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Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.
New U.S. Department of Labor rule would have an immediate positive effect on pharmacies and negatively impact the big Pharmacy Benefit Managers (PBMs), says Dae Y. Lee, attorney at Buchanan Ingersoll & Rooney.
It's a struggle to provide an explanation and clarity on why a claim was denied with the level of detail required, says Fawad Butt, CEO at Penguin Ai.
There's somewhat of a disconnect for consumers between a plan's star rating and how that plan differs from another, says John Barkett, managing director at BRG's Healthcare Transactions and Strategy practice.