Diana Do, MD, and Steven Peskin, MD, MBA, FACP, discuss unmet needs and future approaches to treatment in wet AMD.
COVID-19 is not in the rearview mirror. Greater collaboration among organizations, and a new sense of purpose with regard to interoperability, is essential in this new era.
Even as many industries continue to suffer devastating setbacks due to the COVID-19 pandemic, one sector that has enjoyed an “embarrassment of profits” is health insurance.
Current strategies used to evaluate the performance of therapies used to treat atopic dermatitis and guide formulary decisions, and recommendations to help patients receive access to effective therapies.
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.
Clinical data integration can mean navigating through an obstacle course of organizational and technical challenges. But it can show its ROI bona fides with digital chart review and other efforts.
Those with certain comorbidities, including peptic ulcer disease and renal failure, were at additional risk of developing C diff infection.
A recent HHS Office of Inspector General's report found that Medicare Advantage (MA) plans inappropriately deny prior authorization requests. With MA enrollment growing, scrutiny of MA plans and their utilization management strategies is also likely to grow, according to Alina Czekai, M.P.H., of Cohere Health. Czekai argues that artificial intelligence and machine learning can improve utilization management and prevent inappropriate denials.
Elevating customer services isn’t enough to raise Star ratings and quality. Payers and their provider partners also need to meet patients at their level.
What does it take for a healthcare organization to effectively expedite and achieve a digital transformation? Start with the fundamentals, like having an integrated transformation strategy with clear goals across the enterprise, highly visible and vocal top-down leadership, and exceptional tactical talent for implementation.
Home-based testing could be a less expensive way to improve preventive care.
A prediction for 2025 by Marci Chodroff, M.D., vice president of Medical Affairs at Prime Therapeutics and Managed Healthcare Executive editorial advisory board member.
Hospitals can't go back to their old ways. They need high-tech, high-touch strategies to engage patients.
A look at the challenges hospitals face due to an insufficient supply chain—and how to address them.
To maintain patient satisfaction and regulatory compliance and reduce potential clerical errors while maintaining high productivity, you can ease your staff’s burdens by automating your practice’s workflows and empower your staff to do more in less time.
Adding tax-preferred savings, perhaps with an employer match, can prompt employees to accumulate assets so they are prepared to shoulder out-of-pocket costs. Using reference-based pricing can establish benchmark fees and put a ceiling on payments across a network.
Insurers can assist with navigating the complexities of the healthcare system so caregivers can focus on what matters most — spending quality time with a loved one.
The health industry is changing rapidly, and organizations that don’t adapt are going the way of the Model T. By offering new solutions and capabilities, successful organizations are supporting their customers with whole-person, full-journey care.
The potential benefits of a remodeled delivery system based on virtual first care (V1C) are tremendous. Without consistent evaluation criteria to guide builders and buyers towards high-quality V1C, the trust of this movement is at stake.
Medicine is both an art and a science. Some physicians would contend that science—specifically data science—has overtaken medicine and limited their ability to make decisions based on informed intuition and personal experience.
Increasing the practice of evidence-based care is vital to improving the quality and efficiency of care in the U.S. To push more providers to adopt evidence-based medicine, we must reward high-quality patient outcomes - not high volumes.
The development of the World War II fighter plane has lessons for how to manage innovation in healthcare.
Dr. Podesta discuss the managed care coverage challenges related to PDTs and explore strategies for improving patient access, while also addressing methods for evaluating patient outcomes and satisfaction with PDTs.
A study from Harvard Pilgrim Health Care Institute also found that patients with diabetes who were enrolled in a value-based medication benefit increased their use of antidiabetic medications.
Technology can help cut back on unnecessary administrative tasks, improve task efficiency and better preserve staff resources.