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MANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. THE BIGGEST BARRIER TO HOME HEALTHCARE Add to that the soaring cost of treating chronic conditions-Diabetes alone cost $327 billion in 2017. The CDC projects the cost to treat chronic obstructive pulmonary disease (COPD) will reach $50 million each year by 2020.. Related article: Home Hospital Care Enhances Quality, Reduces Costs Preventing hospital-acquired conditions such as sepsis is also on the mind of healthcare executives. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
TEN WAYS MEDICARE ADVANTAGE PLANS IMPROVE RISK ADJUSTMENT Successfully addressing these two focus areas for Medicare risk adjustment can be daunting. Here are 10 tips to better manage the risk adjustment process from A to Z: 1. Know what to expect from the latest rules. CMS provides advance notice to inform plans on what they should do to prepare for an upcoming risk adjustment program. THREE REASONS WHY VALUE-BASED CARE WORKS Three Reasons Why Value-based Care Works. New research has shown the system has concrete benefits for both patients and providers. 1. Patients spend less money to achieve positive health outcomes. Medical care can be costly, particularly for patients with chronic diseases, such as high blood pressure, diabetes, heart disease, or cancer. TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 5 QUALITY MEASURES THAT MATTER FOR VALUE-BASED CARE The Agency for Healthcare Research and Quality denotes six domains of healthcare quality, including effective, efficient, timely, safe, patient-centered, and equitable. These measures can be combined and leveraged differently in varying value-based care deals, but are all critical areas for value-based care success, as many contracts requireMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. THE BIGGEST BARRIER TO HOME HEALTHCARE Add to that the soaring cost of treating chronic conditions-Diabetes alone cost $327 billion in 2017. The CDC projects the cost to treat chronic obstructive pulmonary disease (COPD) will reach $50 million each year by 2020.. Related article: Home Hospital Care Enhances Quality, Reduces Costs Preventing hospital-acquired conditions such as sepsis is also on the mind of healthcare executives. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
TEN WAYS MEDICARE ADVANTAGE PLANS IMPROVE RISK ADJUSTMENT Successfully addressing these two focus areas for Medicare risk adjustment can be daunting. Here are 10 tips to better manage the risk adjustment process from A to Z: 1. Know what to expect from the latest rules. CMS provides advance notice to inform plans on what they should do to prepare for an upcoming risk adjustment program. THREE REASONS WHY VALUE-BASED CARE WORKS Three Reasons Why Value-based Care Works. New research has shown the system has concrete benefits for both patients and providers. 1. Patients spend less money to achieve positive health outcomes. Medical care can be costly, particularly for patients with chronic diseases, such as high blood pressure, diabetes, heart disease, or cancer. TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 5 QUALITY MEASURES THAT MATTER FOR VALUE-BASED CARE The Agency for Healthcare Research and Quality denotes six domains of healthcare quality, including effective, efficient, timely, safe, patient-centered, and equitable. These measures can be combined and leveraged differently in varying value-based care deals, but are all critical areas for value-based care success, as many contracts require 2021 MANAGED HEALTHCARE EXECUTIVE® PHARMACY SURVEY 17 hours ago · In this part two series, participants give their opinions on the lasting effects of the pandemic. MHE's annual pharmacy survey had over 225 respondents. We will be posting the results over the next several days. The pandemic flipped the switch on telehealth and at-home care, and the respondents to RESULTS FROM 2021 MANAGED HEALTHCARE EXECUTIVE® PHARMACY 1 day ago · Respondents upbeat about COVID-19 vaccination. MHE's annual pharmacy survey had over 225 respondents. We will be posting the results over the next several days. MHE's annual pharmacy survey had over 225 respondents. We will be posting the AT-HOME DIALYSIS ON THE RISE 18 hours ago · The latest technology is changing treatments for patients. Because of concerns over community spread of COVID-19, the pandemic has greatly accelerated patient interest in home hemodialysis treatments. There’s also a need to find solutions that will improve the quality of life of people living with MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. THE HOW AND WHY OF ENTERPRISE CLINICAL DATA INTEGRATION 22 hours ago · Obstacles to clinical integration can be organization and technical. COVID-19 brought into sharp focus the importance of sharing healthcare data among diverse stakeholders, as case counts, hospitalizations and death rates became key points for dailydiscussions on
LET’S NOT LOSE SIGHT OF PATIENT EXPERIENCE WITH VIRTUAL CAR Strategies are needed that take most, if not, all of the burden away from the patient so that RPM enhances their experience with their care. Both telehealth and RPM have those elements needed to improve the patient experience, including good communication between doctors and patients and improved patient engagement. THE HOW AND WHY OF ENTERPRISEWIDE CLINICAL DATA 22 hours ago · Clinical data integration can mean navigating through an obstacle course of organizational and technical challenges. But it can show its ROI bona fides with digital chart review and other efforts. COVID-19 brought into sharp focus the importance of sharing healthcare data among diverse stakeholders RE-FOCUSING HR IN WAKE OF COVID-19: TIPS FOR HEALTHCARE 1. Refocus HR and Talent Acquisition in the Healthcare Industry. Throw out traditional HR thinking as you adapt to the new healthcare climate. HR professionals must act quickly with a refreshed view of all policies that affect clinical and non-clinical employees in the healthcare ecosystem, starting with recruiting and interviewing. THINKING ABOUT “CARVING OUT” SPECIALTY BENEFITS? YOUR 22 hours ago · Promises of cost savings need to take into the true baseline spending and whether the savings will have staying power. Payers know firsthand how much of their prescription drug spend is driven by specialty medications for complex, chronic conditions. CVS LYNN BARR OF CARAVAN HEALTH TALKS DIRECT CONTRACTING MODEL In this week's episode Senior Editor Peter Wehrwein chats with Founder and Executive Chairwoman of Caravan Health Lynn Barr. The two discussed the relationship of payers and ACOs and the approach toward the direct contracting model.MANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. EPIDEMICS WITHIN THE PANDEMIC: SHIFTING PRIORITIES AND Deaths by suicide and by substance use disorders have reached epidemic proportions, creating the tragic “perfect storm” of epidemics within a pandemic. A survey conducted by PRECISIONvalue of population health priorities among health systems and health plans since the onset of Covid-19 suggests that while mental health conditions have risen in priority, opioid use disorders have A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
