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What If Costco Designed the Prescription Drugs Sales Model?

Health Populi

Its longer more formal name was The Drug Price Competition and Patent Term Restoration Act of 1984, and it created a pathway for generic drug applications to the FDA. The good news about prescription drugs, in the context of medical spending in the U.S., is that 9 in 10 medicines prescribed are generics. They comprise only 3% of all U.S.

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Monitor Improper Payments for Part C and Part D with Medicare Audit and Monitoring Software

Innovaare Compliance

6] Improper payments can be overpayments and underpayments. Overpayments put an MAO at risk in a bid and a one-third financial audit while underpayments consume valuable staff time in resolving provider disputes and can also be a jeopardy in a one-third financial audit.

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Preventing Genetic Testing Fraud: 5 Actions for Health Plans

Healthcare IT Today

However, due to its nonspecific nature, this code can be abused by bad actors to request payment for services not covered, not performed or not FDA-approved. It’s a useful code for an area as complex as genetic testing, as it can be used for services that are hyper-specific.

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Health Provider News

Hall Render

to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M Can lawmakers do anything about it?

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Health Provider News

Hall Render

biotech pins hopes on 3 drug approvals as battles with FDA continue Luxury senior living facility coming to D.C. CT’s Medicaid reimbursement rates lower than peer states: report Better safety training, reporting, escorts for CT home health care workers focus of new legislation D.C.

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Health Provider News

Hall Render

Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass.

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22 Executive Digital Health Predictions to Watch in 2023

HIT Consultant

As more digital medication management solutions gain FDA approval, there is an increased opportunity to integrate digital support as part of the medication process and reduce medication abandon rates. – Overpayments in claims processing: This can ensure both providers and payers are fairly compensated.

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