSpan Research’s Managed Markets Perspectives


MedSpan Research’s Managed Markets Perspectives: Pay For Performance Programs are becoming more prevalent. Dialysis facilities are already using this type of reimbursement program to improve on quality measures.

Continue Reading July 21, 2015 at 11:21 AM 1 comment

Why Market Access is Crucial for Healthcare Marketers Today


Market access has changed dramatically over the years and is becoming a high priority for healthcare marketers. Read on to learn about these changes and how to address the complexities of gaining access.

Continue Reading July 12, 2013 at 10:04 AM 1 comment

Perceptions into the Recent Hospital Billing Data Release


The release of hospital transparency data shows large differences in pricing for common procedures among local hospitals. How will hospitals respond to this data? Read on to consider our thoughts:

Continue Reading May 21, 2013 at 4:43 PM Leave a comment

Aligning provider incentives to change product use


Payers and providers expect the evolution towards value-based compensation models to be slow and measured but sure,

Continue Reading April 6, 2013 at 11:05 AM Leave a comment

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