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ICD-10 preparation must begin nowThe United Kingdom implemented ICD-10 as far back as 1995, making the United States one of the last major global economies to begin the implementation process.
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Manage schizophrenia with individualized careSlow-release depot antipsychotics help manage schizophrenia.
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APA now the main control over new PPACA rulesHealth reform provisions must be deemed lawful by the Administrative Procedure Act.
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Comparative effectiveness needs reimbursement reformStraying from the popular opinion of the industry, a handful of medical device manufactures have aligned with Obama's proposed investment in comparative effectiveness research.
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APA now the main control over new PPACA rulesHealth reform provisions must be deemed lawful by the Administrative Procedure Act.
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Social media transforming healthcare interactionsSocial media is moving beyond the solely social sphere to influence engagement and outcomes.
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Provider organizations must prepare for reformProactive organizations will begin a painful transition to emerge as larger, fuller enterprises with concentrated authority designed around very different roles and responsibilities than what they have today
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Your PBM's MAC list impacts your bottom lineIf MAC lists were not in place, prices for drugs would vary dramatically. Discounts for generic drugs would also decrease significantly.
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Your PBM's MAC list impacts your bottom lineIf MAC lists were not in place, prices for drugs would vary dramatically. Discounts for generic drugs would also decrease significantly.
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How to Meet the Challenge of Evolving Senior Healthcare NeedsCreating a health ecosystem for our modern-day customer-seniors with evolving healthcare needs and challenges
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Opinion: 5 Ways MCOs Can Address COVID-19 TransmissionPrincipals of DeltaSigma, LLC , Don Hall, M.P.H., and Sherry Rohlfing provide Managed Healthcare Executive an opinion piece on how managed care organizations can address COVID-19 transmission.
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Medication reconciliation drives readmission reduction strategyExperts are paying closer attention to medication reconciliation as a means to curb cost, but providers are finding the implementation isn't always easy.
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Kaiser: Diabetes, Antivirals, and Psychotherapeutics Rank Highest for Drug SpendingWhere plans and patients are spending the most money on medications.
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Payers Should Take Action on Rising NSCLC CostsA new report outlines the sharp cost increase associated with a NSCLC drug’s move from second-line to first-line treatment, and suggests payers work with manufacturers to address treatment pricing.
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Biosimilars in the PipelineSeveral biosimilars will come to market within the next few years.
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Rate review trims filings by $1 billionWhile most states have policies to evaluate premium increases, the Rate Review Program under the Patient Protection and Affordable Care Act (PPACA) puts a brighter spotlight on states' authority.
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Four Fresh New Perspectives on Telemedicine for Health ExecsA new survey from Sage Growth Partners offers new ideas on executives’ application and adoption of telemedicine technology.
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Contraceptive coverage laws remain contentiousThe contraceptive mandate stoked the legal fire of religious groups.
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EMRs prompt electronic discovery in litigationLawyers are not expected to be technology experts, but they must be able to understand where relevant data exists and what steps must be taken to satisfy preservation and discovery obligations
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Community-Based Care Programs Fill Gaps in Traditional Health ServicesIntegrating programs that address social risk factors will improve health.
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Maximize opportunities in government contractsMarket is expanding for government health IT contracts.
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How to be member-centricAs the industry moves toward a retail environment, the importance of becoming member-centric can't be understated.
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Courts will have their say as legal concerns lingerLower courts will decide on the lingering concerns of uncertain PPACA provisions.
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EMR updateSmaller companies might offer innovation with a lower price tag, but they might not be able to achieve proper certification for incentives
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Be wary when providing privileged documentsCongressional authority is not the same as the authority given to a court of law
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Gender-specific clinical trials needed to address CVD in womenCardiovascular disease (CVD) is underrecognized and undertreated in women, despite its prevalence
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Be wary when providing privileged documentsCongressional authority is not the same as the authority given to a court of law
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How to target high-risk populations with behavioral healthHere are four of the top benefits of incorporating behavioral health management into care management plans for members with chronic conditions.
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Making sense of a complex marketUnfortunately, many providers can't squeeze much more money out of cost reductions.
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Medicaid populations can benefit from DM interventionsAs the spiraling cost of healthcare continues to strain federal and state budgets, state Medicaid agencies are looking for powerful, workable solutions to the crisis.