ICER SAYS ALZHEIMER'S DRUG ADUCANUMAB SHOULD BE PRICED AT The Institute for Clinical and Economic Review's price range is far below the $50,000 per year envisioned by some market analysts. Aducanumab, Biogen’s experimental Alzheimer’s drug, should be priced at between $2,560 to $8,290 a year under standard cost-effectiveness assumptions, according to an announcement today by Institute for Clinical 5 WAYS HEALTHCARE WILL EVOLVE IN 2020 Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 4 TOP SUCCESSFUL SOCIAL DETERMINANTS OF HEALTH PROGRAMS Asthma to Primary Care. The Sinai Urban Health Institute (SUHI), located in Chicago, started multiple SDOH programs over the years, based on where it sees community needs. That includes programs focused on diseases like diabetes, breast health, and asthma. They reduced asthma-related ED visits by 73% and hospitalizations by 75% during theMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. EPIDEMICS WITHIN THE PANDEMIC: SHIFTING PRIORITIES AND Deaths by suicide and by substance use disorders have reached epidemic proportions, creating the tragic “perfect storm” of epidemics within a pandemic. A survey conducted by PRECISIONvalue of population health priorities among health systems and health plans since the onset of Covid-19 suggests that while mental health conditions have risen in priority, opioid use disorders have A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
ICER SAYS ALZHEIMER'S DRUG ADUCANUMAB SHOULD BE PRICED AT The Institute for Clinical and Economic Review's price range is far below the $50,000 per year envisioned by some market analysts. Aducanumab, Biogen’s experimental Alzheimer’s drug, should be priced at between $2,560 to $8,290 a year under standard cost-effectiveness assumptions, according to an announcement today by Institute for Clinical 5 WAYS HEALTHCARE WILL EVOLVE IN 2020 Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 4 TOP SUCCESSFUL SOCIAL DETERMINANTS OF HEALTH PROGRAMS Asthma to Primary Care. The Sinai Urban Health Institute (SUHI), located in Chicago, started multiple SDOH programs over the years, based on where it sees community needs. That includes programs focused on diseases like diabetes, breast health, and asthma. They reduced asthma-related ED visits by 73% and hospitalizations by 75% during the RESULTS FROM 2021 MANAGED HEALTHCARE EXECUTIVE® PHARMACY 4 hours ago · Respondents upbeat about COVID-19 vaccination. MHE's annual pharmacy survey had over 225 respondents. We will be posting the results over the next several days. MHE's annual pharmacy survey had over 225 respondents. We will be posting the THE PRICE TAGS ON THE COVID-19 VACCINES A. t the start of the COVID-19 pandemic last year, physicians were unsure which medications would effectively treat the disease and there was no vaccine.. The race to find both novel and repurposed therapeutics and develop vaccines has been a multinational effort, although heavily funded by U.S. government dollars. LET’S NOT LOSE SIGHT OF PATIENT EXPERIENCE WITH VIRTUAL CARE 1 day ago · Strategies are needed that take most, if not, all of the burden away from the patient so that RPM enhances their experience with their care. Both telehealth and RPM have those elements needed to improve the patient experience, including good communication between doctors and patients and improved patient engagement. SO THINKING ABOUT “CARVING OUT” SPECIALTY BENEFITS? YOUR 9 hours ago · Promises of cost savings need to take into the true baseline spending and whether the savings will have staying power. Payers know firsthand how much of their prescription drug spend is driven by specialty medications for complex, chronic conditions. CVS TEEN SLEEP PROBLEMS LINKED TO LATER DRUG USE 6 hours ago · Lead author Brant P. Hasler, Ph.D., of the University of Pittsburgh’s Center for Sleep and Circadian Science, and colleagues, used data from multiple years from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study to identify 831 teens and young adults between the ages of 12 and 21 for whom sleep and drug use data were available. LEANING INTO DIGITIZATION TO IMPROVE PATIENT SATISFACTION Across demographics, individuals have adopted digital interfaces for a range of consumer needs over the past year. Even former digital holdouts quickly formed new habits once social distancing measures were in place, and contactless transactions became a necessity amid the pandemic – from Baby Boomers turning to online grocery orders to Gen Z’s increasing usage of mobile wallet payments. LYNN BARR OF CARAVAN HEALTH TALKS DIRECT CONTRACTING MODEL 1 day ago · In this week's episode Senior Editor Peter Wehrwein chats with Founder and Executive Chairwoman of Caravan Health Lynn Barr. The two discussed the relationship of payers and ACOs and the approach toward the direct contracting model. PSYCHEDELICS TAKE A LONG, STRANGE TRIP TO RESPECTABILITY 1 day ago · Research and investment are increasing into psilocybin and MDMA as treatments for several mental health disorders. Whether marijuana is a gateway drug is debatable. But it has certainly opened the doors for a projected multibillion-dollar market for psychedelic drugs as treatments for a variety of UPDATES ON PEDIATRIC LEUKEMIA RESEARCH Leukemia is the most common type of pediatric cancer, accounting for almost 1 out of 3 cancers diagnosed in children. Most pediatric leukemias are acute lymphoblastic leukemia (ALL), which sis sometimes called acute lymphocytic leukemia. Most of remaining cases are acute myeloid leukemia (AML). Both ALL and AML are forms of cancer that progress rapidly and require immediate treatment. IS COMPETITION THE WAY TO BRING DOWN THE PRICE OF DIABETES Harvard researchers say, well, maybe. List prices for brand-name drugs have risen sharply in recent years, but it is more complicated with net prices — the prices paid after rebates and other discounts have factored in. The rise isn’t nearly as steep, and it’s not uniform. Many in the drug andMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. EPIDEMICS WITHIN THE PANDEMIC: SHIFTING PRIORITIES AND Deaths by suicide and by substance use disorders have reached epidemic proportions, creating the tragic “perfect storm” of epidemics within a pandemic. A survey conducted by PRECISIONvalue of population health priorities among health systems and health plans since the onset of Covid-19 suggests that while mental health conditions have risen in priority, opioid use disorders have A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
