The Expertise Imperative and Compliance Technology
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While the basic premise of Consumer Driven High Deductible Health Plans, placing more of the responsibility for health choices on the patient seems to make sense. The study cited in this article demonstrates that increasing co-pays or out of pocket expenses leads to lower utilization of prescriptions. ...
While this effort will certainly increase oversight and probably slow the growth of these retail clinics, the key points used by the AMA have been previously used in other similar circumstances such as allowing Masters Prepared Nurses to practice under physician supervision in certain States and so...
Recent reports about the sales tactics of Medicare Advantage Plans has cast a bright light on some questionable activities. These CMS changes, which were voluntarily agreed to by the plans (United Healthcare, Humana, WellCare, Universal American Financial, Coventry Healthcare, Sterling Life...
Health Savings Plans have received a lot of Press and a lot of attention from Payers as well as the Government. The problem is that as currently operated they are not the solution these groups believe them to be. The buyers know better and understand what is missing from these plans.
The approval of Lybrel is likely to result in patient request for its use. Most patient will be required to pay the most expensive patient cost share however, as the product really brings nothing new to the contraceptive armamentarium. Gynecologists have been presribing other brand and generic...
Health Plans that have targeted Medicare have flourished due to high reimbursement and favorable selection. As Congress looks into these plans, reimbursement will be cut. Congress and CMS will also continue to increase oversight and regulation in regards to the marketing...
Retail Clinics provide the convenience requested by clients, that has rarely been available through most PCP practices. As such they and other nontypical models will thrive and offer patient's services when they want it.
This is another example of the problems that are being uncovered by State and Federal agencies as they look into the marketing practices of Medicare Health Plans, such as Humana, Wellcare and others.