MedSpan Musings — Tips for better payer market research

MedSpan Musings — Tips for better payer market research  

The benefit covering a drug is not always obvious

When discussing benefit coverage of drugs with payers, remember that some health plans at first cover drugs under the medical benefit and then transfer those costs each month to the pharmacy benefit. Be sure to probe for this approach and its implications for drugs administered in physicians’ offices and alternate sites of care.

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MedSpan Research Pay-For-Performance Case Study

MedSpan Research Pay-For-Performance Case Study http://wp.me/pReqv-m:

Connectivity is one of the Key Underlying P4P Programs…Read more to learn why

Many Medicare Beneficiaries Seeing Their Needs Unmet, Especially When Care Being Prepaid

One of the most vulnerable patient groups in healthcare are the elderly. Still, there are Medicare beneficiaries reporting needs that are unmet. This includes any care that a patient requires, but does not receive.

How Many Americans are Skipping Suggested Medical Attention Because of Cost?

Americans are paying more out-of-pocket costs for health care now than any other time in the past decade. At least one out of five Americans from ages 19-64 delays or completely avoids medical attention because of the cost of their deductible and co-insurance.

Is the Average Worker’s Earnings Enough to Pay for Healthcare?

Healthcare insurance premiums have increased throughout the past 15 years at a higher rate than inflation or workers’ earnings, which may deter access to the healthcare system for both the workers and their families.