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Exploring What Role Patient Advocacy Plays in Bundled Payment Outcomes

Guideway Care

In bundled payment models, patient advocacy plays a pivotal role in improving care coordination, patient satisfaction, and adherence to treatment plans. This blog explores how patient advocacy enhances care quality, addresses social determinants of health, and supports bundled payment success.

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What’s Causing Fewer Primary Care Visits in the US?

Health Populi

Americans who have commercial health insurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system. visits per 100 member-years.

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Why the FTC Investigated PBMs and What it Means for You

ACMA Blog

Given the current state of PBM dominance, pharmacists, health insurers, and drug manufacturers often have little choice but to interact with the large, dominant PBMs when distributing certain drugs. PBMs may also use narrow networks to channel patients into their own affiliated pharmacies, even if competitors offer drugs at the same prices.

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5 Ways Your Field Reimbursement Team Can Excel in the Current Healthcare Landscape

ACMA Blog

As we navigate the ever-evolving healthcare sector, the importance of field reimbursement and patient access teams continues to grow. With an increased focus on healthcare reform and patient advocacy, these teams play a crucial role in ensuring patients receive the treatments they need without undue financial burden.

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THE IMPORTANCE OF PRIOR AUTHORIZATION IN HEALTHCARE

ACMA Blog

Author: Steve Fields, Vice President – Field Access & Reimbursement, Inizio Engage Prior Authorization is a healthcare protocol used by insurers and payers to determine coverage for prescribed medications or services. Patients often face high out-of-pocket costs for advanced medications without insurance coverage.

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Meet the New President of the AANP: Stephen A. Ferrara

Minority Nurse

Once I understood the role of nurses and patient advocacy, the ability to share health information and care for people and promote health and wellness, that was my epiphany. I credit my aunt, a nurse, who all the while was saying consider nursing, and I did it. It took me a while to come to that decision on my own.

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Mastering Prior Authorization Roles: Responsibilities and Training Demands Explored

ACMA Blog

Engagement in Prior Authorization: Duties and Training INTRODUCTION: The prior authorization (PA) process is critical in providing some patients with their medically necessary products. The pharmacy then notifies the patient and the prescriber of this request.