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Exploring the Critical First Step in Adding and Paying CBOs in Value-based ContractsThe transition from treating patients at a provider’s site to delivering care in the home and community requires two things: an ability to incorporate social determinants of health into the care coordination process and the inclusion of value-based care and community-based organizations as compensated care delivery partners in VBC networks.
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COVID-19 Has Changed Cancer Care — For the BetterThe pandemic has led to the adoption of telehealth and greater access to care through apps.
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Long-Acting Injectable PrEP Therapy for HIVTypes of patients who will likely benefit from long-acting injectable PrEP therapies in the HIV treatment pipeline.
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Addressing Unmet Needs in ARTJeffrey Dunn, Pharm.D., MBA, discusses how key unmet needs in assisted reproductive technology (ART) programs drive ongoing research and innovation, fostering hope for a future where fertility treatments are more effective, accessible and tailored to individual patient needs.
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Analysis: Consumer Out-of-Pocket Drug Costs Rise Faster than Insurer CostsThe growth of out-of-pocket and insurer/negotiated prices paralleled one another until 2016 when negotiated and insurer prices began declining
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Polypharmacy and the Pivotal Role of the PayerA SCAN Health Plan "deprescribing" program is working to identify unnecessary prescriptions. In 2023, the program resulted in an estimated $2 million in savings from avoided fractures, falls, visits to the emergency room and other adverse drug events.
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How to Avoid Squandering Data Resources for APP ReportingDoes your transition to Alternate Payment Model Performance Pathways (APP) quality reporting have your ACO scrambling for data? No surprise.
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The Hospital Room: Preventing Nurse Burnout with In-Room TechnologyThis opinion piece contributed by Draper voices today's digital platforms can help eliminate the administrative burden on nurses.
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Combatting the Clinician Shortage Through Robotic Process AutomationAs the clinician shortage continues, leaning on technology to streamline inefficiencies is essential.
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Supercharge Your Star Rating Improvement Efforts Using Machine LearningOptimizing your Star Rating program with machine learning technology.
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What Role Can Telehealth Play in Emergency Medicine?It is undoubtable that the role of telehealth technology has soared throughout the pandemic, achieving levels of adoption that were previously thought unattainable. However, appetites are changing drastically, the question is now; what role can telehealth play in emergency medicine?
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Medicare Annual Enrollment 2024: 5 Ways to Stand OutAddressing social isolation and loneliness and keeping medication costs low are on the list.
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How the COVID-19 Vaccine Rollout Continues to Prepare Healthcare for Future ChallengesThe healthcare challenges of tomorrow will require collaborative efforts from healthcare organizations, healthcare leaders, and federal and state governments.
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Solving SDOH by Building a Path to PaymentMore 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.
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Antiracism in AI: How to Build Bias Checkpoints Into Your Development and Delivery ProcessMuch of the data that AI depends on is tainted with racial bias.
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Understanding the Long-Term Implications of Medicaid UnwindingIt’s time to talk about the ramifications of pulling the rug out from the low-income and disabled individuals who rely on Medicaid’s basic healthcare services.
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We’re in a Golden Age of Obesity Treatment, but Insurance Coverage Is LaggingMany private insurers consider antiobesity medications to be 'vanity drugs,' and the refusal to cover obesity treatment is counterproductive because of obesity's many health consequences. But attitudes are changing, and a law extending Medicare coverage to antiobesity treatment is gaining traction.
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How to Relieve the Pressure of High-Deductible Healthcare on PatientsPatient deductibles are likely to continue rising in coming years, and healthcare providers will have to implement strategies to continue providing patients with the best possible care.
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How Physician-Led, In-Home Care Can Save Lives During the Pandemic and BeyondDr. Karen Vloedman shares her learnings that will help inform best practices to assist payers and provider groups when preparing for and navigating the CoVID-19 pandemic.
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With Nurse Burnout at an All-Time High, Offer Tangible ReliefTechnology is the key to giving nurses more time to focus on patients.
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How Much Will Telehealth Go “Back to the Future” Following the Pandemic?Prior to the COVID-19 pandemic, telehealth was more of a stretch goal than a reality for most providers despite the seeming prevalence of video conferencing.
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Ensure You Partner With Problem Solvers, Not Problem FindersWhat’s more valuable than the ability to identify problems within your business plan or strategy? The ability to find solutions to those problems before they arise.
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Key Takeaways Following MAJIC-PVGabriela Hobbs, MD, and Timothy Mok, PharmD, BCPS, BCOP, close the discussion with key takeaways for payers to consider related to ruxolitinib and insights on future research.
