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Health Plans Are Managing More Data Than Ever Before. How to Ensure It’s Usable.Health plans need to consider regulations and keep healthcare data secure to take full advantage of its enormous potential to broaden and reshape timely, effective delivery of care.
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The Future of the Growing Medication Adherence MarketPatients with chronic conditions like asthma, diabetes, and cardiovascular disease often require emergency attention and hospitalization due to non-adherence, resulting in higher treatment costs.
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Clinical Decision Support Can Help Identify Common Drugs Linked with Increased Arrhythmia and Sudden Death RiskResearch has linked many drugs to QT prolongation and decision support tools could alert clinicians to the risk and guide prescribing decisions to safer alternatives.
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Pharma: Striding Towards the Digital-only Reality with AIAs industries across the board move towards a digital-only world, pharma companies must account for the different technologies that are transforming the R&D process.
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Why Timing Matters When It Comes to PBM ContractingPlan sponsors should begin evaluation of PBM performance at least a year before the contract expires, say lawyers with expertise in PBM contracting.
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Value-Based Decision-Making in Metastatic Breast CancerIn this Managed Healthcare Executive® KCast, Ian Krop, M.D., Ph.D., oncologist and associate professor of medicine at Dana-Farber Cancer Institute in Boston, and Debra Patt, M.D., Ph.D., MBA, executive vice president at Texas Oncology in Austin, provide key insights into the value-based care model for patients with HER2-positive metastatic breast cancer (mBC). This article summarizes the highlights of the discussion.
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2025 Digital Healthcare Outlook: Compliance, Security and CollaborationSome regulatory changes are already set to happen this year, but reduced regulation under the new administration could have a ripple effects in healthcare. Meanwhile, artificial intelligence is likely to have pronounced impact on nonclinical workflows in 2025.
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How to Recognize, Capitalize on the Benefits of Price Transparency in HealthcareHospital leaders who have historically viewed price transparency as potentially disastrous can tap into these three tips to leave that mindset behind and capitalize on the opportunities that price transparency provides.
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Accelerating Value-Based Care Transformation Today and Post COVID-19One year into the COVID-19 pandemic and healthcare leaders are taking a hard look at all operations – especially innovative reimbursement models that best meet the needs of their business, providers and patients. No doubt these leaders are finally paying closer attention to value-based care.
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Advancing Myelofibrosis Treatment: What Lies AheadZahra Mahmoudjafari, PharmD, MBA, BCOP, FHOPA, looks to the future of myelofibrosis treatment and discusses ongoing research and the evolving therapeutic landscape.
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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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Digital Lifeline | Predictions for 2025A prediction of 2025 by Doug Mirsky, Ph.D., vice president of healthcare delivery at Digital Medicine Society.
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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.