ICER SAYS ALZHEIMER'S DRUG ADUCANUMAB SHOULD BE PRICED AT The Institute for Clinical and Economic Review's price range is far below the $50,000 per year envisioned by some market analysts. Aducanumab, Biogen’s experimental Alzheimer’s drug, should be priced at between $2,560 to $8,290 a year under standard cost-effectiveness assumptions, according to an announcement today by Institute for Clinical 5 WAYS HEALTHCARE WILL EVOLVE IN 2020 Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 4 TOP SUCCESSFUL SOCIAL DETERMINANTS OF HEALTH PROGRAMS Asthma to Primary Care. The Sinai Urban Health Institute (SUHI), located in Chicago, started multiple SDOH programs over the years, based on where it sees community needs. That includes programs focused on diseases like diabetes, breast health, and asthma. They reduced asthma-related ED visits by 73% and hospitalizations by 75% during theMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 26, 2021. Managed Healthcare Executive's Senior Editor, Peter Wehrwein, and Associate Editor, Briana Contreras, spoke with MHE Editorial Advisory Board Member Lili Brillstein for a new episode of the "Meet the Board" series on "Tuning In to the C-Suite" podcast. Lili is CEO of BCollaborative, which works with stakeholders acrossthe
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 December 14, 2020. Samara Rosenfeld. Samara Rosenfeld. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximity poll. EPIDEMICS WITHIN THE PANDEMIC: SHIFTING PRIORITIES AND Deaths by suicide and by substance use disorders have reached epidemic proportions, creating the tragic “perfect storm” of epidemics within a pandemic. A survey conducted by PRECISIONvalue of population health priorities among health systems and health plans since the onset of Covid-19 suggests that while mental health conditions have risen in priority, opioid use disorders have A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
ICER SAYS ALZHEIMER'S DRUG ADUCANUMAB SHOULD BE PRICED AT The Institute for Clinical and Economic Review's price range is far below the $50,000 per year envisioned by some market analysts. Aducanumab, Biogen’s experimental Alzheimer’s drug, should be priced at between $2,560 to $8,290 a year under standard cost-effectiveness assumptions, according to an announcement today by Institute for Clinical 5 WAYS HEALTHCARE WILL EVOLVE IN 2020 Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
TOP BARRIERS TO POPULATION HEALTH The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. 4 TOP SUCCESSFUL SOCIAL DETERMINANTS OF HEALTH PROGRAMS Asthma to Primary Care. The Sinai Urban Health Institute (SUHI), located in Chicago, started multiple SDOH programs over the years, based on where it sees community needs. That includes programs focused on diseases like diabetes, breast health, and asthma. They reduced asthma-related ED visits by 73% and hospitalizations by 75% during the RESULTS FROM 2021 MANAGED HEALTHCARE EXECUTIVE® PHARMACY 2 hours ago · Respondents upbeat about COVID-19 vaccination. MHE's annual pharmacy survey had over 225 respondents. We will be posting the results over the next several days. MHE's annual pharmacy survey had over 225 respondents. We will be posting the THE PRICE TAGS ON THE COVID-19 VACCINES A. t the start of the COVID-19 pandemic last year, physicians were unsure which medications would effectively treat the disease and there was no vaccine.. The race to find both novel and repurposed therapeutics and develop vaccines has been a multinational effort, although heavily funded by U.S. government dollars. LET’S NOT LOSE SIGHT OF PATIENT EXPERIENCE WITH VIRTUAL CARE 1 day ago · Strategies are needed that take most, if not, all of the burden away from the patient so that RPM enhances their experience with their care. Both telehealth and RPM have those elements needed to improve the patient experience, including good communication between doctors and patients and improved patient engagement. SO THINKING ABOUT “CARVING OUT” SPECIALTY BENEFITS? YOUR 7 hours ago · Promises of cost savings need to take into the true baseline spending and whether the savings will have staying power. Payers know firsthand how much of their prescription drug spend is driven by specialty medications for complex, chronic conditions. CVS TEEN SLEEP PROBLEMS LINKED TO LATER DRUG USE 4 hours ago · Lead author Brant P. Hasler, Ph.D., of the University of Pittsburgh’s Center for Sleep and Circadian Science, and colleagues, used data from multiple years from the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) study to identify 831 teens and young adults between the ages of 12 and 21 for whom sleep and drug use data were available. LEANING INTO DIGITIZATION TO IMPROVE PATIENT SATISFACTION Across demographics, individuals have adopted digital interfaces for a range of consumer needs over the past year. Even former digital holdouts quickly formed new habits once social distancing measures were in place, and contactless transactions became a necessity amid the pandemic – from Baby Boomers turning to online grocery orders to Gen Z’s increasing usage of mobile wallet payments. LYNN BARR OF CARAVAN HEALTH TALKS DIRECT CONTRACTING MODEL 23 hours ago · In this week's episode Senior Editor Peter Wehrwein chats with Founder and Executive Chairwoman of Caravan Health Lynn Barr. The two discussed the relationship of payers and ACOs and the approach toward the direct contracting model. PSYCHEDELICS TAKE A LONG, STRANGE TRIP TO RESPECTABILITY 1 day ago · Research and investment are increasing into psilocybin and MDMA as treatments for several mental health disorders. Whether marijuana is a gateway drug is debatable. But it has certainly opened the doors for a projected multibillion-dollar market for psychedelic drugs as treatments for a variety of UPDATES ON PEDIATRIC LEUKEMIA RESEARCH Leukemia is the most common type of pediatric cancer, accounting for almost 1 out of 3 cancers diagnosed in children. Most pediatric leukemias are acute lymphoblastic leukemia (ALL), which sis sometimes called acute lymphocytic leukemia. Most of remaining cases are acute myeloid leukemia (AML). Both ALL and AML are forms of cancer that progress rapidly and require immediate treatment. IS COMPETITION THE WAY TO BRING DOWN THE PRICE OF DIABETES Harvard researchers say, well, maybe. List prices for brand-name drugs have risen sharply in recent years, but it is more complicated with net prices — the prices paid after rebates and other discounts have factored in. The rise isn’t nearly as steep, and it’s not uniform. Many in the drug andMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 Majority of U.S. Physicians Would Recommend COVID-19 Vaccine, Poll Finds. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximitypoll.
HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed consumer prescription demand and fill data in the weeks leading up to shelter in place orders, beginning in March, and the subsequent months after the pandemic to see how COVID has impacted the healthcare trends of Americans. THE BIGGEST BARRIER TO HOME HEALTHCARE Add to that the soaring cost of treating chronic conditions-Diabetes alone cost $327 billion in 2017. The CDC projects the cost to treat chronic obstructive pulmonary disease (COPD) will reach $50 million each year by 2020.. Related article: Home Hospital Care Enhances Quality, Reduces Costs Preventing hospital-acquired conditions such as sepsis is also on the mind of healthcare executives. A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENT Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
5 QUALITY MEASURES THAT MATTER FOR VALUE-BASED CARE The Agency for Healthcare Research and Quality denotes six domains of healthcare quality, including effective, efficient, timely, safe, patient-centered, and equitable. These measures can be combined and leveraged differently in varying value-based care deals, but are all critical areas for value-based care success, as many contracts require TEN WAYS MEDICARE ADVANTAGE PLANS IMPROVE RISK ADJUSTMENT Successfully addressing these two focus areas for Medicare risk adjustment can be daunting. Here are 10 tips to better manage the risk adjustment process from A to Z: 1. Know what to expect from the latest rules. CMS provides advance notice to inform plans on what they should do to prepare for an upcoming risk adjustment program.MANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 Majority of U.S. Physicians Would Recommend COVID-19 Vaccine, Poll Finds. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximitypoll.
HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed consumer prescription demand and fill data in the weeks leading up to shelter in place orders, beginning in March, and the subsequent months after the pandemic to see how COVID has impacted the healthcare trends of Americans. THE BIGGEST BARRIER TO HOME HEALTHCARE Add to that the soaring cost of treating chronic conditions-Diabetes alone cost $327 billion in 2017. The CDC projects the cost to treat chronic obstructive pulmonary disease (COPD) will reach $50 million each year by 2020.. Related article: Home Hospital Care Enhances Quality, Reduces Costs Preventing hospital-acquired conditions such as sepsis is also on the mind of healthcare executives. A REDESIGNED PRIOR AUTHORIZATION IS NEEDED IN ONCOLOGY A cancer practice lays out a whopping $2 million to $4 million per oncologist each year in anticipation of reimbursement. We need to know whether a drug will be covered before dispensing it, not hold our breath while the claim is processed. Redesigning prior authorization can lead us from today's restrictive culture of "no" to acollaborative
FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENT Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
WHAT DO PATIENTS VALUE IN HEALTHCARE? What do patients value in healthcare? July 22, 2017. National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care. When defining quality, it is important to understand that patients value different qualities of caredepending on
5 QUALITY MEASURES THAT MATTER FOR VALUE-BASED CARE The Agency for Healthcare Research and Quality denotes six domains of healthcare quality, including effective, efficient, timely, safe, patient-centered, and equitable. These measures can be combined and leveraged differently in varying value-based care deals, but are all critical areas for value-based care success, as many contracts require TEN WAYS MEDICARE ADVANTAGE PLANS IMPROVE RISK ADJUSTMENT Successfully addressing these two focus areas for Medicare risk adjustment can be daunting. Here are 10 tips to better manage the risk adjustment process from A to Z: 1. Know what to expect from the latest rules. CMS provides advance notice to inform plans on what they should do to prepare for an upcoming risk adjustment program. LEANING INTO DIGITIZATION TO IMPROVE PATIENT SATISFACTION 12 hours ago · Across demographics, individuals have adopted digital interfaces for a range of consumer needs over the past year. Even former digital holdouts quickly formed new habits once social distancing measures were in place, and contactless transactions became a necessity amid the pandemic – from Baby Boomers turning to online grocery orders to Gen Z’s increasing usage of mobile walletpayments.
HOW THE COVID-19 PANDEMIC HAS CHANGED CONSUMER HEALTHCARE However, during the pandemic, the study showed an increase in consumer willingness to share data in every scenario measured. The COVID-19 pandemic has turned the healthcare system upside down and challenged consumers' sense of well-being, according to the report. In other words, consumers are taking charge of their health more than everbefore.
MAJORITY OF U.S. PHYSICIANS WOULD RECOMMEND COVID-19 Majority of U.S. Physicians Would Recommend COVID-19 Vaccine, Poll Finds. Results of a poll of more than 2,000 U.S. physicians found 82% would recommend the COVID-19 vaccine to patients. More than 80% of surveyed physicians would recommend the coronavirus disease 2019 (COVID-19) vaccine to their patients, according to a recent Doximitypoll.
