November 2018

Our e-newsletter for Enterprise Risk Management, Claim Settlement and Healthcare Solutions.

• Medicare Proposes Regulation for Disclosure of Drug Prices

  CMS proposes to require manufacturers to disclose drug prices in television ads.  They said the proposed regulation would lower prescription drug prices by requiring companies to list prices for prescription drugs covered by Medicare or Medicaid.   Read more >>

  More Risk, Claim and Healthcare News …

• Intensive Patient Education Fails for Acute Low Back Pain.  In a recent Australian clinical trial, it was found that adding two hours of intensive patient education to primary care in acute low back pain patients was no better at reducing pain intensity than a placebo.  View article...

• A Claim Professionals Guide to Understanding the Broken Healthcare System.  In her book, An American Sickness: How Healthcare Became Big Business and How You Can Take It Back, author Elisabeth Rosenthal, MD, argues that our health care system focuses less on health and more on profitability. View article...

• Health Insurers Inconsistent About Chronic Pain Policy. Chronic pain affected about 20% of U.S. adults in 2016 and high-impact chronic pain, which is severe enough to interfere with life or work activities, affected 8%, according to the CDC.  Insurers are inconsistent about policies to treat pain. View article...

• Medicaid Can Save More than $4.8 Billion by Moving to Fully Electronic Transactions.  State agencies and health plans covering 44% of all Medicaid enrollees have demonstrated a commitment to automation, efficient processes through CORE Certification. View article…

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