Briana Contreras, editor of Managed Healthcare Executive spoke with Emad Rizk, M.D., chairman, president, and CEO of Cotiviti in this week's episode of Tuning In to the C-Suite. In the discussion, they talked about the issues of risk in healthcare and how they have led to inequalities in care. They also addressed how adopting risk assessment tools that expand access to data around social determinants of health can help reduce bias and improve care.
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Biosimilars Are Supposed to Save Money. Providence St. Joseph Health Has Made That Happen.
April 6th 2022Using an aggressive utilization management approach, Providence St. Joseph Health directed physicians toward the use of biosimilars immediately after they came to market, saving nearly $27 million over two years in the process, according to Sophia Z. Humphreys, Pharm.D., M.H.A., the healthcare system’s director of system pharmacy clinical Services.
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FDA Updates Week of March 28, 2022
April 2nd 2022The FDA authorizes second COVID-19 booster and approves a higher does of Ozempic, Cabenuva for adolescents with HIV, a therapy for rare seizer disorder, and an oral testosterone replacement. The agency issues a complete response letter for a therapy for anemia related to chronic kidney disease, and an advisor committee votes down a drug for ALS.
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AMCP 2022: Soumya Vishwanath of Magellan Rx Management Addresses Digital Therapeutics at AMCP 2022
March 31st 2022Soumya Vishwanath, PharmD, senior manager of Formulary Strategy at Magellan Rx Management, talked about digital therapeutics in the behavioral health space and formulary strategy space during the annual AMCP 2022 conference in Chicago.
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“Popping a pill” makes cancer treatment more convenient, but research presented at the AMCP annual meetings shows that almost half of cancer patients on oral therapies are nonadherent. Oral administration typically moves a drug to the pharmacy benefit, which can mean high out-of-pocket costs and, in turn, nonadherence.
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AMCP 2022: Reality-Checking Digital Therapeutics As They Take Off
March 30th 2022Over 130 digital therapeutics for behavioral health are in the pipeline, but many payers are still sussing out how best to evaluate them and perhaps provide coverage, according to panelists at AMCP 2022. And for all of their advantages, digital therapeutics have some notable limitations and drawbacks.
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Atopic Dermatitis Treatment is a Good News Story, Say Symposium Panelists | AMCP 2022
March 30th 2022Dupixent (dupilumab) ushered in a new era and a growing number of treatment options has brought awareness to the condition. But the panelists also discussed problems with step therapy, delays and denials of treatment and the lack of a “gold standard” test for diagnosis.
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How Rural Hospitals Are Benefiting from Remote Patient Monitoring
March 30th 2022Patients who live in rural areas incur a variety of costs attributed to physically getting into the office to meet with their doctor when the need arises. When those patients require more frequent visits for chronic disease management, the cost of transportation, missed work, out-of-pocket copays, and any number of other costs can become a substantial barrier to care.
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Healthcare Employment Has Seen its Largest Spike Since Pre-Pandemic
March 29th 2022The healthcare sector added 63,500 jobs in February alone – a kind of growth in healthcare employment hasn’t seen since pre-pandemic days. In addition to the healthcare industry alone, the senior care sector reported its third employment gain in a row with a total year-to-date increase of 9,000 jobs.
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The Top Six Qualities of an Effective Coordination of Benefits Solution
March 29th 2022There is no lack of available COB solutions on the market, and the trouble is often identifying which option is the best fit for your organization. For optimal results, look for the following six elements in a COB solution to have the most success.
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Healthcare Spending Growth Slips Back Into Normal Range in 2021: CMS Actuaries
March 28th 2022Spending growth sank from 9.7% in 2020 to 4.2% in 2021 as special pandemic-related programs tapered off, according to CMS actuaries. But in article published in Health Affairs they project spending growth to continue at a steady clip this decade with the country’s total spending on healthcare project to reach $6.751.5 trillion by 2030.
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How Many Would Benefit From an Out-of-Pocket Cap on Insulin?
March 28th 2022Kaiser Family Foundation researcher found that 26% of those with an insulin prescription who have bought health insurance coverage in the individual market would benefit from a cap of $35 on monthly out-of-pocket costs for insulin.
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