MOST AMERICANS SUPPORT MEDICARE NEGOTIATION FOR DRUG 15 hours ago · According to a new West Health/Gallup survey, less than 20% of all Americans believe Medicare negotiation would hurt innovation or market competition, including a minority of Republicans. It's been recently found nearly all Democrats (97%) and the majority of Republicans (61%) support empowering the UPDATES ON PEDIATRIC LEUKEMIA RESEARCH 1 day ago · Leukemia is the most common type of pediatric cancer, accounting for almost 1 out of 3 cancers diagnosed in children. Most pediatric leukemias are acute lymphoblastic leukemia (ALL), which sis sometimes called acute lymphocytic leukemia. Most of remaining cases are acute myeloid leukemia (AML). Both ALL and AML are forms of cancer that progress rapidly and require immediate treatment. LOOKING AHEAD IN THE TREATMENT OF NSCLC Briana Contreras: What do you see happening in the future in terms of MET-directed therapies for non–small cell lung cancer? Paul K. Paik, MD: We’re at the beginning of trying to figure out the best treatment options for patients with MET exon 14 skipping, so the future will rely on a couple of THE ROLE OF MET IN NSCLC A key opinion leader thoracic oncology reviews the clinical significance of MET exon 14 skipping in NSCLC as well as recent advances in MET-directed therapy.THE VISION TRIAL
Briana Contreras: Can you share the design of the VISION study, and what kind of patients were included? Paul K. Paik, MD: The VISION trial was a straightforward phase 2 study of the drug tepotinib given to patients with non–small cell lung cancer. There IS COMPETITION THE WAY TO BRING DOWN THE PRICE OF DIABETES 1 day ago · Harvard researchers say, well, maybe. List prices for brand-name drugs have risen sharply in recent years, but it is more complicated with net prices — the prices paid after rebates and other discounts have factored in. The rise isn’t nearly as steep, and it’s not uniform. Many in the drug and ASCO 2021: LUMAKRAS, FIRST APPROVED KRAS-TARGETING CANCER The FDA approved Amgen’s Lumakras (sotorasib) last week, the first drug targeting KRAS-mutated cancer to get the agency’s OK. But the clinical and commercial future of the drug is uncertain. On the heels of last week’s accelerated approval of Lumakras (sotorasib) by theFDA, researchers
MANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. AUTOMATION OF SCHEDULING IN HEALTHCARE Automation of Scheduling in Healthcare. Scheduling automation and optimization enables better patient experience, increases staff satisfaction, and improves workforce efficiency. The COVID-19 outbreak has magnified some key scheduling challenges in healthcare delivery systems such as overcrowded ERs, long patient wait times, overworked 5 WAYS HEALTHCARE WILL EVOLVE IN 2020EVOLVE HEALTHCARE TEXASEVOLVE HEALTH LOG INEVOLVE HEALTH INSURANCE MEDICAL PLANEVOLVE HEALTH INSURANCE COMPANYEVOLVE HEALTH SERVICESEVOLVE HEALTH INSURANCE FIRSTHEALTH
Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed the top prescription fills by volume during the months of March to May 2020 and compared those figures to the fills during the same three month period in 2019. Two trends found: A marked increase in respiratory medications to address COVID-related symptoms. A marked decrease in the purchase of cold and flu medications likely FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENTDM MANAGEMENTAAFP
Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
CHALLENGES OF TREATMENT PRIMARY PROGRESSIVE MS The Challenges of Treating Primary Progressive MS. For most patients with multiple sclerosis (MS), the disease begins with a stage called relapsing remitting (RRMS), characterized by flare-ups and periods of recovery. For the majority, about two-thirds, the disease converts into secondary progressive MS (SPMS) within a 20-year period. TOP BARRIERS TO POPULATION HEALTHBARRIERS TO POPULATION ADVOCACYCOMMON BARRIERS TO HEALTH CAREFIVE BARRIERS TO HEALTH CAREBENEFITS OFPOPULATION HEALTH
The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. THE HIDDEN RISK OF MHEALTH APPS The hidden risk of mHealth apps. Mobile device health apps have the potential to transform healthcare, but their exploding use is also giving rise to new concerns about privacy and security. Mobile device health (mHealth) apps have the potential to transform healthcare and achieve the triple aim of improving the patient experience, improving CAN DATA ANALYTICS LOWER HOSPITAL-ACQUIRED CONDITION CMS has rightly started to take notice. In fiscal year 2015, CMS mandated the Hospital-Acquired Condition (HAC) Reduction Program, reducing payments by 1% for hospitals that rank among the lowest-performing 25% with regard to HACs. CMS has also included specific measures related to HACs in its other Hospital Quality programs, such as theMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. AUTOMATION OF SCHEDULING IN HEALTHCARE Automation of Scheduling in Healthcare. Scheduling automation and optimization enables better patient experience, increases staff satisfaction, and improves workforce efficiency. The COVID-19 outbreak has magnified some key scheduling challenges in healthcare delivery systems such as overcrowded ERs, long patient wait times, overworked 5 WAYS HEALTHCARE WILL EVOLVE IN 2020EVOLVE HEALTHCARE TEXASEVOLVE HEALTH LOG INEVOLVE HEALTH INSURANCE MEDICAL PLANEVOLVE HEALTH INSURANCE COMPANYEVOLVE HEALTH SERVICESEVOLVE HEALTH INSURANCE FIRSTHEALTH
Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed the top prescription fills by volume during the months of March to May 2020 and compared those figures to the fills during the same three month period in 2019. Two trends found: A marked increase in respiratory medications to address COVID-related symptoms. A marked decrease in the purchase of cold and flu medications likely FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENTDM MANAGEMENTAAFP
Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
