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CMS makes first move to hold docs accountable for Medicare spending

CMS makes first move to hold docs accountable for Medicare spending

The CMS has kickstarted an experiment to determine if MACRA will lead to reduced Medicare spending.

CMS may have overcorrected in cancellation of cardiac models

By Virgil Dickson  |  October 19, 2017
CMS may have overcorrected in cancellation of cardiac models

The CMS may have overcorrected when it honored some hospitals' requests to cancel mandatory cardiac pay models. The move means hospitals that were ready to embrace the models could be out millions of dollars.



Insurance

Anthem's new PBM to spark change throughout the industry

Anthem's new PBM to spark change throughout the industry

There has been heightened scrutiny over pharmacy benefit managers' role in drug pricing in recent years. Anthem's creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.

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