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The Reasonably priced Care Act ("ACA") mandates that new certified health plans present prescription drug coverage as an Important Well being Profit. While states are required to carry out DUR for their FFS drug benefit, this same requirement doesn't exist for doctor-administered medication or managed care drug advantages. 56 DUR information symbolize an vital opportunity to ensure that Medicaid is working efficiently when it comes to each health and monetary outcomes.
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There are numerous doable factors for why healthcare prices in the U.S. are larger than other international locations, starting from the consolidation of hospitals — leading to an absence of competitors — to the inefficiencies and administrative waste that derive from the complexity of the U.S. healthcare system. In reality, the U.S. spends over $800 per individual on administrative prices — nearly 5 occasions greater than the common of other rich countries and considerably greater than we spend on preventive or long-term healthcare.
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