CHALLENGES OF TREATMENT PRIMARY PROGRESSIVE MS The Challenges of Treating Primary Progressive MS. For most patients with multiple sclerosis (MS), the disease begins with a stage called relapsing remitting (RRMS), characterized by flare-ups and periods of recovery. For the majority, about two-thirds, the disease converts into secondary progressive MS (SPMS) within a 20-year period. TOP BARRIERS TO POPULATION HEALTHBARRIERS TO POPULATION ADVOCACYCOMMON BARRIERS TO HEALTH CAREFIVE BARRIERS TO HEALTH CAREBENEFITS OFPOPULATION HEALTH
The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. THE HIDDEN RISK OF MHEALTH APPS The hidden risk of mHealth apps. Mobile device health apps have the potential to transform healthcare, but their exploding use is also giving rise to new concerns about privacy and security. Mobile device health (mHealth) apps have the potential to transform healthcare and achieve the triple aim of improving the patient experience, improving CAN DATA ANALYTICS LOWER HOSPITAL-ACQUIRED CONDITION CMS has rightly started to take notice. In fiscal year 2015, CMS mandated the Hospital-Acquired Condition (HAC) Reduction Program, reducing payments by 1% for hospitals that rank among the lowest-performing 25% with regard to HACs. CMS has also included specific measures related to HACs in its other Hospital Quality programs, such as the IS COMPETITION THE WAY TO BRING DOWN DRUG PRICES? 22 hours ago · Harvard researchers say, well, maybe. List prices for brand-name drugs have risen sharply in recent years, but it is more complicated with net prices — the prices paid after rebates and other discounts have factored in. The rise isn’t nearly as steep, and it’s not uniform. Many in the drug and UPDATES ON PEDIATRIC LEUKEMIA RESEARCH 20 hours ago · Leukemia is the most common type of pediatric cancer, accounting for almost 1 out of 3 cancers diagnosed in children. Most pediatric leukemias are acute lymphoblastic leukemia (ALL), which sis sometimes called acute lymphocytic leukemia. Most of remaining cases are acute myeloid leukemia (AML). Both ALL and AML are forms of cancer that progress rapidly and require immediate treatment. SPECIALTY EXCEEDS TRADITIONAL IN DRUG SPEND 23 hours ago · Specialty drugs used to be the boutique part of the drug spend: expensive, yes, but unusual. Ten years ago, specialty accounted for 15% to 20% of the money spent on drugs, according to Prem Shah, executive vice president of specialty pharmacy and product innovation at CVS Health. HEALTHCARE TRENDS TO WATCH FOR IN 2021, ACCORDING TO ASHCLICK TO VIEW In this week’s episode of Tuning In to the C-Suite podcast, MHE Associate Editor Briana Contreras spoke with Ash Shehata, KPMG’s national sector leader for healthcare & life sciences. The two chatted about a recent paper by KPMG titled “From payor to healthcare partner,” which highlights how the FDA APPROVES BIOGEN’S ALZHEIMER’S DRUG, ADUCANUMAB 19 hours ago · In a controversial decision, FDA announced today that it had approved Biogen’s Alzheimer's drug, aducanumab. “We ultimately decided to the use the Accelerated Approval pathway — a pathway intended to provide earlier access to potentially valuable therapies for patients with serious diseases where there is unmet need, and where there is an expectation of clinical benefit despitesome
SHIFTING TO AN ENDEMIC: HOW TECH WILL ENABLE GREATER There are three key facets that must be considered in order to meet the demands of an endemic - the ongoing acceptance of a baseline of COVID-19 infection rates that will be maintained for the foreseeable future. As hospitalization rates for COVID EXPLANATION OF TRANSVERSE MYELITIS PATHOLOGY, SYMPTOMS The symptoms vary with these subtype and where on the length of the spinal cord the inflammation is present. In a nontechnical explanation on its website, the Johns Hopkins Transverse Myelitis Center says the four “classic” symptoms are weakness in the arms and legs, sensory symptoms such as numbing and tingling, pain and discomfort, and POSITIVE RESULTS REPORTED FOR LUMAKRAS, KRAS-TARGETING The FDA approved Amgen’s Lumakras (sotorasib) last week, the first drug targeting KRAS-mutated cancer to get the agency’s OK. But the clinical and commercial future of the drug is uncertain. On the heels of last week’s accelerated approval of Lumakras (sotorasib) by theFDA, researchers
THE MEDICARE PART D SENIOR SAVINGS MODEL IS WORKING. LET'S Program to cap copays should be made permanent and expanded, argues the chief pharmacy officer for SCN Health. The prevalence of a single, prominent, chronic condition among Medicare beneficiaries is staggering: fully one-third of all Medicare beneficiaries have diabetes. As a result, 3.3 million ACCC LAUNCHES RESEARCH INSTITUTE TO DIVERSIFY CANCER The Institute evolved from ACCC's year-long examination of equity and access to clinical trials in the community under the direction of its Immediate Past President Randall A. Oyer, MD., who will lead the team of recognized multidisciplinary cancer team professionals.MANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. 5 WAYS HEALTHCARE WILL EVOLVE IN 2020EVOLVE HEALTHCARE TEXASEVOLVE HEALTH LOG INEVOLVE HEALTH INSURANCE MEDICAL PLANEVOLVE HEALTH INSURANCE COMPANYEVOLVE HEALTH SERVICESEVOLVE HEALTH INSURANCE FIRSTHEALTH
Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. AUTOMATION OF SCHEDULING IN HEALTHCARE Automation of Scheduling in Healthcare. Scheduling automation and optimization enables better patient experience, increases staff satisfaction, and improves workforce efficiency. The COVID-19 outbreak has magnified some key scheduling challenges in healthcare delivery systems such as overcrowded ERs, long patient wait times, overworked HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed the top prescription fills by volume during the months of March to May 2020 and compared those figures to the fills during the same three month period in 2019. Two trends found: A marked increase in respiratory medications to address COVID-related symptoms. A marked decrease in the purchase of cold and flu medications likely FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENTDM MANAGEMENTAAFP
Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
