Finance

Will Optum's New Model Fix Pharmacy Reimbursement?
Business Will Optum's New Model Fix Pharmacy Reimbursement?

The financial tightrope walked by community and independent pharmacies has become increasingly precarious, stretched thin by the weight of ever-increasing brand-name drug prices. As these local healthcare hubs struggle to manage the upfront costs of expensive medications, the entire system of

BioMarin Shifts Strategy With $4.8B Amicus Acquisition
Technology BioMarin Shifts Strategy With $4.8B Amicus Acquisition

Faisal Zain, a seasoned healthcare expert with deep roots in medical technology and biopharmaceutical strategy, joins us to dissect BioMarin's recent $4.8 billion acquisition of Amicus Therapeutics. This landmark deal marks a significant strategic shift for BioMarin, moving away from its

AI-Powered Payment Integrity – Review
Technology AI-Powered Payment Integrity – Review

The financial backbone of the American healthcare system silently hemorrhages billions of dollars annually through a cascade of improper payments and administrative waste. The application of Artificial Intelligence in healthcare payment integrity represents a significant advancement in the

Are Accountable Partnerships the Cure for Burnout?
Process Are Accountable Partnerships the Cure for Burnout?

The American healthcare system is rapidly approaching a critical inflection point, strained by the dual pressures of overwhelming clinician burnout and escalating patient expectations against a backdrop of persistent economic instability. For years, the industry has looked to technological

Looming ACA Subsidy Loss Sparks Enrollment Anxiety
Business Looming ACA Subsidy Loss Sparks Enrollment Anxiety

As millions of Americans log on to select their health insurance for the coming year, they are navigating not just a marketplace of plans but a landscape of profound financial uncertainty. The annual open enrollment period for the Affordable Care Act (ACA) has become a high-stakes waiting game, as

States and Feds Clash Over Medical Debt Protections
Business States and Feds Clash Over Medical Debt Protections

An unforeseen trip to the emergency room can quickly spiral into a financial catastrophe, not just from the immediate cost, but from the long-term damage it inflicts on a person's credit report. For an estimated 100 million Americans, this is not a distant possibility but a lived reality,

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