Pfizer, Wyeth will pay $784.6 million to settle allegations they underpaid drug rebates to Medicaid

April 28, 2016

Drug companies Wyeth and Pfizer have agreed to pay $784.6 million to settle allegations that Wyeth did not provide the same drug discounts to Medicaid that it gave to private buyers, the U.S. Attorney's office announced Wednesday. As part of the settlement, Wyeth and Pfizer do not deny the government's allegations. Pfizer, which is headquartered in New York City, bought Wyeth in 2009. The actions in question occurred before the acquisition.

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Placing Value over Volume in the Healthcare Environment

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Placing Value over Volume in the Healthcare Environment

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HEALTH TECHNOLOGY

Cedar Partners With athenahealth's Marketplace Program to Bring Personalized, Digital-First Financial Experience to Patients

Cedar | December 03, 2021

Cedar, a market-leading healthcare financial technology platform, today announced a partnership with athenahealth, Inc. through the company's Marketplace program. As part of the athenahealth® Marketplace, Cedar Pay is now available to athenahealth's growing network of healthcare providers, enabling them to help patients more effectively navigate their post-care financial journey through personalized, consumer-friendly experiences. At the core of Cedar Pay, Cedar's post-visit patient engagement and payment platform, is a personalization engine powered by insights from interactions with over 10 million patients. Through focused consumer testing, constant optimization and machine learning, Cedar Pay delivers the right communications and interventions at the right moments along the patient journey to drive action. "We know from experience that a digital-first, personalized financial experience benefits both patients and providers. We are lucky to already work with athenahealth clients, including Summit Health and Westmed Medical Group, and have seen great results through our partnerships. With our inclusion in the athenahealth Marketplace, we'll be able to help more providers reach their business objectives, guiding patients to financial clarity and bill resolution, without compromising patient loyalty or satisfaction." Katie Jaxheimer Agarwal, vice president and head of Client Implementations at Cedar Providers using Cedar Pay typically see a 30% lift in patient collections and 88% patient satisfaction, with 100% of clients citing they would purchase again, according to the 2020 KLAS Patient Financial Experience report. athenahealth is a network-enabled, results-oriented software and services company that offers medical record, revenue cycle, patient engagement, and care coordination services for ambulatory and hospital clients nationwide. The company's vision is to build a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. As a Marketplace partner, Cedar joins a community of innovated, like-minded healthcare professionals who are looking to bring best-in-class solutions to the athenahealth provider base. About Cedar Cedar's mission is to empower us all to easily and affordably pursue the care we need. As the only complete solution to address the challenges consumers face when paying for healthcare, Cedar enables a better and more transparent financial experience. Since 2016, Cedar has provided a smarter, more efficient way for hospitals, health systems and medical groups to manage the patient payment ecosystem and create a personalized financial experience, while also dramatically improving billing operations. About athenahealth Marketplace The athenahealth Marketplace, the largest EHR app store, is where athenahealth customers find innovative healthcare IT solutions that extend athenahealth services and allow customers to create highly tailored user experiences. Customers use Marketplace partner solutions to boost practice efficiency, increase patient satisfaction, and engage patients in their own care. The Marketplace has more than 250 solutions across 60 categories that are seamlessly integrated with athenaOne, athenahealth's network-enabled platform through which the company offers medical records, revenue cycle, patient engagement, and care coordination service offerings.

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DIGITAL HEALTHCARE

Airrosti and Luna Partner to Improve Access for Musculoskeletal Care providing virtual care solution