TOP BARRIERS TO POPULATION HEALTHBARRIERS TO POPULATION ADVOCACYCOMMON BARRIERS TO HEALTH CAREFIVE BARRIERS TO HEALTH CAREBENEFITS OFPOPULATION HEALTH
The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. CHALLENGES OF TREATMENT PRIMARY PROGRESSIVE MS The Challenges of Treating Primary Progressive MS. For most patients with multiple sclerosis (MS), the disease begins with a stage called relapsing remitting (RRMS), characterized by flare-ups and periods of recovery. For the majority, about two-thirds, the disease converts into secondary progressive MS (SPMS) within a 20-year period. THE HIDDEN RISK OF MHEALTH APPS The hidden risk of mHealth apps. Mobile device health apps have the potential to transform healthcare, but their exploding use is also giving rise to new concerns about privacy and security. Mobile device health (mHealth) apps have the potential to transform healthcare and achieve the triple aim of improving the patient experience, improving CAN DATA ANALYTICS LOWER HOSPITAL-ACQUIRED CONDITION CMS has rightly started to take notice. In fiscal year 2015, CMS mandated the Hospital-Acquired Condition (HAC) Reduction Program, reducing payments by 1% for hospitals that rank among the lowest-performing 25% with regard to HACs. CMS has also included specific measures related to HACs in its other Hospital Quality programs, such as theMANAGED HEALTHCARE
EXECUTIVESPOTLIGHTBUSINESSCLINICALMEDIAPUBLICATIONSRESOURCES May 31st 2021. Briana Contreras, associate editor of Managed Healthcare Executive, spoke with Chris Evanguelidi, head of healthcare at Redpoint Global, about the best practices for closing the healthcare experience gap and devising an effective patient engagementstrategy through
CREATING A POST-COVID HEALTHCARE SYSTEM THAT SUPPORTS Creating a Post-COVID Healthcare System that Supports Healthcare Workers. May 14, 2021. Kevin Clark. Kevin Clark. The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues. 5 WAYS HEALTHCARE WILL EVOLVE IN 2020EVOLVE HEALTHCARE TEXASEVOLVE HEALTH LOG INEVOLVE HEALTH INSURANCE MEDICAL PLANEVOLVE HEALTH INSURANCE COMPANYEVOLVE HEALTH SERVICESEVOLVE HEALTH INSURANCE FIRSTHEALTH
Progress begins with a shift from physician-led care to collaboration along the continuum, from fee-for-service healthcare models to value-based care, and from treatment to prevention and early intervention. Here are the five ways the healthcare ecosystem will evolve this year: Further investment in social determinants of health. AUTOMATION OF SCHEDULING IN HEALTHCARE Automation of Scheduling in Healthcare. Scheduling automation and optimization enables better patient experience, increases staff satisfaction, and improves workforce efficiency. The COVID-19 outbreak has magnified some key scheduling challenges in healthcare delivery systems such as overcrowded ERs, long patient wait times, overworked HOW COVID HAS SHAPED CONSUMER HEALTH, PRESCRIPTION DRUG TRENDS SingleCare analyzed the top prescription fills by volume during the months of March to May 2020 and compared those figures to the fills during the same three month period in 2019. Two trends found: A marked increase in respiratory medications to address COVID-related symptoms. A marked decrease in the purchase of cold and flu medications likely FOUR BIGGEST CHALLENGES IN DIABETES HEALTH MANAGEMENTDM MANAGEMENTAAFP
Challenge #3: High treatment expenses. Treating diabetes is expensive. “The lowest cost care is prevention, early detection, and early treatment to minimize complications,” says Deloris Ann Berrien-Jones, MD, physician champion of diabetes initiatives, Henry Ford Health System, Detroit, Michigan. Diabetes is costly to treatbecause it
TOP BARRIERS TO POPULATION HEALTHBARRIERS TO POPULATION ADVOCACYCOMMON BARRIERS TO HEALTH CAREFIVE BARRIERS TO HEALTH CAREBENEFITS OFPOPULATION HEALTH
The study, from healthcare consulting firm Numerof & Associates, explores a national overview of population health progress on the transition from fee-for-service models to alternatives based on fixed payments linked to outcomes.The report distills survey responses from over 500 executives and key decision makers across U.S. healthcare delivery organizations. CHALLENGES OF TREATMENT PRIMARY PROGRESSIVE MS The Challenges of Treating Primary Progressive MS. For most patients with multiple sclerosis (MS), the disease begins with a stage called relapsing remitting (RRMS), characterized by flare-ups and periods of recovery. For the majority, about two-thirds, the disease converts into secondary progressive MS (SPMS) within a 20-year period. THE HIDDEN RISK OF MHEALTH APPS The hidden risk of mHealth apps. Mobile device health apps have the potential to transform healthcare, but their exploding use is also giving rise to new concerns about privacy and security. Mobile device health (mHealth) apps have the potential to transform healthcare and achieve the triple aim of improving the patient experience, improving CAN DATA ANALYTICS LOWER HOSPITAL-ACQUIRED CONDITION CMS has rightly started to take notice. In fiscal year 2015, CMS mandated the Hospital-Acquired Condition (HAC) Reduction Program, reducing payments by 1% for hospitals that rank among the lowest-performing 25% with regard to HACs. CMS has also included specific measures related to HACs in its other Hospital Quality programs, such as the IS COMPETITION THE WAY TO BRING DOWN DRUG PRICES? 