posts tagged as Payers

By William Bithoney | August 08, 2016

Compounding Pressures: Multiple influencers push for U.S. drug prices to be tied to value, outcomes

Despite criticism, drug prices are still rising. Besides the complex issues of development, regulation and competition, and the bevy of price variables such as insurance contracts and pharmacy benefit manager formularies, pricing has... read more

The Politics of Drug Pricing vs. Reality of Payer Control – Recorded Bloomberg Intelligence Webinar

New legislation and pilot programs are helping to change the tide when it comes to how drugs are priced in the U.S. read more

How to Increase Competition under The Affordable Care Act

A recent analysis by Kaiser Family Foundation shows that more than 650 counties are on pace to have just one insurer on their state exchanges in 2017. read more

By David Friend | May 12, 2016

Not Your Father’s Healthcare Acquisition Strategy

In today’s brave new world of healthcare investment, merging with another company is not only smart, but perhaps necessary for survival. read more

Unclaimed Property Concerns for the Healthcare Industry - Part Two

This week, we’ll discuss the details of unclaimed property audits and proactive measures that can be taken if you have not yet addressed unclaimed property. read more

Unclaimed Property Concerns for the Healthcare Industry – Part One

Accounting professionals in the healthcare industry spend significant time reviewing contracts to determine the amount of receivables to record for a given service, pursuing reimbursement for claims, and determining whether any... read more

BDO Knows Healthcare Spring 2016 Newsletter

In the Spring 2016 edition of the BDO Knows Healthcare newsletter, we focus on the impact of changing reimbursements across the healthcare spectrum: on investors, providers and pharmaceutical companies. read more

By Steven Shill | April 12, 2016

Lost in Translation: The Challenges of Integrating Medicaid Managed Care into Commercial Insurer Portfolios

For commercial insurers adding governmental payer managed care plans to their portfolios, ‘lost in translation’ moments can be costly. read more

By Venson Wallin | February 05, 2016

How Are Changing Reimbursement Models Impacting Risk? 7 Questions to Address This Quarter

Healthcare providers are starting to feel the impact of the accelerating pace of reimbursement changes. Delivery models are transforming, ushering in new opportunities and risks that organizations must manage.  read more

By Patrick Pilch | October 28, 2015

Rising Health Plan Costs: Out with the Old Approach, In with the New

One of the major sticking points around the “Cadillac” excise tax, set to go into effect 2018, is that most companies challenged with the rising costs of healthcare plans are not taking into account the implications of the... read more