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How AI-powered technology and its data-driven insights improve payer operations and reimburse providers faster.

The retail giant shuttered its primary healthcare clinics, and CVS and Walgreens are cutting back. Is retail healthcare doomed for failure?

Lotilaner ophthalmic solution 0.25% drops are administered as twice daily for six weeks. Other ways of treating Demodex blepharitis manage symptoms, not the root cause, and are of indeterminate length.

: A Taiwanese study builds upon previous contradictory research exploring the link between breast cancer and acute myocardial infarction.

One theme of the Federal Trade Commission’s interim take on pharmacy benefit managers is vertical integration and how that affects competition in the industry.

Community health workers can improve health outcomes and lower costs. So why haven’t they been fully incorporated into the U.S. healthcare system?

Gene therapies are incredibly expensive and tend to benefit small numbers of people, a combination that presents myriad financing challenges for patients, providers, payers and producers. A new study explored some of the options.

Here’s what you missed this week on Managed Healthcare Executive.

Researchers from the University of Utah in Salt Lake City have developed a more comprehensive, multifaceted digital tool for lung cancer screening that integrates into EHR as well as patient portals. Their paper was published in JAMA Network Open in June 2024.

The St. Louis-based center will serve as a base where researchers and public health experts can fight the HIV epidemic together.

The market for biosimilars seems to be improving, partly because of provisions in the Bipartisan Budget Act of 2018 and the Inflation Reduction Act of 2022.

This is good news for developing an HIV vaccine because previous research had indicated it could take years for these antibodies to appear.

The speed of adoption of new practices in medicine is extremely slow. We need systems to test new protocols, make sure they’re safe and effective, and get them out into the world more rapidly.

The FDA may approve KarXT, an antipsychotic that does not have the side effects of some other antipsychotics because it does not affect dopamine receptors.

A breakdown of recent survey results revealing which benefits employers plan to keep and what they are looking to add in 2025.

Previous acupuncture studies have focused on European and American women, but little was known about breast cancer patients in Asia.

Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, shared the results found from his organization's latest report on how many consumers are switching their healthcare providers and insurance payers. In the interview, he touched on some of the main drivers to consumers leaving and solutions on how payer and provider groups can turn things around.

The newspaper’s investigation, which included interviewing 300 peole, found that pharmacy benefit manager often act in their own financial interest by overcharging employers and government programs.

Women with HIV are more affected by stigma, gender inequality and socioeconomic status when compared to men with HIV.

Experts on AI spoke about strategies and tactics for implementing artificial intelligence that would assuage worries and build trust during a keynote session at AHIP annual meeting.

In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers.

Priority Health is acquiring 52,000-member Physicians Health Plan of Northern Indiana.

EndeavorOTC costs $24.99 monthly or $129.99 annually.

Physicians in a new survey by the American Medical Association said prior authorization leads to delayed care and a high administration burden for physician practices.

Adherence measures developed by the Pharmacy Quality Alliance (PQA) are an important part of the Medicare Part D Star Ratings program. PQA has launched a Health Equity Technical Expert Panel to provide input on specific approaches to ensuring PQA’s measures support equitable health care.

In a recent announcement, the virtual healthcare provider shared the expansion can offer patients access to a number of clinical services with standard copays, ensuring they receive affordable, high-quality primary care whenever needed.

Congressional Budget Office analysts say that Medicaid unwinding, immigration and scheduled end of ACA premium subsidies are factors in the increase.

A recent industry survey conducted by HealthEdge provides insight into how health insurance consumers in the United States feel about their current coverage.

In our latest "Meet the Board" podcast episode, Managed Healthcare Executive Editors caught up with editorial advisory board member, Eric Hunter, CEO of CareOregon, to discuss a number of topics, one including the merger that never closed with SCAN Health Plan due to local opposition from Oregonians.

The new 2 mL autoinjector offers a more convenient option for adult patients by reducing the number of required injections by half compared to the pre-filled syringe.