Authors





Douglas Krakower, MD

Latest:

Opportunities for HIV PrEP in Population Health

The benefits of addressing barriers and increasing access to HIV PrEP therapies to high-risk populations across the globe.


Victor Agbafe, B.A.

Latest:

Enhancing Provider-Patient Relationships to Reverse Chronic Disease

The existing approach to chronic disease management is ill-suited to address the dynamic and diverse factors at play with chronic illness, argue the authors. Increase patient engagement and tailoring care to address root causes can create a large value-add, they say.


Marc Samuels

Latest:

Opinion: A Biden win, a Republican Senate and a slim Democratic majority in the House: That’s a recipe for compromise.

With the 2020 election season nearly behind us, conventional wisdom is that we will have divided government: a Democratic president, a Republican Senate and a razor-thin Democratic majority in the U.S. House of Representatives. That combination is a recipe for compromise on President-elect Joe Biden’s healthcare priorities; namely, the federal response to the COVID-19 pandemic and adjustments to the ACA.


Jesse C. Dresser

Latest:

Why Timing Matters When It Comes to PBM Contracting

Plan sponsors should begin evaluation of PBM performance at least a year before the contract expires, say lawyers with expertise in PBM contracting.


Lawrence Eichenfield, MD

Latest:

Key Background Information on Atopic Dermatitis

Panelists discuss how atopic dermatitis, a chronic inflammatory skin condition characterized by intense itching and recurring eczematous lesions, affects millions worldwide, with complex genetic and environmental factors influencing its development, progression, and treatment response.


Ted Quinn

Latest:

To Proactively Address SDOH, the ‘Top of Funnel’ is Critical

We can identify and engage the right people. But to make a real difference in any community, a managed care organization, government agency or healthcare system needs to have a robust list/dataset of its population so the tools, processes and individuals that come after can do the work to identify and engage members with the highest needs.


David Braun

Latest:

What’s Next in Healthcare Mergers & Acquisitions

Last year was a record setting year in worldwide merger and acquisition activity across multiple industries, and healthcare was a big part of that.


Afrouz Motedaeiny, OD

Latest:

Don’t Overlook the Importance of Annual Dilated Retinal Exams

The annual dilated retinal exam, a unique tool which uses drops to dilate the pupil, is not just about eye health. It offers a comprehensive view of a member's overall well-being, potentially identifying serious health issues at an early stage.



Nathan Reilly

Latest:

Addressing Ransomware in Healthcare

There have been an alarming increase of ransomware attacks on healthcare systems in 2021—with more than 65 reported ransomware attacks on healthcare organizations in the third quarter alone and two-thirds of organization reporting that they had been targeted by ransomware strikes—a trend that is likely to continue in 2022.


Jennifer Seminerio, MD

Latest:

Future Direction of Intravenous and Subcutaneous Biologics

Dr. Seminerio predicts how the future landscape will change for intravenous and subcutaneous biologics.


Katherine Denney

Latest:

Reproductive Privacy Rights: Changes Coming for Healthcare Organizations

The Office of Civil Rights published a proposed rule that could have healthcare organizations evaluating their practices surrounding, and interactions with, reproductive healthcare information.


Oksana G. Wright

Latest:

DOJ Issues Important Updates to Evaluation of Corporate Compliance Guidance

A strong, up-to-date compliance program should be part of a healthcare company's risk management strategy.


Jesus Cepero, Ph.D., RN, NEA-BC

Latest:

Empowering the Next Generation of Nurse Leaders

Healthcare organizations must encourage anyone in need to explore the mental health and wellness resources available at their institution.


Liz Townes

Latest:

As the COVID-19 Pandemic Drives Record Telehealth Use, What’s Your Long-Term Plan?

Preparing for a future that includes telehealth means considering revenue streams, ROI, facility planning and other factors.


Melissa Crespo

Latest:

Addressing Ransomware in Healthcare

There have been an alarming increase of ransomware attacks on healthcare systems in 2021—with more than 65 reported ransomware attacks on healthcare organizations in the third quarter alone and two-thirds of organization reporting that they had been targeted by ransomware strikes—a trend that is likely to continue in 2022.


Samuel Norberg, PhD

Latest:

Optimizing the Management of TRD

Drs Steven Levine, Patricia Ares-Romero, Samuel Nordberg, Martin Rosenzweig, and Carrie Jardine share insight on the future treatment landscape for TRD.


Marco Meglio

Latest:

Zeposia, Vumerity Tie on Efficacy but Zeposia Has Superior Safety Profile

Findings presented at the 2023 Americas Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS) were the first to compare the two drugs for relapsing-remitting multiple sclerosis.


Bevey Miner

Latest:

How AI Can Help Payers Streamline Prior Authorizations to Save Time, Improve Member Care

Many prior authorizations requests still come in by fax. Natural language processing and artificial intelligence can extract and use information from faxes.


Erica Kaitz, LCSW

Latest:

The Urgent Case for Proactive Behavioral Healthcare

The healthcare system is facing an onslaught of patients with new and worsening conditions due the COVID-19 pandemic, but it is nowhere near ready to accommodate them.


Rachael Jones

Latest:

How Payers Can Weather the COVID-19 Storm – and Its Aftermath

COVID-19 has revealed the power and value of data analytics as claims have gyrated in unprecedented ways.


Philip Saynisch

Latest:

5 Tips for Health Plans to Improve Race and Ethnicity Data

Equity is a central part of healthcare quality, but health plans often lack information on individual members’ race and ethnicity, making assessing and improving health outcomes challenging.


Gabriela Hobbs, MD

Latest:

Key Takeaways Following MAJIC-PV

Gabriela Hobbs, MD, and Timothy Mok, PharmD, BCPS, BCOP, close the discussion with key takeaways for payers to consider related to ruxolitinib and insights on future research.


Andrew F. Biernat

Latest:

Remove the COBRA Creditable Coverage Penalty in Medicare and Help Seniors

COBRA coverage is not currently considered creditable coverage, so some seniors face Part B penalties. That needs to change.


Daniel J. Vukelich, Esq.

Latest:

An Urgent Call to Reduce and Reuse Hospital Supplies for Stronger Financial, Environmental and Clinical Sustainability

Now is the time to take serious action to reform wasteful hospital practices and strengthen the healthcare supply chain. The high cost of American healthcare has topped headlines for years.


R. Robert Auger, MD

Latest:

Overcoming Barriers to Narcolepsy Treatment and Looking to the Future

An expert discusses considerations for tailoring narcolepsy treatment plans for patients with complex comorbidities or lifestyle needs, the role of insurance policies, prior authorizations, and specialty pharmacies in treatment access, emerging strategies to improve care in underserved populations, and the role of hypocretin in narcolepsy.


Spike Cheever

Latest:

Developing Winning Supplemental Benefits Packages

Facing a variety of financial pressures, health plans need to take a measured approach to identify supplemental benefit strategies that facilitate their success.

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