18 hours ago · Harvard researchers say, well, maybe. List prices for brand-name drugs have risen sharply in recent years, but it is more complicated with net prices — the prices paid after rebates and other discounts have factored in. The rise isn’t nearly as steep, and it’s not uniform. Many in the drug and UPDATES ON PEDIATRIC LEUKEMIA RESEARCH 17 hours ago · Leukemia is the most common type of pediatric cancer, accounting for almost 1 out of 3 cancers diagnosed in children. Most pediatric leukemias are acute lymphoblastic leukemia (ALL), which sis sometimes called acute lymphocytic leukemia. Most of remaining cases are acute myeloid leukemia (AML). Both ALL and AML are forms of cancer that progress rapidly and require immediate treatment. SPECIALTY EXCEEDS TRADITIONAL IN DRUG SPEND 19 hours ago · Specialty drugs used to be the boutique part of the drug spend: expensive, yes, but unusual. Ten years ago, specialty accounted for 15% to 20% of the money spent on drugs, according to Prem Shah, executive vice president of specialty pharmacy and product innovation at CVS Health. HEALTHCARE TRENDS TO WATCH FOR IN 2021, ACCORDING TO ASHCLICK TO VIEW In this week’s episode of Tuning In to the C-Suite podcast, MHE Associate Editor Briana Contreras spoke with Ash Shehata, KPMG’s national sector leader for healthcare & life sciences. The two chatted about a recent paper by KPMG titled “From payor to healthcare partner,” which highlights how the FDA APPROVES BIOGEN’S ALZHEIMER’S DRUG, ADUCANUMAB 16 hours ago · In a controversial decision, FDA announced today that it had approved Biogen’s Alzheimer's drug, aducanumab. “We ultimately decided to the use the Accelerated Approval pathway — a pathway intended to provide earlier access to potentially valuable therapies for patients with serious diseases where there is unmet need, and where there is an expectation of clinical benefit despitesome
SHIFTING TO AN ENDEMIC: HOW TECH WILL ENABLE GREATER There are three key facets that must be considered in order to meet the demands of an endemic - the ongoing acceptance of a baseline of COVID-19 infection rates that will be maintained for the foreseeable future. As hospitalization rates for COVID EXPLANATION OF TRANSVERSE MYELITIS PATHOLOGY, SYMPTOMS The symptoms vary with these subtype and where on the length of the spinal cord the inflammation is present. In a nontechnical explanation on its website, the Johns Hopkins Transverse Myelitis Center says the four “classic” symptoms are weakness in the arms and legs, sensory symptoms such as numbing and tingling, pain and discomfort, and POSITIVE RESULTS REPORTED FOR LUMAKRAS, KRAS-TARGETING The FDA approved Amgen’s Lumakras (sotorasib) last week, the first drug targeting KRAS-mutated cancer to get the agency’s OK. But the clinical and commercial future of the drug is uncertain. On the heels of last week’s accelerated approval of Lumakras (sotorasib) by theFDA, researchers
THE MEDICARE PART D SENIOR SAVINGS MODEL IS WORKING. LET'S Program to cap copays should be made permanent and expanded, argues the chief pharmacy officer for SCN Health. The prevalence of a single, prominent, chronic condition among Medicare beneficiaries is staggering: fully one-third of all Medicare beneficiaries have diabetes. As a result, 3.3 million ACCC LAUNCHES RESEARCH INSTITUTE TO DIVERSIFY CANCER The Institute evolved from ACCC's year-long examination of equity and access to clinical trials in the community under the direction of its Immediate Past President Randall A. Oyer, MD., who will lead the team of recognized multidisciplinary cancer team professionals.*
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BIDEN BUDGET PROPOSES INCREASED FUNDING FOR ENDING HIV, BUT NOT FORHEPATITIS PROGRAMS
June 5th 2021
Biden is proposing a $46 million increase to the Ryan White HIV/AIDS Programs and $20 million for HUD’s Housing Opportunities for Persons with AIDS program. However, no increases were planned for hepatitisprograms.
POSITIVE RESULTS REPORTED FOR LUMAKRAS, KRAS-TARGETING LUNG CANCERDRUG, AT ASCO
June 4th 2021
The FDA approved Amgen’s Lumakras (sotorasib) last week, the first drug targeting KRAS-mutated cancer to get the agency’s OK. But the clinical and commercial future of the drug is uncertain. ACCC LAUNCHES RESEARCH INSTITUTE TO DIVERSIFY CANCER CLINICAL TRIALSJune 4th 2021
The Association of Community Cancer Centers launched the ACCC Community Oncology Research Institute, which builds on the organization's mission to close the gap in cancer research through optimal community oncology partnerships. INFECTION PREVENTION: UNDERSTANDING EFFICIENCIES AND IMPROVINGOUTCOMES
June 4th 2021
The CDC estimates that on any given day, 1 in 31 hospital patients and 1 in 43 nursing home residents has a healthcare-associated infection, which is an infection that occurs while being treated in a medicalfacility.
STUDY SUGGESTS NEURONAL ACTIVITY, BRAIN WASTE CLEARANCE DURING SLEEP CORRELATES WITH ALZHEIMER’S RISKJune 3rd 2021
Patients with Alzheimer’s disease or who were at high risk for the disease had a weaker correlation between brain activity and cerebrospinal fluid flow while sleeping.FEATURED CONTENT
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HEALTHCARE TRENDS TO WATCH FOR IN 2021, ACCORDING TO ASH SHEHATA OFKPMG
MHE spoke with Ash Shehata of KPMG about a recent KPMG paper “From payor to healthcare partner,” which highlights how the pandemic drove changes for plans to adopt a patient-centric model, and gives a look into the 6 healthcare trends to watch for in 2021. COVID-19 VACCINE RACE BOOSTS BRAND VALUES ACROSS PHARMA GIANTSJune 03, 2021
COVID-19 vaccination race among pharma giants results in brand value growth – Pfizer up 6%, AstraZeneca up 18%, and Sinopharm up 58%. SOLVING SDOH BY BUILDING A PATH TO PAYMENTJune 03, 2021
More flexible “in lieu of services" and pooled funding arrangements could help build a more integrated healthcare system so efforts to address the social determinants of health are prioritized and paid for says Healthify co-founder and CEO. 3 UPDATES ABOUT CHRONIC LYMPHOCYTIC LEUKEMIAJune 02, 2021
NCCN recommends Brukinsa for CLL/SLL even though it is FDA-approved for mantel cell lymphoma. HEALTHCARE TRENDS TO WATCH FOR IN 2021, ACCORDING TO ASH SHEHATA OFKPMG
June 02, 2021
In this week’s episode of Tuning In to the C-Suite podcast, MHE Associate Editor Briana Contreras spoke with Ash Shehata, KPMG’s national sector leader for healthcare & life sciences. The two chatted about a recent paper by KPMG titled “From payor to healthcare partner,” which highlights how the pandemic drove changes for plans to adopt a patient-centric model and it gives a look into the six healthcare trends to watch for in 2021. BLUE-LIGHT CYSTOSCOPY: AN INNOVATIVE TECHNOLOGY TO DETECT NON-MUSCLE-INVASIVE BLADDER CANCERJune 02, 2021
Tumors glow pink under blue light.Next >>
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