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How a Congressional Defeat Could Translate into a Win for PatientsMedicare negotiation of drug prices would stifle the development of much-needed therapies. Curtailing defensive medicine and rolling back excessive regulation would be a better way to control healthcare costs.
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Hospitals Aren’t Investing Enough in the Supply Chain and They’re Paying the PriceA look at the challenges hospitals face due to an insufficient supply chain—and how to address them.
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Why Mental Health Experts Should Tap into TikTokSince the start of the COVID-19 pandemic, a lot of progress has been made toward a better future, but it’s clear there’s still significant room for improvement. While progress is made in one area, other issues that live beneath the surface bubble up. That’s certainly the case for the current state of mental health.
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Conference Insider: 2024 AMCP NexusThe Academy of Managed Care Pharmacy (AMCP) held its fall meeting, called AMCP Nexus, Oct. 14-17 in Las Vegas. Here is some of our coverage of the meeting.
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Why the Infrastructure Deal and American Rescue Plan Are Life Buoys for Floundering HospitalsBaha Zeidan, CEO of Azalea Health, gives his take on the infrastructure legislation and the benefits it can provide for patient access to quality care, especially in traditionally underserved communities.
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Making the emergency department utilization, SDOH connectionStudy in Colorado maps correlations between social risk factors and emergency department use, including the "superutilizers."
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How Medication Decision Support Can Enhance Drug Optimization and CompatibilityAccurate data and comprehensive analysis enable health plans and healthcare providers to advance the safe use of medication.
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Managing and Retaining Employees During Periods of Disruptive ChangeTo thrive organizations must figure out how to build and maintain a strong culture in an increasingly remote workplace, and implement effective recruitment and retention strategies in an economy where there are fewer workers.
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Going Electronic: The Optimization Blueprint for Claim PaymentsBy enabling a more efficient, integrated process, electronic payment solutions are optimizing payment processes for payers and providers at a time when reliable, accurate and timely payments are of utmost importance to healthcare organizations.
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Optimizing the Management of TRDDrs Steven Levine, Patricia Ares-Romero, Samuel Nordberg, Martin Rosenzweig, and Carrie Jardine share insight on the future treatment landscape for TRD.
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Opinion: Coming Together During a PandemicCollaboration between health plans and providers leads to better quality, an improved experience and lower costs.
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Advancing Healthcare Innovation through AI AdoptionLeading health providers are implementing AI to improve patient and staff safety and quality, allowing them to accomplish their technological innovation goals for better use of resources, with higher satisfaction.
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10 Steps for Providers Considering Direct-to-Employer ContractsDirect contracting between employers and providers is rare but could have some genuine advantages for both parties — and for patients. But providers need to prepare and plan if they are going to get into direct contracting.
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Why COVID-19 Has Put Records Management in the Spotlight for Healthcare InsurersAlthough the importance of comprehensive records management programs is not a new phenomenon, over the last few months events surrounding COVID-19 have brought records management into increased focus.
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3 Approaches to Creating a Connected Care FutureBy integrating capabilities and services, we can create health experiences that are much more than the sum of their parts
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Medicaid Programs Start to Embrace Respite Care for UnhousedVarious groups, clinics and organizations have set up places for people without housing to recover from an injury, surgery and serious illness.
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Overcoming Patient Barriers to Chronic Disease ManagementHealthcare professionals need to make patients the primary decision-makers in their own care and actively support their efforts to achieve their care goals.
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It’s Not Just COVID. There’s Also Long Flu and PneumoniaEpic research suggests that like COVID-19, flu and other viral pneumonias can result in long-term symptoms like fatigue and brain fog. Why that might be is an open question.
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Healthcare’s Time is Now to Take Operations VirtualKristin Ficery, who leads Accenture’s North America Health, discusses recent Accenture research that discovered since the onset of COVID-19, 60% of patients want to use technology more for their healthcare. And nine out of 10 patients said quality of care was “as good or better” than before COVID-19.
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Going on Offense Against Fraud, Waste and Abuse in Behavioral Telehealth: 3 Key ActionsTelehealth, especially for behavioral health, has created new opportunities for dishonest individuals to file fraudulent claims. Health plans can take steps to stop the fraud before it happens.
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Accurate, Specific and Comprehensive Documentation Moves the Needle in Value-based CareProper documentation and coding provide better patient care and help plans optimize revenue.
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Patient Engagement: Access is the Future of HealthcareThe pandemic has brought patient self-service to the fore.
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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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The Urgent Case for Proactive Behavioral HealthcareThe healthcare system is facing an onslaught of patients with new and worsening conditions due the COVID-19 pandemic, but it is nowhere near ready to accommodate them.
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Potential Impact of Emerging PPF Treatments on Patient Outcomes and Health Ccare Resource UtilizationPanelists discuss the potential role of emerging treatments in the progressive pulmonary fibrosis (PPF) landscape if approved, exploring how they could address key unmet needs, improve patient outcomes, and optimize healthcare resource utilization.
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How COVID-19 Has Revealed Cracks in the Mental Health Support System for Healthcare WorkersManagers can help by removing any stigma against seeking help and providing access to support groups and professional services.
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Chest X-rays Linked to Earlier Lung Cancer Detection and Improved OutcomesA new study in England shows a strong link between higher rates of chest x-ray referrals in general practice patients with symptoms, such as persistent cough, and earlier lung cancer diagnoses, along with improved outcomes.
