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“Investigational” Is Payer Code for “Coverage Denied”

Outside the pandemic, “investigational” remains payer code for denying reimbursement. In the case of treatment for chronic conditions, even FDA-approved digital-health and connected devices languish on waitlists for formulary inclusion.

We Know the Health Ecosystem is Fragmented, Resulting in Rising Costs and Poorer Patient Outcomes, But What Are We Doing About It?

As We Enter the “Post-Fragmentation” Period, Health System Kinetics Points Us Toward Solutions

The 50 Most Influential Leaders in Pharmacy 2022 Awards

Today the Pharmacy Podcast Network announces the winners of the 50 Most Influential Leaders in Pharmacy 2023 Awards. 

Color Based Care Still Taints American Healthcare

Healthcare has to assume responsibility for its failure to address color based care in the industry. Gender and racial bias still permeate American Healthcare.