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Four ways we're addressing pharmacy costs

Posted by AllWays Health Partners blog team on February 05, 2020

UPDATE: Federal law is beginning to move towards a solution to high prescription drug prices. The U.S. Supreme Court will soon take up a case on whether states can regulate certain aspects of prescription drug reimbursement, essentially taking on pharmacy benefit managers (PBMs) and protecting pharmacies from below-cost reimbursements. In addition, the “Lower Costs, More Cures Act” was introduced in December with the aim to lower out-of-pocket spending, protect access to new medicines, and strengthen transparency, accountability, and competition. This act has considerable bipartisan support, making it likely to pass.

Today's post is from our broker blog, AllWays Insider, which is exploring pharmacy cost trends in a series of posts.  

Because many of the dollar amounts reported on cost increases are so staggering, health plans and pharmacy benefit managers (PBMs) are working together to address increasing drug costs. Here are four measures aimed to control premium and out-of-pocket insurance costs and help manage prescription drug costs.

 

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Topics: Doing business with payers, Health care costs, Insider, Pharmacy matters

3 steps to choosing a health plan

Posted by AllWays Health Partners blog team on December 05, 2019

Today's post is from our broker blog, AllWays Insider. We're sharing because it has some great information for when your patients have questions about health insurance. 

Open enrollment is in full swing, which means it’s time for employees everywhere to review their options and choose a health plan for the year ahead. This can be a stressful process involving new terminology that may leave you with questions even after you look them up. Our new guide to choosing a health plan can help employees and health care consumers looking to make sense of this complex decision.

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Questions about your health? Text yes or no.

Posted by Maurice Sahar on September 17, 2019

Have any of your patients recently received a text message AllWays Health Partners? Maybe they’ve gotten a message about a well child visit or about diabetes care. These messages are part of our initiatives to engage patients and make it easy for them to be proactive about their own care. 

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Reducing hospital readmissions and unnecessary ED visits

Posted by Ashley Pacheco on September 10, 2019

According to the Agency for Healthcare Research and Quality, $4.4 billion in emergency department (ED) visits could have been managed in physician office, clinic, and urgent care center. The American Council on Science and Health notes that hospital readmissions can double the cost of an episode. Unnecessary emergency department (ED) visits and hospital readmissions are two areas where we can easily see the intersection between lower costs, improved outcomes, and higher patient satisfaction.

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Identifying depression in the primary care setting

Posted by Steve Wong on September 05, 2019

Depression is the leading cause of disability in the U.S. for ages 15 to 44.3. The impact of depression on physical health can include chronic pain, increased risk of heart disease, exacerbation of chronic conditions, and insomnia.  

Primary care providers (PCPs) are often the first to recognize the signs of depression. In order to confirm or rule out a diagnosis, PCPs should use the PHQ-9 screening tool. For more information regarding the PHQ-9 and to obtain the screening tool in additional languages, please refer to PHQ screener website.

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Topics: Behavioral health, Health care costs, Providers, Quality