Luna | November 11, 2021

Luna, the leading provider of on-demand physical therapy, today announced a partnership with Airrosti, a national provider of high-quality, outcome-based musculoskeletal (MSK) care, to offer in-person, at-home physical therapy services to complement the Airrosti Remote Recovery (ARR) virtual care solution. Using Luna's in-person, on-demand physical therapy services platform, Airrosti can immediately expand access to convenient, high-quality, at-home care for patients in the 46 states currently covered by ARR. The primary challenge faced by purely digital MSK offerings today lies in care coordination. No two patients are alike, and while many respond well to a virtual clinic experience, others require in-person care. However, for many patients, travelling to a clinic consistently for an extended period is inconvenient––or even impossible. For these patients and in markets where Airrosti doesn't have clinics, the Airrosti and Luna partnership is particularly important. "As a provider group who is delivering care nationally, we needed a partner solution to best serve our virtual patients that may require in-person conservative care or physical therapy," said Chris Cato, D.C., chief population health officer for Airrosti. "This alliance with Luna provides timely and efficient access to high-quality care that improves clinical efficacy and drives better outcomes. And, from a service delivery standpoint, this relationship significantly enhances Airrosti's ability to rapidly ramp up in-person service in new markets as requested by our carrier and employer partners." As an extension of Airrosti Remote Recovery, patients will gain the opportunity to use Luna's technology platform to request an appointment and then be matched to a local therapist based on specialty, geography, schedule, and other factors. Through the Luna partnership, ARR patients can expect: To begin treatment within 48 hours of referral In-person delivery at the patient's home, gym, or office 45 to 55 minutes of dedicated 1:1 time with a licensed physical therapist per visit Comprehensive MSK treatment––Luna's model of care supports 87%+ of all patients needing outpatient physical therapy A 50% higher adherence rate than in-clinic PT visits "Airrosti recognizes that virtual care––and especially physical therapy––requires a customized, patient-centric approach to help improve outcomes. The hybrid virtual/in-person model made possible by this partnership will not only expand access to safe, convenient, high-quality care for more people nationwide, but will help ensure that more patients complete their PT regimens and regain the quality of life they need." Palak Shah, co-founder and head of clinical operations at Luna To learn more about Airrosti's virtual MSK offerings, visit the Remote Recovery resource page. For more information on how Luna helps clinics expand the reach and profitability of their operations, visit the Physical Therapy Practices resource page. About Airrosti Airrosti Rehab Centers (Airrosti), is a national health care group that employs and trains skilled providers who specialize in delivering high-quality, outcome-based musculoskeletal care, both in person and virtually through their digital healthcare solution, Airrosti Remote Recovery (ARR). Airrosti Remote Recovery is the only virtual MSK solution supported by a provider group with over 1 million patient outcomes and 17 years of clinical experience. The company's strict adherence to quality care standards across its provider network significantly reduces costs and recovery times for patients and prevents unnecessary MRIs, pharmaceuticals, and surgeries. Many patients experience significant improvement in pain, range of motion, and a return to normal activity, often within only three visits (Based on patient-reported outcomes). Airrosti is currently available in 46 states including the District of Columbia and has over 200 brick-and-mortar locations across Texas, Virginia, Ohio, and Washington. About Luna Luna is the leader in on-demand physical therapy, delivering outpatient physical therapy beyond the four walls of a clinic. For patients, Luna has reimagined the physical therapy experience, matching them with a therapist for in-person care at the time and location of their choosing and ongoing coaching through an easy-to-use app. For physical therapists, Luna enables them to manage their careers with flexibility and autonomy, using a platform that makes scheduling efficient, documentation easy, and billing automatic. Luna is the fastest growing in-person physical therapy provider, with more than 1,200 exceptional therapists providing services in 20 states across the United States.

