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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.
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Addressing Ransomware in HealthcareThere 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.
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Optimizing the Management of TRDDrs Steven Levine, Patricia Ares-Romero, Samuel Nordberg, Martin Rosenzweig, and Carrie Jardine share insight on the future treatment landscape for TRD.
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Zeposia, Vumerity Tie on Efficacy but Zeposia Has Superior Safety ProfileFindings 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.
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How AI Can Help Payers Streamline Prior Authorizations to Save Time, Improve Member CareMany prior authorizations requests still come in by fax. Natural language processing and artificial intelligence can extract and use information from faxes.
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The Urgent Case for Proactive Behavioral HealthcareThe 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.
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How Payers Can Weather the COVID-19 Storm – and Its AftermathCOVID-19 has revealed the power and value of data analytics as claims have gyrated in unprecedented ways.
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5 Tips for Health Plans to Improve Race and Ethnicity DataEquity 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.
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Key Takeaways Following MAJIC-PVGabriela 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.
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Remove the COBRA Creditable Coverage Penalty in Medicare and Help SeniorsCOBRA coverage is not currently considered creditable coverage, so some seniors face Part B penalties. That needs to change.
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An Urgent Call to Reduce and Reuse Hospital Supplies for Stronger Financial, Environmental and Clinical SustainabilityNow 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.
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Overcoming Barriers to Narcolepsy Treatment and Looking to the FutureAn 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.
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Developing Winning Supplemental Benefits PackagesFacing 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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AI Hype and Engagement Fatigue | Predictions for 2025A forecast for this year by Luis E. Taveras, Ph.D., senior vice president and chief information officer of Lehigh Valley Health Network.
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Why 2021 Patient Experience Will be Tied to Telehealth SuccessHow consumers feel about their virtual care encounters will influence everything from CAHPS surveys to compensation beyond the pandemic.
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The Oncology Care Model Provides a Framework for the New Enhancing Oncology ModelThe new model starts in July 2023. Practices will be required to take on two-sided risk right from the start.
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The Keys to Effective Hybrid Care: Simplify, Streamline and AdaptIn the post-pandemic future, we will likely see that hybrid patient care models are the norm. As hospitals and health systems plan for this shift, they’ll need to consider two critical factors.
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Study Examines the Correlation Between COVID-19 Vaccination and Vitiligo OnsetA recent study presents a unique case of sudden-onset vitiligo following the COVID-19 vaccination, along with a systematic review of existing literature to shed light on the potential link between vaccination and vitiligo development.
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A Better Way of Collecting Patient-Reported OutcomesMany healthcare organizations find themselves in arrangements with technology vendors in which patient-reported outcomes measures are handled as an add-on to an existing electronic health records. The better way makes it easier and more convenient for patients to supply information and incentivizes engagement.
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Key Clinical Considerations for Unique Patient PopulationsKenan R. Omurtag, M.D., discusses how addressing unique needs of LGBTQ patients involves tailored fertility treatments and legal considerations, while emphasizing the importance of early fertility preservation counseling and expedited procedures for cancer patients, including cryopreservation of eggs, sperm or embryos prior to potentially gonadotoxic treatments.
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Seeking a Better Definition of Remission From Major Depressive DisorderIdentifying what is truly treatment resistant depression is difficult given all the factors that may influence how a person responds to treatment.
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We Need a Data-driven Approach to Vaccine DistributionThe complexity of the phased approach to COVID-19 vaccination will require strategic use of data and communication.
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Access to Cancer Care Improves Racial Disparities in CLL/SLLFuture interventions for improving disparities should be aimed at improving overall access to care for patients with chronic lymphocytic leukemia/small lymphocytic lymphoma.
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COVID-19 Reaffirms: RPM is Wise Investment for Health InsurersSignificant attention has been paid to the recent surge in telehealth. This attention is valid. While usage of telehealth has declined from the initial months of the pandemic, FAIR Health data show that telehealth claim lines had increased more than 2,800% nationally from December 2019 to December 2020.
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Insomnia and its HarmsChronic insomnia has been linked to a variety of mental and physical illnesses. Researchers have found that cognitive behavioral therapy is often effective.
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Considering the Ideal Role for Non-Emergency Medical Transportation in Addressing SDoH in Medicaid and Medicare PopulationsMedicare and Medicaid programs that serve the most-vulnerable Americans facing SDOH barriers can be major facilitators of appropriate non-emergency transportation to non-medical sites. But how do we determine what is appropriate, and what do we know about transportation services to non-medical sites today?
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How Providers Can Add Patient-Generated Health Data to EHRs Without Fueling Clinician BurnoutTo make patient-generated health data work for clinicians, health information technology vendors must effectively integrate this patient-generated data into clinical workflows in a way that helps clinicians do their jobs more efficiently and effectively.
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Shedding Light on Healthcare’s Dark ArtsFrançois de Brantes, a member of the Managed Healthcare Executive ® editorial advisory board and senior partner at High Value Care Incentives Advisory Group LLC, describes what he believes has caused a major inflection point in the management, delivery and payment of U.S. healthcare
