News & Analysis

December 12, 2018
News & Insights

A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.

December 12, 2018
HIM Briefings

Follow these steps to ensure that contracts with commercial payers meet goals.

December 12, 2018
News & Insights

Q: I am still not sure whether I need RNs or social workers or both as case managers. Is there any evidence to help me make a decision? I want everyone to be effective, work together well, and be respected as a service.

December 12, 2018
News & Insights

HHS Office for Civil Rights has issued a request for information seeking input from the public on how the HIPAA Privacy Rule could be modified to meet HHS’s goal of promoting coordinated, value-based care.

December 11, 2018
News & Insights

A recent study in the Journal of the American Medical Informatics Association found that using population health data could help identify patients with a high risk of developing cardiovascular disease who have not been previously identified as high risk due to lack of relevant cholesterol data.

December 10, 2018
News & Insights

Q: If a patient participating in a clinical trial is allergic to one of the drugs used in the trial, how do we report the drug that is used as a substitute?

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