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Contracting

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.
Five questions for CVS Health’s Troyen A. Brennan, MD, MPHCVS Health’s Troyen A. Brennan, MD, MPH, brings attention to a unique specialty pharmacy model and value-based contracting.
Payers need access to pre-approval drug informationPre-drug-approval forecasting and budgeting is increasingly important for payers. Is a safe harbor for manufacturers necessary?
Opinion: Who's to blame for surprise out-of-network bills?Across the country more states are taking steps to limit patients’ exposure to surprise out-of-network bills.
Medicaid Final Rule: Three top line issues to watchIn April CMS released final rules outlining significant updates to the Medicaid managed care program. Here are the top issues to watch.
Marilyn Tavenner discusses AHIP’s strategy
Marilyn Tavenner discusses AHIP’s strategyAHIP’s president and CEO Marilyn Tavenner discusses the association’s top priorities, challenges, and opportunities.
Eleven ways MACRA will impact your businessWhat impact will MACRA have on your organization? We asked experts to tell us.
How insurers should prepare for future ACA risk adjustmentsThe first-year results of the ACA’s Risk Adjustment Program are in. Find out how it worked out and what insurers need to do next.
Survey reveals 3 value-based payment trends to watchThe transition to value-based payment has accelerated rapidly over the past two years, and payers and providers predict even more dramatic changes.
Five ways to better prepare for open enrollmentHow approaching the open-enrollment process with a customer-centric mindset promotes member retention.