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HEALTH TECHNOLOGY

Amazon Launches Amazon HealthLake for Healthcare organizations

Amazon Web Services | December 09, 2020

Today at AWS re:Invent, Amazon Web Services, Inc. (AWS), an Amazon.com organization (NASDAQ: AMZN) declared Amazon HealthLake, a HIPAA-qualified help for healthcare and life sciences associations. Amazon HealthLake totals an association's finished information across different storehouses and unique organizations into a concentrated AWS information lake and naturally standardizes this data utilizing AI. The administration recognizes each bit of clinical data, labels, and lists occasions in a course of events see with normalized marks so it very well may be effortlessly looked, and structures the entirety of the information into the Fast Healthcare Interoperability Resources (FHIR) industry standard configuration for a total perspective on the wellbeing of individual patients and whole populaces. Accordingly, Amazon HealthLake makes it simpler for clients to question, perform investigation, and run AI to get important incentive from the recently standardized information. Associations, for example, healthcare frameworks, drug organizations, clinical analysts, wellbeing back up plans, and more can utilize Amazon HealthLake to help spot patterns and peculiarities in wellbeing information so they can make substantially more exact expectations about the movement of illness, the adequacy of clinical preliminaries, the exactness of protection charges, and numerous different applications. As AI turns out to be more standard, organizations over each vertical business are attempting to apply it to their information to convey significant business esteem. Healthcare is applying AI to improve activities and patient consideration, with AWS clients like 3M, Anthem, AstraZeneca, Bristol Myers Squibb, Cerner, the Fred Hutchinson Cancer Research Center, GE Healthcare, Infor, Pfizer, and Philips grasping the cloud and AI to get more an incentive out of their immense information stashes. From family ancestry and clinical perceptions to analyses and prescriptions, healthcare associations are making gigantic volumes of patient data consistently with the objective of getting a full perspective on a patient's wellbeing and applying investigation and AI to improve care, break down populace wellbeing patterns, and improve operational proficiency. Be that as it may, clinical information is intricate and famous for being siloed, deficient, contradictory, and put away in on-premises frameworks spread over numerous areas. Getting this data collected and in the FHIR design is a head toward the objective of normalizing organized information, yet most of information stays unstructured and still should be labeled, recorded, and organized in sequential request to make the entirety of the information reasonable and ready to inquiry. Some healthcare associations assemble rule-based instruments to robotize the way toward changing unstructured information (e.g., clinical narratives, doctor notes, and clinical imaging reports) and labeling clinical data (e.g., conclusions, prescriptions, and techniques), yet these arrangements regularly come up short in light of the fact that the information should be standardized across dissimilar frameworks and on the grounds that the devices can't represent each conceivable variety in spelling, unintended mistakes, and linguistic blunders. Different associations utilize broadly useful optical character acknowledgment (OCR) programming to handle information sources, yet these apparatuses do not have the clinical mastery to be successful thus associations resort to manual information section by clinical experts which adds cost to the digitization cycle. Regardless of whether associations can total and structure their information, they actually need to construct their own investigation and AI applications to reveal connections in the information, find patterns, and make exact expectations. The expense and operational intricacy of accomplishing this work is restrictive to most associations; and thus, by far most of associations wind up passing up the undiscovered potential to utilize their information to improve the wellbeing of patients and networks Amazon HealthLake offers clinical suppliers, wellbeing safety net providers, and drug organizations an assistance that unites and sorts out the entirety of their patient information, so healthcare associations can make more exact expectations about the soundness of patients and populaces. The new HIPAA-qualified help empowers associations to store, tag, file, normalize, question, and apply AI to dissect information at petabyte scale in the cloud. Amazon HealthLake permits associations to handily duplicate wellbeing information from on-premises frameworks to a protected information lake in the cloud and standardize each patient record across unique organizations consequently. Upon ingestion, Amazon HealthLake utilizes AI prepared to comprehend clinical phrasing to distinguish and label each bit of clinical data, record occasions into a timetable view, and improve the information with normalized marks (e.g., meds, conditions, analyze, methodology, and so forth) so this data can be effortlessly looked. For instance, associations can rapidly and precisely discover answers to their inquiries like, "How has the utilization of cholesterol-bringing down meds assisted our patients with hypertension a year ago?" To do this, clients can make a rundown of patients by choosing "Elevated Cholesterol" from a standard rundown of ailments, "Oral Drugs" from a menu of medicines, and pulse esteems from the "Circulatory strain" organized field – and afterward they can additionally refine the rundown by picking credits like time span, sex, and age. Since Amazon HealthLake additionally consequently structures the entirety of a healthcare association's information into the FHIR business design, the data can be effectively and safely shared between wellbeing frameworks and with outsider applications, empowering suppliers to team up more adequately and permitting patients liberated admittance to their clinical data. “There has been an explosion of digitized health data in recent