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Benefit design and pricing

ICER-VA alliance for formulary management sparks debateThe National Pharmaceutical Council takes issue with ICER’s collaboration with the VA’s PBM. Find out what both camps are saying.
Value-based payment update: Where we are and who is most successful
Value-based payment update: Where we are and who is most successfulWhile these types of programs have been in place for several years, it can be difficult to gauge who is using them and how, and whether they are achieving their intended goal.
Health insurers' top plans for 2018
Health insurers' top plans for 2018Payers’ biggest concerns for 2018, health insurance exchange participation plans, and how offerings could change.
Payers struggle to keep up with high rate of FDA drug approvalsFDA incentives have hastened the development of “orphan drugs” for rare diseases, but some worry that regulators are not always demanding clear evidence for drug efficacy.
Payers can predict budget implications of high-cost drugs in the pipelineA University of Massachusetts clinical consulting pharmacist shows how assessing budget implications can be accomplished.
Five key focus areas for building a consumer-centric healthcare organizationHere’s how to take consumer-centricity more seriously as expectations increase.
Six ways to reduce hospital readmissions in 2018
Six ways to reduce hospital readmissions in 2018Learn from hospitals and managed care organizations at the forefront of successful initiatives. Read more.
How to meet unique health needs of LGBT individualsFinding ways to communicate directly with and provide tailored services to LGBT individuals has been a challenge for managed care organizations, but experts say breaking barriers is imperative.
Poll: Most important non-medical skills for healthcare providersA new poll has interesting findings related to patient preferences and needs. Read more.
Oral specialty drug options on the horizon
Oral specialty drug options on the horizonAs more specialty drugs are approved, cost control strategies are key.