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ºÚÁϲ»´òìÈ Insights: Your source for healthcare news, ideas and analysis.

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Hospital Charges and Reimbursement for Medicines: Analysis of Cost-to-Charge Ratios

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This report is an update to a previous report examining hospital markups for separately paid drugs. Our prior analysis examined hospital charges and reimbursement for 20 drugs and found that hospitals marked up charges for those drugs, on average, 487 percent of their acquisition cost. We also found that hospitals receive 252 percent of estimated hospital acquisition cost from commercial payers. Hospital reimbursement data was obtained from the Magellan Rx Management Medical Pharmacy Trend Report™: 2016 Seventh Edition (the Magellan report) and charges were calculated from Medicare claims data. For more information, please refer to our prior analysis.

ºÚÁϲ»´òìÈ to Acquire Firm Founded by Seema Verma

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WASHINGTON, D.C. – Today, Jay Rosen, founder and president of ºÚÁϲ»´òìÈ (ºÚÁϲ»´òìÈ), announced the signing of an agreement by which ºÚÁϲ»´òìÈ will acquire SVC, a consulting firm which is owned by Seema Verma, founder and president, and recently confirmed Administrator of the Centers for Medicare & Medicaid Services (CMS).

SVC will become ºÚÁϲ»´òìÈ Medicaid Market Solutions, a new subsidiary of ºÚÁϲ»´òìÈ.

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