CVS-Aetna Merger: Great for Shareholders and Catastrophic for Consumers

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By Thomas Borzilleri November 2017 – The rumored $66 billion merger of retail pharmacy CVS and health insurer Aetna holds strong potential to inflict financial pain on American patients by artificially inflating prescription drug prices while reducing transparency and competition. The Aetna-CVS deal is the latest in an ongoing trend that has seen health insurers… Read more »

Healthcare’s Holy Grail: Will Telehealth Fulfill the Quest?

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By Brooke LeVasseur October 2017 – The U.S. health system today is facing unprecedented demands – from decreasing reimbursements to ever-changing regulations to the transition from fee-for-service reimbursement to value-based care models. Yet, amidst it all, healthcare stakeholders still need to achieve the holy grail of healthcare: higher quality care — at lower costs —… Read more »

Should the Government Subsidize Healthcare Data Security?

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by Darin Brannan September 2017 – The 2009 HITECH Act ignited a profound shift in how providers document our health, taking us from paper-based charting to electronic health records in just a few short years. Although the success of the legislation’s original intention—to make the sharing of medical records infinitely easier—is still up for debate, another… Read more »

Payer Power

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by Dave Bennett August 2017 – Because of the wealth of information found in claims data—bills for service, lab work, medications, prescriptions, and more—today’s payer has a unique longitudinal view of the patient’s complete medical history. This puts the payer in a unique position for understanding the finer points of the patient’s health narrative, including details like… Read more »

Specialty Drugs: a Costly, Overlooked Challenge… With Solutions

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by Jeff Spafford July 2017 – Poor patient compliance and adherence to specialty and highly managed medication is a growing problem that costs the healthcare system more than $300 billion annually. Compliance is taking medication correctly as prescribed by a doctor, while adherence is taking and filling prescriptions on one’s own. Patient adherence is especially challenging within the… Read more »

Those Sticky Fingers Can Be Cut Off

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by Tom Furr June 2016 – Did you hear the one about the disbarred lawyer who embezzled more than $1.2 million from a hospital in Kansas City over four and one-half years? A long-trusted attorney supposedly served the hospital by collecting past-due payments from patients. Money collected was to go into a trust account. However,… Read more »

Electronic Provider Payments: Now a Real Win-Win

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by Bob Chevlin June 2017 – Payers have been increasingly embracing the use of virtual card payments (i.e., electronic payments) as a way of reducing the cost of issuing checks or ACH payments. In addition, Payers have benefited from receiving “cash back” from their virtual card issuing vendors in the form of dividends, rewards or rebates effectively creating… Read more »

Innovation as a Competency

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by Neil Patel May 2017 – “But healthcare is different.” This often-used excuse by many in our field attempts to explain why strategies and tactics that have worked in other industries would not work in healthcare. When it comes to innovation, you would be hard-pressed to find a non-commoditized industry where a firm that does… Read more »

Healthcare Investing in the Age of Trumbama Care

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by Dave Eichler April 2017 As a healthcare venture capitalist for the past 18 years, I am often asked how our investment strategy has been impacted by Obamacare, and more recently by efforts aimed at its repeal and replacement. I understand the impulse by some to stay on the sidelines given all of the uncertainty, but… Read more »

Top Five Mistakes I’ve Made Building Healthcare Technology Partnerships—and How to Avoid Them

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by Ben Wilson March 2017 – If you’re like me, you’re tired of wasting time on healthcare technology partnership deals that go nowhere. These deals often take time, travel expense, and most of all, incur a significant opportunity cost. Healthcare provider and payer organizations have complex and sophisticated IT environments with hundreds of applications. These healthcare… Read more »