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Payers in Medical News

U.S. Payers Intend to Limit Preferred Coverage to Only One Immune Biologic

NASHVILLE, Tenn. and GLEN ROCK, N.J., Aug. 6 /PRNewswire/ -- HealthLeaders-InterStudy and Fingertip Formulary find that 76 percent of surveyed pharmacy directors say that by 2014 they expect their managed care organization will have only one preferred biologic for all immune conditions, ...

Independent Review Organizations Take Pressure Off Healthcare Payers as Recession Deepens

IROs Help Ease Staff Burden, Maintain Compliance and Make Patient Safety a Priority PORTLAND, Ore., Feb. 26 /PRNewswire/ -- The deepening U.S. economic recession has healthcare payers caught between member demands for better coverage and the need to reduce costs, while they also wrestle with ...

EDI Health Group Selected by Quality Systems to Facilitate EDI Transactions Between Payers and Large Dental Group Practices

IRVINE, Calif., Feb. 2 /PRNewswire/ -- EDI Health Group, Inc. (EHG), a provider of enhanced connectivity, streamlined technology and transaction solutions for patients, payers and providers in the dental industry, today announced an agreement with Quality Systems, Inc. (Nasdaq: QSII ) to ser...

TriZetto, Sanovia Join Forces to Offer First Integrated Platform That Helps Payers Control Pharmacy Costs

Platform Integrates Medical and Pharmacy Data to Drive Real-Time Pharmacy Utilization Management Decisions NEWPORT BEACH, Calif. and PHILADELPHIA, Jan. 12 /PRNewswire/ -- The TriZetto Group, Inc. and Sanovia Corporation today announced a definitive partnership agreement to offer the market's ...

Jopari Further Expands Nationwide Medical Billing Network Connectivity for Workers' Comp and Auto Providers and Payers

P&C Industry Transactions Gateway Multiplies Direct Connectivity with Clearinghouses, Strategic Trading Partners and Bill Review as States Move to Adopt eBill Regulations CONCORD, Calif., April 20 /PRNewswire/ -- Jopari Solutions, a leading Property and Casualty industry supplier...

Emdeon Business Services Extends Market Leadership With New Dental Eligibility Payers

NASHVILLE, Tenn., Oct. 5 /PRNewswire/ -- Emdeon Business Services announced today that they have launched 16 new Delta Dental payers for insurance eligibility and benefits verification. Emdeon is offering these transactions through its vendor partners and through the Emdeon suite of products f...

Drug Companies May Be Penalize For Overcharging NHS Tax Payers Money on Branded Drugs

The Nation Health Care System of Britain, the NHS, has been in constant light over the past few years. This focus has become even more acute// |as it tries desperately to repair itself from collapsing. A recent report by the Office of Fair Trading, has expressed that the NHS may actually be pa...

Duane Reade Holdings, Inc. Announces Expiration and Results of Tender Offers for Senior Secured Floating Rate Notes and Senior Subordinated Notes and Solicitation of Consents to Related Indentures

...ment in the drug store industry in general and in the New York metropolitan area, the ability to open and operate new stores, the continued efforts by payers and government agencies to reduce prescription reimbursement rates and prescription drug benefits, changes in federal and state laws and regulations, ...

Duane Reade Holdings, Inc. Announces Closing of Offering of $300 Million of 11.75% Senior Secured Notes Due 2015

...ment in the drug store industry in general and in the New York metropolitan area, the ability to open and operate new stores, the continued efforts by payers and government agencies to reduce prescription reimbursement rates and prescription drug benefits, changes in federal and state laws and regulations, ...

US Oncology Reports Second Quarter Operating Results

...s works closely with physicians, manufacturers and payers to identify and deliver innovative services that e...bursement for medical services by non-governmental payers and cost-containment efforts by such payers, including whether such payers adopt coverage guidelines regarding ESAs or pharma...
Payers in Medical Technology

CareFirst BCBS Covers eNO Measurement for Diagnosis, Asthma Treatment

... recognized the valuable impact that eNO measurement can have on asthma treatment. We are working to encourage similar coverage policies among private payers and managed care organizations across the country." In a separate development, an official joint statement from the European Respiratory Soci...

MedImmune Funds Study to Help Gain Insights Into Full Burden of RSV Disease Among Premature Infants

...m infants most susceptible to RSV infection and to serious RSV-related illness." She went on to say that this information may help pediatricians, payers and health policy makers make better decisions regarding the use of finite healthcare resources on behalf of under-represented and under-served 32-to-...

Edifecs, CAQH and Harvard Pilgrim Health Care Will Examine CORE Phase II Testing Outcomes and Lessons Learned at HIMSS09 Interoperability Showcase

...ation of the CORE rules, using scripts and test data developed by the CORE Work Groups, which consist of providers, payers, clearinghouses, government payers and other healthcare stakeholders, and approved by the CORE participants via voting. Edifecs, HPHC and CAQH staff will specifically address two issues...

Patient Enrollment in Urgent(R) PC SUmiT Clinical Trial Completed Ahead of Schedule

...e symptoms. The Company believes physicians, patients and many third party payers have embraced Urgent PC therapy as a clinically effective, low-cost, non-su...e favorable results, that even if it produces favorable results third-party payers will provide or continue to provide coverage and reimbursement, or reimburs...

