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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.
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Four New Ways to Approach Opioid Use DisordersA new study has eye-opening findings on the use of buprenorphine induction in an opioid-dependent population with commercial benefit coverage.
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Bundled payments expected to reward providersCMS will begin demonstration projects to further test the promise of P4P by bundling payments for certain services as single case-rates
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When paperwork doesn't workThere is a growing records management crisis in the world of healthcare. Hospitals are awash with paperwork, as legal, payer and regulatory requirements steadily generate an increasing number of documents per patient visit. Unfortunately, most healthcare information technology (HIT) systems are wholly inadequate to meet these growing documentation requirements.
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The immeasurable value of EMRs for improved patient careAmong large physician practices and acute care facilities, physicians and healthcare executives widely recognize the value of electronic medical records (EMRs). However, physicians at small or individual practices are just beginning to use the technology, noting high implementation costs as a deterrent.
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Hospital redesign can offer patients the best clinical careStep into any newly designed hospital today and you just might do a double take. Lobbies, corridors and patient rooms look more like those in hotels these days, catering to patients and families with restaurant-like pagers, plush family seating that converts into beds and a menu of dining options that allows patients to order what they want and when.
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Indirect Comparison Shows Apretude and Yeztugo Have Similar Efficacy | IAS 2025Researchers wanted to provide insight into the relative clinical value of Apretude and lenacapavir compared with no pre-exposure prophylaxis (PrEP), and they presented the data at the International AIDS Society meeting.
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Data helps clinicians choose options in the patient's best interestHosptial program aligns high-cost clinical areas and financial strategies to realize benefits of the latest innovations
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Data helps clinicians choose options in the patient's best interestHosptial program aligns high-cost clinical areas and financial strategies to realize benefits of the latest innovations
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Data helps clinicians choose options in the patient's best interestHosptial program aligns high-cost clinical areas and financial strategies to realize benefits of the latest innovations
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Physician collaboration is key to successful disease managementThere are inherent challenges and opportunities for DM
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Prenatal ultrasound gathering momentum in disease managementFor more than three decades, clinicians have routinely conducted prenatal ultrasound screenings to detect congenital anomalies, multiple-gestation pregnancies, fetal growth disorders, placental abnormalities and errors in the estimation of gestational age. When managed care was born, executives realized the importance of providing benefit coverage for this test because they recognized prenatal ultrasound is one of the earliest tools in the disease management arsenal to promote fetal, neonatal, and maternal health. In an era where medical costs are surging, and in response, healthcare premiums of employers and their workers have climbed twice as fast as wages and inflation in 2006, the evidence-based benefits of prenatal ultrasound is gaining momentum and medical community recognition as a disease management tool.
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Administrative tasks simplified: Electronic transmission saves time, moneyThere is no doubt about it-transmitting claims and other healthcare information electronically saves time and money.
