Policy & Value-Based Care

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Optum RX Announces Changes to Payment Models and Prescriptions' Access
Policy & Value-Based Care

Optum RX Announces Changes to Payment Models and Prescriptions' Access

March 20, 2025
Optum RX will reimburse pharmacies more for branded drugs and less for generics, as well as eliminate up to 25 percent of reauthorizations
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New Proposed Rule by CMS To Reduce Improper Enrollments in ACA
Medicare/Medicaid

New Proposed Rule by CMS To Reduce Improper Enrollments in ACA

March 12, 2025
Proposed policies include steps in carrying out the new Administration’s priorities
Pietje Kobus
The Elephant in The Room at HIMSS25
Policy & Value-Based Care

The Elephant in The Room at HIMSS25

March 11, 2025
At the annual global health IT conference, an undercurrent of anxiety regarding the new administration’s impact on healthcare organizations was felt
Pietje Kobus
At the global health conference in Las Vegas, panelists discuss innovation and metrics for success
Policy & Value-Based Care

HIMSS25: Transforming Healthcare in a Payer-driven World

March 10, 2025
At the global health conference in Las Vegas, panelists discuss innovation and metrics for success
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OCR Opens Four Investigations of Medical Schools and Hospitals