MHE Staff

New Jersey and Pennsylvania are the latest to set up state-based exchanges. Kentucky, Maine, New Mexico and Virginia, which currently have hybrid state-federal programs, are expected to be next.

Electronic prior authorizations (ePA) can significantly reduce the time between a request for prior authorization and a decision and the time to a patient receiving care. These were two of the top findings from an initiative launched by America’s Health Insurance Plans (AHIP) to better understand the impact of ePA on the prior authorization process.

Study finds cancer screenings are increasing, however a "catch-up" to pre-COVID-19 baseline levels still requires prioritization of high-risk individuals to get deferred preventative care.

The American Council of Life Insurers (ACLI) senior vice president of Policy Development, Paul Graham, recently responded to the social media news which suggested COVID-19 vaccines could be a factor a life insurer considers in the claims-paying process.

COTA’s real-world data and Kite's drug development pipeline will complement single-arm clinical trials to accelerate cancer research benefiting patients.

Grand Rounds and Doctor On Demand merge to revolutionize how millions of Americans receive healthcare in a first of its kind patient-centric virtual care organization.

Multiple sclerosis (MS) is a chronic disease that involves demyelination of plaque throughout the white and gray matter of the central nervous system. The early stages of MS are usually marked by a relapsing-remitting course of neurological deficits, which progress toward continuous, permanent dysfunction and disability. Of those with a diagnosis of MS, 74% are women.

Market research firm sees growth in sales for injectable therapies developed with an eye toward improving adherence. Sales in pre-exposure prophylaxis are also projected to increase.

Aetna got out of the ACA marketplace business in 2018. Now CVS Health, which completed its acquisition of the insurance company in late 2018, is hopping back in and will brand the policies as a “CVS Health-Aetna” product for the first time.

Blue Cross and Blue Shield of Minnesota say tha

Taming U.S. healthcare spending is a huge, daunting task that has met with little success. But some Yale professors are proposing to take a bite-sized approach as a way to change that.

The Trump administration didn’t get very far with healthcare reform; the ACA was neither repealed nor replaced. But former CMS Administrator Seema Verma made a run at revamping Medicaid by using Section 1115 waivers to add working requirements. Now the Biden administration is taking steps to stop the requirements before they get started.

Results from research analyzing data of females with multiple sclerosis (MS) who became pregnant, and the impact of adherence to their disease-modifying therapies (DMTs) on hospital utilization and cost, were recently released by AllianceRx Walgreens Prime.

More than one out of every 10 seniors enrolled in a Medicare Advantage plan and living in a rural area switched to traditional Medicare in the last few years, prior to the pandemic. The switch was driven primarily due to low satisfaction with care access, according to a study recently published in Health Affairs from researchers at Drexel University’s Dornsife School of Public Health.

Following the unanimous endorsement from an FDA panel, it will be shocking if the single-dose vaccine doesn't get an EUA.

Data sharing in healthcare has unlocked more potential to use information and analytics to work toward addressing disparities and achieving health equity in care.

National Lawyers’ Committee files joint amicus brief to oppose discriminatory employment policies encouraged by HHS.

Dark skin is significantly underrepresented in medical literature and curricula, comprising an average of just 4.5% of images in medical textbooks. In response, clinicians of all licensures and specialties are often insufficiently trained to recognize disease patterns in patients of color. To confront this issue, Project IMPACT was created to raise awareness and adoption of educational and clinical resources and solutions that strengthen clinicians’ ability to accurately diagnose disease in black and brown skin and improve health equity.

Democrats will need to commit to campaign promises to make the Affordable Care Act (ACA) marketplace coverage more affordable since winning control of the Senate.

At 5:28 p.m. EST, the Johns Hopkins Coronavirus Resource Center shows a cumulative U.S. death total of 500,071.

Connecting physical and mental health delivers better engagement, outcomes, and lowers costs.

New research based on data from the H1N1 Pandemic was used to model a pathway to achieve faster vaccination and stem COVID-19 crisis.

Novartis says the drug may be appropriate for five out of six Americans with chronic heart failure.

Healthcare non-profit makes first-ever outside investment in Nashville-based company that’s transforming care for patients with chronic kidney and end-stage renal disease.

COVID-19 is the biggest one, but other twists and turns await.

Woodcock is seen as more pro-industry and favored by patient advocacy groups. Sharfstein's supporters say he would restore integrity to the agency. Sharfstein has proposed reforms to the FDA approval process.

A survey conducted by Nationwide Retirement Institute® highlights the challenges Black caregivers overcome during COVID-19.