HHS OIG Adds Fuel To 340B Fire The HHS' Office of Inspector General found in a new report out last week that tens of millions of dollars in rebates could have been generated had manufacturers and sponsors agreed that eligible prescriptions filled at 340B contract pharmacies would...
Senate Committee Passes Surprise Billing Package Favoring Insurers A key Senate committee last week passed sweeping bi-partisan legislation aimed at tackling surprise billing, increasing transparency of drug pricing and numerous other changes. By a vote of 20-3, the committee sent the package containing 54 different proposals...
Senior Vice President Rick Frank is a Senior Vice President at Strategic Health Care. Rick has more than 25 years of government related experience including work in a hospital system, a statewide trade association and state government. Prior to joining the firm, Rick served as System Director...
Senate's Surprise Billing Plan Favors Insurers Over Providers A key Senate committee last week released an updated version of its Surprise Billing and Transparency Legislation and plans to finalize it this Wednesday. The Health, Education, Labor and Pensions Committee settled on a policy to deal with...
New MedPAC Report Identifies ACO Limitations, Recommends Changes New research suggests a popular care model in the Medicare program may not be well suited to restrain spending growth for patients with catastrophic health problems. The Medicare Payment Advisory Commission's June report to Congress found that program...
Director of Contracting and Payer Performance Jennifer is the Director of Contracting and Client Compliance and has twenty plus years of managed care and healthcare quality experience. Her current responsibilities include managed care contracting and network management related activities. Prior to joining Strategic Health Care, Jennifer gained...
CMS Chief Smacks Health Systems and Defends Site Neutral, 340B Payment Cuts CMS Administrator Seema Verma is making it clear where CMS stands on major issues impacting health systems. Late last week in a blog post she called out large hospital systems for anti-competitive behavior, and...
White House May Issue Sweeping Price Transparency Order According to various reports, the White House is working on an Executive Order that will require complete price transparency for a broad range of providers and manufacturers across the health care industry. Rumors have been swirling for weeks that it...
Senate Committee Tackles Health Care Costs with Major Reform Bill The Senate Health Committee has released draft legislation that includes proposals on drug pricing, surprise billing, electronic health records and public health. The bill would set up an information exchange program for commercial insurers, strengthen incentives to improve cybersecurity practices, require...
Hospitals, Health Plans Targeted by Government in New Price Transparancy Push The Trump administration has been working behind the scenes for months on a strategy to force greater price disclosure across much of the $3.5 trillion health-care industry, according to a new report in the Wall...