New Study Shows PCR and FCR Have Significant Activity in B-cell Chronic Lymphocytic Leukemia

...e, www.usoncology.com . About US Oncolog y US Oncology, headquartered in Houston, works closely with physicians, manufacturers and payers to identify and deliver innovative services that enhance patient access to advanced cancer care. US Oncology supports one of the nation's foremost can...

Elsevier is Expanding eClinical Solutions in Europe

...y building upon our core strengths in leading content to provide information and workflow solutions, we can improve outcomes and efficiencies for both payers and providers on a country by country basis," said Wehnes. "Growing Elsevier Clinical Decision Support in Europe reinforces Elsevier's broader busines...

Uroplasty Enrolls First Patients in Urgent(R) PC Clinical Trial

...se symptoms. The Company believes physicians, patients and many third party payers are embracing the Urgent PC therapy because this low cost, non-surgical, no...ou that our clinical trial will produce favorable results, that third-party payers will provide or continue to provide coverage and reimbursement, or reimburs...

VAP Cholesterol Test Helps Reveal Association Between Adiponectin Levels and Atherosclerosis

...f care for patients at risk for cardiovascular disease -- is available through national and regional diagnostic laboratories and is reimbursed by most payers as well as Medicare. For more information, visit http://www.thevaptest.com . ...

US Oncology Affiliated Physicians Make a Strong Showing in ASCO Proceedings

...site, http://www.usoncology.com . About US Oncology, Inc. US Oncology, headquartered in Houston, works closely with physicians, manufacturers and payers to identify and deliver innovative services that enhance patient access to advanced cancer care. US Oncology supports one of the nation's foremost can...

Nektar Terminates All Negotiations With Potential Partners for Inhaled Insulin; Increased Number of Lung Cancer Cases Observed in Ongoing Clinical Studies of Inhaled Insulin Patients

...otential of the Nektar's product candidates due to such competitive factors as efficacy and safety profiles, pricing, and reimbursement by third party payers These forward- looking statements involve substantial risks and uncertainties, including those risks and uncertainties that are detailed in Nektar's r...
Payers in Medical Products

ProtoCLAIMS

Description:... Protologics Corporation announces ProtoCLAIMS, Web-based electronic claims product that links and reconciles desktop claims with insurance payers who offer direct claims processing....
Company:ProtoMED

EasyPro Urodynamic System

Description:... EasyPro - As easy to use as its name implies. Third-party payers are increasingly demanding medical justification of therapeutic procedures. For the treatment of patients with lower urinary tract symptoms (LUTS), th...
Company:SRS Medical
Payers in Medical Definition

Personalized medicine

... of the predicitive potential of personalized medicine ought to avert costly intensive care treatment when a disease is established. The response of payers will be influenced by the nature of the relationship they have with those whom they are paying for. Is it a long-term relationship, which is the case ...
Payers in Biological News

Combining advanced medical and information technologies offers pathway to lower health care costs

...ons on an equitable basis. The financial burden to payers is substantial, making the short-term cost of adva...xecutive Officer, told Advamed audiences that U.S. payers were becoming more accepting of the importance of ...phone industry. Unfortunately, with third-party payers still seeing technology costs as a significant con...

5th Annual World Health Care Congress April 21-23, Washington, D.C.

...s, including former U.S. Secretary of state George Shultz, co-author of a recently published health care reform book. TOPICS INCLUDE Practices for payers and Providers Chronic Care Consumer Empowerment Medicare and Medicaid International Health Personalized Medicine Convergence of Healthcare and B...

Fragile US vaccine system needs improvement despite dramatic gains in health over past century

... Affairs. The U.S. vaccine system is a complex collaboration among government, industry, providers, academia, professional societies and third-party payers that has resulted in record low levels of vaccine-preventable diseases and record high levels of immunizations among children. According to the articl...
Payers in Biological Technology

Valley Baptist Health System Selects Concuity's ClearContracts to More Accurately Calculate Payments from Managed Care and Government Payers

VERNON HILLS, Ill., and DUBLIN, Ireland, Sept. 8 /PRNewswire-FirstCall/ -- Concuity, a healthcare division of Trintech (Nasdaq: TTPA ) and a leading provider of contract management and revenue recovery technology ("Peer Reviewed by HFMA") and services, today announced that Valley Baptist Heal...

Angiotech Pharmaceuticals, Inc. announces financial results for the second quarter ended June 30, 2009

...hanges in, or the failure to comply with, governmental regulations; availability of financial reimbursement coverage from governmental and third-party payers for products and related treatments; adverse results or unexpected delays in pre-clinical and clinical product development processes; adverse findings...

Understanding Managed Markets: Effective Market Research Structures & Activities to Maximize Payer Access & Insights

...ed MMMR group facilitates a relationship between bio-pharma and third-party payers that offers competitive advantage to both parties. Sample key find...prove less effective for me-too drugs, as pushing research earlier may give payers more time to develop strategies against undifferentiated products. P...

