Beyond the Big Three PBMs - Managed Healthcare Executive
Dec 19, 2022 · But beyond the big three PBMs is a swarm of some 60 smaller, up-and-coming PBMs. Even if they are operating in a small slice of the pie relative to the towering dominance of the big three, the PBM pie is growing rapidly. The global PBM market is projected to increase from $495 billion in 2022 to $740 billion by 2029 (a 50% jump), according to a ...
Five things to know about the role of GPOs in the healthcare …
Sep 14, 2017 · Based on our analysis, the following are 5 things to know about GPOs, their business model and role in the supply chain, and their impact on healthcare costs and competition: 1. GPOs source and negotiate prices for products and services. GPOs help source and negotiate prices for drugs, medical devices, and other products and services on behalf ...
How Capitation Contracts Benefit Providers, Payers and Patients
May 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to optimizing the patient/member experience within a narrower network of providers, and a robust digital infrastructure. Lynn Carroll is the chief operating officer of HSBlox, an ...
Managed Healthcare Executive
Optimizing the Management of Myelofibrosis. November 7th 2024. Zahra Mahmoudjafari, Pharm.D., MBA, University of Kansas Health System, gave an overview of the epidemiology of myelofibrosis and its symptoms, treatment and management in Managed Healthcare Executive K-Cast video series.
PBMs are Creating GPOs, and Stirring Debate as to Why
Jul 12, 2022 · PBMs are Creating GPOs, and Stirring Debate as to Why. The Big Three all set up group purchasing organizations recently, but some industry observers question the timing of the move and who will benefit. In 2019, Express Scripts PBM (pharmacy benefit manager) formed Ascent Health Services GPO (group purchasing organization), based in Switzerland.
The Next Generation of PBMs: New Technology, Simpler Business …
Aug 10, 2020 · New PBM entrants have emerged to bring new technology, a simpler business model, and more transparency. I propose to lay out a road map of where we are today and a guide to the market dynamics in the making. PBM background. The PBM industry began in the 1990s to meet the needs of the employer-based health benefit market.
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
Aug 27, 2024 · News. Article. The monthly price of the 2.5 mg Zepbound single-dose vial is $399 and the 5 mg dose is $549, which Lilly officials said is in line with the savings program for without insurance. Lilly has released a single-dose vial version of Zepbound (tirzepatide) for self-pay patients. The single-dose is available in 2.5 mg and 5 mg doses.
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
Sep 26, 2019 · The Biggest Issues Facing Healthcare Today. Healthcare executives rank the top 10 transformational themes for 2020. More than 100 C-suite and director-level executives voted on and then ranked the top 10 critical challenges, issues, and opportunities they expect to face in the coming year, during the 2019 HCEG Annual Forum.
Managed Care – a Path to the Future - Managed Healthcare …
Feb 26, 2021 · Specifically, leaders must clarify and validate the knowledge and skills that each health care role must learn to successfully shift to outcome-focused care. Three areas of competency are especially important for managed care: Population Health and Care Transitions: MCOs do a great job of monitoring and reporting their prevention compliance rate.
Drug Channels Acquired by HMP Global - Managed Healthcare …
Jan 4, 2024 · Adam J. Fein, Ph.D. HMP Global, a healthcare education company, will acquire Drug Channels Institute. Founded in 2006 by Adam J. Fein, Ph.D., Drug Channels is a market intelligence company focused on the pharmaceutical industry. It provides webinars and industry reports on pharmaceutical economic issues and drug supply and distribution.