News

Study shows Clovis Oncology’s rucaparib shows clinically meaningful impact in delaying disease recurrence in ovarian cancer.

Understanding genetic variations and tumor differences in black women with breast cancer could lead to personalized diagnosis and treatment.

Cost burden prompts payers to consider appropriate utilization

More providers, and even some health plans, are getting in on the action with concierge medicine. Here’s how it works and how it could affect your business.

Having technology tools for member engagement is no longer a novelty. Members now expect and prefer digital communications, and it is critical for MCOs to stay on top of technology trends to compete in the market.

Potential public health consquences prompts FDA to request removal of opioid pain medication.

Adamis’ epinephrine injection promises to be a lower-cost alterative to EpiPen.

In lines of care where improved outcomes aren’t paired with bonus payments, motivating providers and members to close gaps in care can be difficult.

Developing and carrying out a unified strategy for quality improvement can be difficult. CareSource is outlining its goals and supporting the front lines to initiate change.

The Stars ratings are meant to ensure that every health plan is providing adequate services for members. For payers, meeting these ever-changing measures can be a challenge.

Low CAHPS scores are a problem for health plans, but they don’t give much information in terms of how plans can improve. Drill down surveys might be the answer.

Consider providing cost estimates prior to rendering care to increase collections, patient satisfaction.

Data is key to helping providers increase member compliance, and technology has made this delivery simpler and more effective.

Services for the Underserved uses healthcare technology tools to reduce costs, increase quality.

A real-world study of type 2 diabetes patients by Milliman has surprising findings on glycemic control and diabetes medication adherence.

Oscar Health, a health-insurance startup, will work with the Cleveland Clinic to offer individual health insurance plans to consumers in northeast Ohio.

A new study found that distinguishing between population health and community health strategies can help health organizations define clear goals and earmark the right resources to accomplish them.

A new study finds that expanding the way bundled payments are utilized could make a positive impact for patients and on costs.

Healthcare analysts offer four things MCOs should know about the Better Care Reconciliation Act or BCRA.

Here are 3 EHR-related challenges that are impeding the advancement of IT support for value-based reimbursements.

A National Lipid Association survey has interesting findings on the prescription approval process for PCSK9 inhibitors.

To identify the top managed care pharmacy challenges and what your peers are doing about them, Managed Healthcare Executive conducted its annual pharmacy survey during the first quarter of 2017.

One expert believes managed care executives are key to a necessary paradigm shift in pediatric polypharmacy.

Here’s how to overcome the hurdles that hinder your population health strategies.

Alhough interest in value-based compensation for physicians continues to rise, trying to implement new payment systems is complex. Here's how to do it.

A new Kaiser poll has surprising results and three important findings.

Trump’s proposal highlights the administration’s priorities and can give stakeholders insight into future policy change.

Artificial intelligence will play a major role in healthcare digital transformation. Here’s how to adopt more AI-supported activities in your digital transformation initiative.

The first generic Truvada for treating and preventing HIV will be available, but when?

FDA approves Isentress at a higher dose for HIV-1 infected patients.