Galichia Heart Hospital Partners with Mobile Surgery International to Develop Wichita-based Center of Excellence with Global Convenience(TM)

...oice, quality and cost-efficiency for patients and payers WICHITA, Kan. and AVENTURA, Fla., June 24 /PR...SI continues to form relationships that will allow payers to fill gaps in network coverage and offer choice,... Mobile Surgery International offers patients and payers from anywhere in the world surgical choice and qua...

APS Healthcare and Thomson Reuters to Manage New York State's Medicaid Clinical Best Practices Review Program

...eople engage in behaviors that optimize their health status. By uniting all participants in the healthcare landscape -- individuals, practitioners and payers -- APS improves overall health and reduces total healthcare expenditures. For more information, visit www.apshealthcare.com . About Tho...

US Oncology Launches New Web Site

...work by viewing contents of the Physician tab Providers can easily find safe, cost-effective drug distribution services payers can learn how they can collaborate with US Oncology to lower costs while improving patient care by exploring the Payer tab which describes the b...

Pharmaceutical Institute Launches New Training Series Focused on Managed Markets Excellence

..., the influence of the Pharmacy & Therapeutics (P&T) Committee, how payers and health plans control drug utilization and selection, and the impact of ... and recent trends impacting practice managers. "With payers now managing upwards of 80% of prescription drug costs, the managed markets...

US Oncology Encourages Your Right to Decide

...wire/ -- US Oncology, Inc .( www.usoncology.com ), supporting the nation's foremost cancer treatment and research network working with providers, payers and manufacturers to advance cancer care in America, is encouraging all Americans to get involved in National Healthcare Decisions Day ( www.nati...

Exenatide Clinical Data Analysis Shows No Increased Risk of Cardiovascular Events

...come the first weekly therapy to treat type 2 diabetes with glucose control and weight loss. This could offer a unique value proposition for patients, payers and physicians." Initiation Of New DURATION-5 Clinical Study The companies have initiated DURATION-5, a new phase 3b study in which patients ...

Prime Health Network and Its Patients Thrive in Tough Economic Times on the InstaMed Network

...ver 700 hospital and clinic locations; practice management vendors and billing services representing over 50,000 providers; and hundreds of healthcare payers of all sizes. InstaMed is registered with Visa and MasterCard and is certified as a Payment Card Industry Data Security Standards (PCI-DSS) Level One ...
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(Date:4/17/2014)... pain relief targets that could be used to ... King,s College London made the discovery when researching ... of the body. , Dr Marzia Malcangio said: ... pain generation and our findings could help chemotherapy ... One potential side effect of some chemotherapy drugs ...
(Date:4/17/2014)... School of Medicine report that older women, plucky individuals ... are more likely to be compassionate toward strangers than ... this month,s issue of the International Journal of ... with better health and well-being as we age, the ... outcomes of individuals whose deficits in compassion put them ...
(Date:4/17/2014)... has created a new technology for modifying human ... the body and selectively target cancer and other ... that monitor and modify human physiology is a ... existing technology enabled bioengineers to build such devices ... in a customized fashion. , "The project addressed ...
(Date:4/17/2014)... NY (April 16, 2014) The cause of neuronal ... new study proposes that neurons may be mistaken for ... system, similar to the way autoimmune diseases like type ... body,s cells. The study was published April 16, 2014, ... new, and likely controversial, idea in Parkinson,s disease; but ...
(Date:4/17/2014)... April 17, 2014 EcoHealth Alliance, a nonprofit ... issues, published a comprehensive review today examining the current ... virus. The review calls for improved global surveillance strategies ... the recent outbreak of Ebola in West Africa that ... countries of Guinea and Liberia. According to the ...
Breaking Medicine News(10 mins):Health News:New pain relief targets discovered 2Health News:The ilk of human kindness 2Health News:Building 'smart' cell-based therapies 2Health News:Is Parkinson's an autoimmune disease? 2Health News:Re-emergence of Ebola focuses need for global surveillance strategies 2Health News:Re-emergence of Ebola focuses need for global surveillance strategies 3
(Date:4/17/2014)... One day about eight years ago, Katia ... Riverside, and her father were on a field trip in ... an orchid they had never seen before. , Unable to ... orchids. The orchid turned out to be an unnamed ... Lophiaris silverarum . , "Lophiaris" is the genus name, comprising ...
(Date:4/17/2014)... in Europe, Asia and the United States are spreading ... impacting native honeybee populations at this time, according to ... including Nosema microsporidia and Varroa ... to these invasive pests, which suggests to us that ... and the United States currently are not necessary in ...
(Date:4/17/2014)... many serious conditions such as heart disease, epilepsy and ... therapies. Unfortunately, there is still much scientists do not ... and unexpected insight into the structure of sodium channels ... - which are responsible for ,fine-tuning, the activity of ... recent edition of the Journal of Biological Chemistry ...
Breaking Biology News(10 mins):Orchid named after UC Riverside researcher 2Orchid named after UC Riverside researcher 3East African honeybees are safe from invasive pests… for now 2East African honeybees are safe from invasive pests… for now 3Structure of sodium channels different than previously believed 2
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