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How the CEO of Mark Cuban Cost Plus Drug Co. aims to upend the PBM model
W hen Alexander Oshmyansky, MD, PhD, pitched the idea of a not-for-profit drug company that would undercut drugmakers’ excessively priced pharmaceuticals, he was soundly rejected by potential backers, attracting no outside money. But on the advice to try to create a for-profit company instead, and with the later backing of Mark Cuban, things started to happen.…
Medicare’s proposed FY24 update to inpatient payments falls short, hospitals say
Hospitals are less than pleased with Medicare’s proposed FY24 payment update for inpatient care. In proposed regulations, the net inpatient payment update is 2.8% after factoring in a mandatory productivity adjustment of -0.2 percentage points. As usual, the update would be reduced for any hospital that does not fulfill quality-reporting requirements or qualify as a…
The impact of claims denials on the financial health of healthcare
While their hospitals and healthcare centers have long had to deal with claims denials, the number of denied claims continues to rise and payers are showing little inclination to help solve the problem, according to several roundtable participants.
The hospital labor picture could be improving, but a full financial recovery isn’t imminent
The financial and operational stress that has hampered hospitals may be easing in some ways, but probably not enough to qualify as a holiday gift for a beleaguered industry. Recent reports from credit-rating agencies have presented a mixed outlook. For example, Fitch Ratings released an analysis in December showing “incremental signs of improvement” in the staffing situation…
Healthcare News of Note: Telehealth aids outcomes for Medicare beneficiaries with opioid-use disorder
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Medicare beneficiaries initiating new episodes of OUD-related care get benefits from telehealth use, changes to inventory management strategies are coming for many sectors, and HAIs hit community hospitals hardest during the pandemic.
Craneware is transforming the business of healthcare
Learn how one company offers its customers value cycle solutions that go beyond traditional revenue cycle to include pharmacy, supplies and service line optimization.
Premier’s ERP solution specifically addresses healthcare organization challenges
A company that addresses unique healthcare challenges through supply chain, finance and workforce management solutions provides advice for successful implementation of a new product or service.
Financial and operational challenges still hamper hospitals 2.5 years into the pandemic
Even as much of society takes steps toward pre-pandemic normalcy, hospitals continue to struggle under the weight of the last two and a half years.
Wes Wheeler of UPS Healthcare talks about the future of cold chain supply chain
The number of pharmaceuticals derived from organic material (i.e., human, animal and plant cells) and requiring special handling, are increasing. On a recent episode of HFMA’s “Voices in Healthcare Finance” podcast, Wes Wheeler, president of UPS Healthcare, discussed how the industry should adapt to the need for an improved cold chain.