Tag: cms

A new drug pricing model from CMS may force manufacturers to compete with pricing from other countries.

  A new drug pricing model from CMS may force manufacturers to compete with pricing from other countries. Sick of high drug prices?  Health insurers have made higher priced drugs more affordable to consumers by patients coupons to reduce their copayments while the insurers paid high prices for both brand name and generic drugs that have been rebranded with slight formulation changes. As they always do, health insurers pass the cost on to us and earn more by charging higher premiums the following year. In a capitalistic society, if you increase demand, prices will increase.  This is true of drug prices.   Doctors write too Read More »

Medicare’s initiative to reduce costs through profiling referral patterns; will this fix the problem of healthcare costs?

Medicare’s initiative to reduce costs through profiling referral patterns; will this fix the problem of healthcare costs? Medicare has initiated their quality payment program for 2017 and beyond, which is their attempt at reeling in healthcare costs, waste and changing non productive referral habits most medical providers have developed over the years. Yesterday, I sat down with a representative from NJIT (New Jersey Innovation Institute) who was hired to help doctors work within the new guidelines that CMS (Centers for Medicare and Medicaid services) succeed at this new initiative.  Their goal as stated is to make sure care is coordinated Read More »