January 2018 •
Volume 20 •
Issue 1
Providing Current Information on
Health Insurance Industry Issues and Legislation
A Roadmap for Reducing Health Care Spending Waste
The U.S. healthcare system is wasting an estimated $765 billion year, a quarter of
total healthcare related spending. Lax hospital rules, nursing home inefficiencies,
unnecessary treatments, and drug package sizing are major contributors. ProPublica
identifies the culprits and provides ways to stem the tide of overspending.
total healthcare related spending. Lax hospital rules, nursing home inefficiencies,
unnecessary treatments, and drug package sizing are major contributors. ProPublica
identifies the culprits and provides ways to stem the tide of overspending.
5 Strategies for Controlling Benefits Costs
Employers across America are bracing for a 5% or greater increase in healthcare
benefits costs in 2018. They are trying a variety of strategies in their efforts to bend
the healthcare benefits cost curve. Some self-insureds are converting to referencebased
pricing and are concentrating on better management of high-cost claimants.
benefits costs in 2018. They are trying a variety of strategies in their efforts to bend
the healthcare benefits cost curve. Some self-insureds are converting to referencebased
pricing and are concentrating on better management of high-cost claimants.
8 Ways to Cut Drug Prices
Cities, counties, states and even school districts are turning to drug importation,
more transparency and price controls to reign in surging prescription drug costs.
The National Academies of Science, Engineering and Medicine "Making Medicines
Affordable: A Nation Imperative" presents 8 recommendations for managing drug
prices in the US.
more transparency and price controls to reign in surging prescription drug costs.
The National Academies of Science, Engineering and Medicine "Making Medicines
Affordable: A Nation Imperative" presents 8 recommendations for managing drug
prices in the US.
Reference Based Pricing Done Right
No two groups are exactly alike and no one Reference Based Pricing program
design is right for them all. That's why HHC Group starts by learning each group's
objectives and constraints. Then we help design and implement the right
Reference Based Pricing program for them.
Some want pre-cert and concierge services. Others want just claims repricing or
repricing, provider appeal support and patient advocacy. Some want customized
models and some provider contracting. We have the experience and expertise to
help the group design and deliver the RBP program that's just right for you.
design is right for them all. That's why HHC Group starts by learning each group's
objectives and constraints. Then we help design and implement the right
Reference Based Pricing program for them.
Some want pre-cert and concierge services. Others want just claims repricing or
repricing, provider appeal support and patient advocacy. Some want customized
models and some provider contracting. We have the experience and expertise to
help the group design and deliver the RBP program that's just right for you.
Three Star Preferred Provider Program Additions
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Atlanta, GA 30368 CM Lab Inc. Pembroke Pines, FL 33029 Crystal Clinic Akron, OH 44310 Baptist Medical Center of the Beaches, Inc. Jacksonville, FL 32250 Gene Tox Worldwide LLC Lyndhurst, NJ 07071 |
Loves Park, IL 61132 NYX Health LLC Atlanta, GA 30368 Community Surgical Supply Toms River, NJ 08755 DH Laboratories, LLC Fort Lauderdale, FL 33309 Physicians Group of Delray Delray Beach, FL 33483 |
