Health Management

Health plans should consider turning to their members to ask for quality feedback.

Hep C drugs offer significant advantages, but payers must define payment approaches for optimal utilization.

Consider tailored approaches for health management

URAC recognizes best practices

Oregon is the first state to transfer Medicaid populations into accountable care.

Fear and dosing schedules are barriers

Tools help patients and physicians

Surgery patients are at risk for addiction and overdose

Long-term intervention encompasses entire lifetime

More attention needs to be paid to patients who are at the verge of risk.

Drugs are free of interferon and aim to shorten treatment time

New tests and drug treatments on the horizon.

Remote monitoring helps plans keep tabs on member progress

Prevalence of chronic pain can add up to higher costs in mental-health and medical claims

Nurses also identify lifestyle issues during yearly kitchen table conversations

Costly chronic conditions increase with age

In Iowa, the Blue Zones Project has community buy-in

Financial incentives will be linked to comprehensive care which includes the mind and body

CMS has increased the number of telehealth services it will reimburse under Medicare

A combination of diabetes, hypertension and dyslipidemia is the telltale sign of high risk

Pharmacist counseling is cost-effective and can contribute to improved adherence.

Japan and the UK outrank the United States in infant mortality measures

Deaths per 1,000 live births

Aetna examines technology solutions to advance evidence-based care

Start with lifestyle modifications then determine need for testing

A national program aims to accelerate treatment and diagnosis

Plan's data show 1.2% of screenings resulted in cancer diagnosis

CMS has overlooked the importance of identifying not for profit status for consumers in the exchanges

10 Things You Need To Know About ICD-10:ICD-10 presents payers with an opportunity to deliver more profitable and innovative care

PCPs must consider the whole patient with type 2 diabetes, not just the blood glucose, noting that patient weight loss, weight maintenance, and exercise are huge challenges