Authors


Al Fasola

Latest:

The Well-being Measurement Problem

Surveys are important, but respondents may hide their true thoughts and feelings.


Adam E. Block, Ph.D.

Latest:

Profits of Publicly Traded Health Plans Surge Amid Requests for Higher Rates

Amid struggling providers, furloughs of essential workers, years of premium increases and record high earnings, for-profit health plans should consider options for directly helping their networks.


Scott Palmer

Latest:

Key Takeaways for Managed Care Organizations as No Surprises Act Goes Into Effect

The No Surprises Act is scheduled to go into effect in January. The law will require providers to provide patients with details of the new balance billing requirements, any state-level limitations or prohibitions in the state of service, and the dispute resolution process.



Hannah Clarke

Latest:

Potential Urology Drug Savings Through Mark Cuban Drug Company

The greatest savings are seen for 90-tablet prescriptions.


Mike Szczesny

Latest:

Transforming Healthcare Workforce for Future Challenges

Discover how healthcare is evolving, the workforce hurdles it faces, and the game-changing role of technology in overcoming these obstacles.


Ryan Flinn

Latest:

Gene Therapy Shows Promise for Fatal Heart Condition Tied to Friedreich Ataxia

Lexeo Therapeutics’ gene therapy provides a healthy version of the frataxin gene, which is critical for energy production in cells. The company plans to begin a pivotal trial next year.



Kathleen Ellmore

Latest:

Unlocking Better Health: Why Health Literacy Needs a Digital Revolution

Artificial intelligence stands out as a particularly promising solution to the challenges of improving health literacy.



Darren Ghanayem

Latest:

Strategies to Help Health Plans Prepare for Risk Adjustment, Star Ratings Changes

One of the changes that CMS has added is a Health Equity Index (HEI) reward to its Stars program. The agency will use HEI data collected this year and next to calculate 2027 Star Ratings, so plans must capture member data on every measure included in the HEI.


Curtis Sherbo

Latest:

Patient Engagement: A Key Element for Success in Value-Based Care

To support a value-based care model, healthcare organizations should focus on creating meaningful engagement throughout the patient's journey. This includes contacting patients at the right time through the right channel with relevant messages.


Rich Parker, M.D.

Latest:

The Impact of Vaccines on Long Covid

Research suggests that COVID-19 vaccination may serve a therapeutic effect, possibly reducing the risk of developing long COVID when administered to those currently infected.


Sabrina Serani

Latest:

CAR T-cell Therapy Shows 6-Year Durability in CLL Patients

A study suggests that a novel CAR T-cell therapy could be a curative treatment for some patients with chronic lymphocytic leukemia, with 25% of responders still in remission after 6 years.



Jerry Gross

Latest:

Shifting to an Endemic: How Tech Will Enable Greater Access to Affordable Healthcare

There are three key facets that must be considered in order to meet the demands of an endemic - the ongoing acceptance of a baseline of COVID-19 infection rates that will be maintained for the foreseeable future.



Mohammed S. Ahmed

Latest:

The Economic Impact of ADPKD on Patients, Payers

While physical and mental effects of Autosomal Dominant Polycystic Kidney Disease are top of mind for those personally impacted, as well as for nephrologists, the financial implications associated with this condition are often overlooked despite the fact that research has confirmed the economic burden of the disease increases over time for both the patient and the healthcare system.


Kaitlyn Bader

Latest:

SkinCure Oncology Secures Patent for Innovative Image-Guided Technology in Nonmelanoma Skin Cancer Treatment

SkinCure Oncology has not yet submitted its data to the FDA for marketing clearance, however once cleared, the new devices will use hybrid laser-generated confocal and photoacoustic imaging in a single fused volumetric image.


Brandi Meyers

Latest:

Simulacra of Data as an Answer | Predictions for 2025

A prediction for the year by Brandi Meyers, vice president of Revenue Operations at MDClone.


Jennifer Brigitte Green, MD

Latest:

Fixed-Ratio Combinations for Type 2 Diabetes

Dr Jennifer Brigitte Green considers the patient selection for fixed-ratio combinations of basal insulin and GLP-1 receptor agonists among patients with type 2 diabetes and provides insight around Medicare patient access to insulin and injectable medications.


Meade Monger

Latest:

Price Transparency Reveals Multiple Dimensions of Healthcare Inequities Beyond Just Patients

Pricing data shows that doctors serving these communities facing economic challenges are paid less by insurers, effectively penalizing doctors for working in areas where people most need their care.


Gary Mangiofico, Ph.D.

Latest:

Innovation or illusion? Evaluating CVS's CostVantage strategy

While CVS argues that its CostVantage model will provide more transparency and clarity in the pricing of drugs, there is no accompanying statement that this will lower drug prices.


Tim Webb

Latest:

Reinventing the Healthcare Workplace: Futurizing the Operating Model for Human Capital Management

Many leaders in healthcare would agree the healthcare sector has been operating in crisis mode for more than two straight years.


Quinn Dufurrena, D.D.S., J.D.

Latest:

Artificial Intelligence and Dental Claims Review: A More Predictable Consumer Experience

Artificial Intelligence in dentistry and dental benefits will lead to a shared understanding between consumers, dentists and insurers.


Shawn Gremminger

Latest:

Show us Your Prices | Predictions for 2025

A prediction for this year by Shawn Gremminger, president and CEO of National Alliance of Healthcare Purchaser Coalitions.



Eric Bacon

Latest:

3 Ways to Simplify Tech for Physicians

Some telemedicine software is so complex that it can lead to repetitive, mundane processes that are prone to frustration and mistakes.



Jon Wasson

Latest:

Where Are We Really With Interoperability?

New interoperability rules could require significant changes for healthcare organizations, but everyone will benefit from these improvements.

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