News

In one of the few arrangements of its kind, Cigna Corp and Aetna Inc. struck a deal with Novartis for a performance-based price for its heart failure drug, Entresto.

Payers and providers have traditionally operated on opposite sides of the tracks with limited collaboration, resulting in a disjointed and complicated experience for patients when accessing care.

The Zika virus, a mosquito-borne epidemic in Brazil that is causing birth defects, was recently reported in the U.S. Here are the top 5 things to know about the disease:

After receiving pressure from Congress, FDA announced several measures aimed at curbing opioid abuse. The new plan calls for increasing abuse-deterrent formulations of opioid medications and upping access to naloxone and alternative pain treatments.

Mercy Accountable Care Organization (ACO) has identified and successfully leveraged a critical factor to supplement its population health strategies.

PhRMA ad campaign features new patient and researcher stories.

Industry watchers weigh in following Covered California’s Peter Lee’s public bashing of UnitedHealth over the federal exchanges.

Much of the drug pricing debate in the United States in recent months has centered around the soaring prices of hepatitis C medications such as Harvoni and Sovaldi (Gilead Sciences), along with Technivie and Viekira Pak (AbbVie). However, the newly approved hepatitis C drug, Zepatier (elbasvir and grazoprevir, Merck) ups the pricing competition.

PBMs, insurers use cautious approach when managing these cholesterol-lowering drugs.

FDA has approved amphetamine extended-release orally disintegrating tablet (Adzenys XR-ODT, Neos Therapeutics, Inc.) for the treatment of ADHD in patients 6 years and older.

FDA has approved Bristol-Myers Squibb’s Opdivo (nivolumab) in combination with Yervoy (ipilimumab) for the treatment of patients with metastatic melanoma.

Drug price increases can prove challenging for payers. Here’s six strategies to keep in your arsenal.

Humana is using past evidence to reach patients at risk for diabetes.

How at-risk negotiations with pharmaceutical manufacturers and medication adherence programs improve both sides of the healthcare value equation: patient outcomes and costs.

Over the past year, there has been some legislative movement at the federal and state levels. The following is a short list of key bills and what they might mean for healthcare providers.

As 2016 gets underway, improvements in diabetes health management are expected to progress. Here are some of the noteworthy trends to watch.

How did the ICD-10 transition impact health systems and health plans? Here, those in the field, weigh in.

Johnson & Johnson faces $800 million racketeering lawsuit over its antibiotic, Levaquin.

Tresiba, the long-acting insulin that just came on the market in January, stands to net Novo Nordisk billions of dollars.

FDA recently approved (Halaven, Eisai), the first chemotherapy drug to demonstrate survival benefit for liposarcoma that cannot be removed by surgery or is advanced.

Rule would expand standards health plans must meet to be certified as qualified health plans

Prime Therapeutics has studied the costs and clinical events relationship among their members using a controlled substances (CS) score algorithm that identifies potential overuse/abuse of opioids/controlled substances.

Population health initiatives are driving rapid adoption of mobile remote patient monitoring solutions, according to a new report.

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One month into 2016, it’s clear that this will be a year of massive change for the managed care industry. Here are seven predictions for some of the key issues that will emerge, intensify, or be resolved by the end of this year.

Nearly 60% of new MA plans are sponsored by providers, according to new Avalere analysis.

As technology advances, it is transforming healthcare in ways never thought possible

N.Y. Gov. Andrew Cuomo proposes a budget provision that would call for capping prices on some drugs and requiring drug companies to provide information about their costs.

New technology is changing how payers, providers, and patients interact. Stay ahead of the curve by monitoring these technology changes.

When the House Committee on Oversight and Government Reform met on January 26, legislators took a closer look at price hikes from companies such as Valeant Pharmaceuticals and Turing Pharmaceuticals.