Medicaid programs increasingly rely on Pharmacy Benefit Managers (PBMs) to manage drug benefits for Medicaid beneficiaries, whether they have health plan or fee-for-service coverage.
One of the biggest issues facing the United States health care system is the rising costs of prescription drugs.
First implemented in 2014 as a cornerstone of the Affordable Care Act (ACA), public exchanges sought to provide subsidized coverage to Americans who were not eligible for Medicaid.
In Ohio, as of 2016, there were 35 freestanding emergency departments (FSEDs) – all of which were owned by or affiliated with hospitals, despite being physically separate facilities.
A new report from UnitedHealth Group, "Freestanding Emergency Departments: Treating Common Conditions at Emergency Prices," highlights the recent growth in freestanding emergency departments (FSEDs), which are physically separate from hospitals, and the resulting costs to consumers and the health care system.
In Colorado, as of August 2016, there were 40 freestanding emergency departments (FSEDs) – both hospital-owned and independent – about triple the number in 2014.
A recent report from UnitedHealth Group finds that $500 billion to $620 billion could be saved by modernizing Medicare and Medicaid.
UnitedHealth Group has updated several components of its 2014 report on practical, proven and scalable approaches for advancing primary care delivery.
Prescription drugs, outpatient services, and taxes on health insurance are key drivers of premium increases, according to a recently released UnitedHealth Group brief.
A new report from UnitedHealth Group, Addressing the Nation’s Primary Care Shortage: Advanced Practice Clinicians and Innovative Care Delivery Models outlines opportunities to increase primary care capacity.