years with the advent of electronic medical records, but organizations are telling us that unlocking the value from this information using technology like machine learning is still challenging and riddled with barriers,” said Swami Sivasubramanian, Vice President of Amazon Machine Learning for AWS. “With Amazon HealthLake, healthcare organizations can reduce the time it takes to transform health data in the cloud from weeks to minutes so that it can be analyzed securely, even at petabyte scale. This completely reinvents what’s possible with healthcare and brings us that much closer to everyone’s goal of providing patients with more personalized and predictive treatment for individuals and across entire populations.” By amassing, naming, ordering, and organizing all their information, Amazon HealthLake makes it simple for clients to question, examine, and use AI to figure out their information. Clients can utilize other AWS examination and AI administrations with Amazon HealthLake like Amazon QuickSight for intuitive dashboards and Amazon SageMaker for effectively building, preparing, and conveying custom AI models. For instance, healthcare associations can utilize Jupyter Notebook layouts in Amazon SageMaker to rapidly and effectively run examination for basic assignments like determination expectations, emergency clinic re-induction likelihood, and working room use figures. Healthcare and life science associations can utilize Amazon HealthLake to get a total perspective on patient and populace wellbeing, infer experiences utilizing investigation and AI, and find recently clouded connections and patterns. Cerner Corporation, a global healthcare technology company, is focused on using data to help solve issues at the speed of innovation - evolving healthcare to enhance clinical and operational outcomes, help resolve clinician burnout, and improve health equity. "At Cerner we are committed to transforming the future of healthcare through cloud delivery, machine learning, and AI. Working alongside AWS, we are in a position to accelerate innovation in healthcare. That starts with data. We are excited about the launch of Amazon HealthLake and its potential to quickly ingest patient data from various diverse sources and transform the data to perform advanced analytics to unlock new insights and serve many of our initiatives across population health,” said Ryan Hamilton, SVP, Population Health, Cerner. Ciox Health is a health technology company that is dedicated to improving U.S. health outcomes by transforming clinical data into actionable insights. “At Ciox, we work to enable greater health by improving the way health information is managed,” said Sasidhar Mukkamala, SVP of Data Management, Ciox Health. “Much of the health information that we ingest is unstructured, like notes and handwritten PDFs, and it is a challenge to find solutions that allow us to realize the full analytic value of that data. With 60 percent of the market share in risk adjustments, this is a huge opportunity. We are excited about getting started with Amazon HealthLake and its potential to help us meet this need and deliver better risk adjustments, predictions, billing, and much more, all informed by health data.” Konica Minolta Precision Medicine (KMPM) is a life science company dedicated to the advancement of precision medicine to more accurately predict, detect, treat, and ultimately cure disease. "We are building a multi-modal platform at KMPM to handle a significant amount of health data inclusive of pathology, imaging, and genetic information. Amazon HealthLake will allow us to unlock the real power of this multi-modal approach to find novel associations and signals in our data. It will provide our expert team of data scientists and developers the ability to integrate, label, and structure this data faster, and discover insights that our clinicians and pharmaceutical partners require to truly drive precision medicine," said Kiyotaka Fujii, President of Global Healthcare, Konica Minolta. Orion Health is a global, award-winning provider of health information technology, advancing population health and precision medicine solutions for the delivery of care across the entire health ecosystem. “At Orion Health, we believe that there is significant untapped potential to transform the healthcare sector by improving how technology is used and providing insights into the data being generated. We are pleased to find a like-minded company in AWS who, with Amazon HealthLake, is now taking the next step in using machine learning to help make sense of health data in a secure, complaint, and auditable way,” said Anne O'Hanlon, Product Director, Orion Health. “Data is frequently messy and incomplete, which is costly and time consuming to clean up. We are excited to work alongside AWS to deliver new ways for patients to interact with the healthcare system, supporting initiatives such as the 21st Century Cures Act designed to make healthcare more accessible and affordable, and Digital Front Door, which aims to improve health outcomes by helping patients receive the perfect care for them from the comfort of their home. Expanding the relationship we enjoy with AWS gives us an opportunity to innovate and explore new ways to deliver patient-centered healthcare and high quality health outcomes that help people live a healthier life.” About Amazon Web Services For 14 years, Amazon Web Services has been the world’s most comprehensive and broadly adopted cloud platform. AWS offers over 175 fully featured services for compute, storage, databases, networking, analytics, robotics, machine learning and artificial intelligence (AI), Internet of Things (IoT), mobile, security, hybrid, virtual and augmented reality (VR and AR), media, and application development, deployment, and management from 77 Availability Zones (AZs) within 24 geographic regions, with announced plans for 18 more Availability Zones and six more AWS Regions in Australia, India, Indonesia, Japan, Spain, and Switzerland. Millions of customers—including the fastest-growing startups, largest enterprises, and leading government agencies—trust AWS to power their infrastructure, become more agile, and lower costs.

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