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Shifting to an Endemic: How Tech Will Enable Greater Access to Affordable HealthcareThere are three key facets that must be considered in order to meet the demands of an endemic - the ongoing acceptance of a baseline of COVID-19 infection rates that will be maintained for the foreseeable future.
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The Economic Impact of ADPKD on Patients, PayersWhile physical and mental effects of Autosomal Dominant Polycystic Kidney Disease are top of mind for those personally impacted, as well as for nephrologists, the financial implications associated with this condition are often overlooked despite the fact that research has confirmed the economic burden of the disease increases over time for both the patient and the healthcare system.
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Fixed-Ratio Combinations for Type 2 DiabetesDr Jennifer Brigitte Green considers the patient selection for fixed-ratio combinations of basal insulin and GLP-1 receptor agonists among patients with type 2 diabetes and provides insight around Medicare patient access to insulin and injectable medications.
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Managed Care Executives Should Look Outside to Address Macro Healthcare ChallengesOutsourcing is not the end-all solution, but it is a critical ingredient for navigating transorganizational opportunities to improve the healthcare ecosystem, argues Gary Mangiofico, Ph.D., of the Pepperdine Graziadio Business School.
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Reinventing the Healthcare Workplace: Futurizing the Operating Model for Human Capital ManagementMany leaders in healthcare would agree the healthcare sector has been operating in crisis mode for more than two straight years.
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Artificial Intelligence and Dental Claims Review: A More Predictable Consumer ExperienceArtificial Intelligence in dentistry and dental benefits will lead to a shared understanding between consumers, dentists and insurers.
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3 Ways to Simplify Tech for PhysiciansSome telemedicine software is so complex that it can lead to repetitive, mundane processes that are prone to frustration and mistakes.
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Where Are We Really With Interoperability?New interoperability rules could require significant changes for healthcare organizations, but everyone will benefit from these improvements.
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Countless Americans Have Lost Employer Coverage. What Can Be Done?In the four months between February and May, roughly 5.4 American workers lost their coverage.
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Health Plan Executives Like Transparency Benefits, but Say Compliance is ComplexAnother component of the government’s Transparency in Coverage mandate and No Surprises Act legislation for health insurance plans will go into effect on January 1, 2023 for price transparency.
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Men Are Reluctant PatientsDated notions and lack of an early connection to healthcare keep men from seeking care.
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Policymakers Must Take Action to Ensure Maternal Health Extends Beyond the Labor and Delivery RoomIf we look for the silver linings among lessons learned in 2020, the brightest positive outcome may be a better coordinated and more robust investment in public health. Yet as we continue to fight COVID-19 in the U.S., it’s important not to lose sight of another incredibly important battle we face on the public health front: maternal health.
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Staying Ahead of Employee Burn-outWorkplace stress is an inevitable part of business, but when stress gets out of hand, it’s bad for business and the people who do the work.
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7 Actions Every Health System CFO Needs to ConsiderHealth systems are struggling as a result of the reduced activity of elective procedures, the loss of health coverage for many employees, and the resultant drop in billings. According to this article, there are seven approaches recommended for immediate consideration to increase revenues and stanch losses.
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Pharma: Striding Towards the Digital-only Reality with AIAs industries across the board move towards a digital-only world, pharma companies must account for the different technologies that are transforming the R&D process.
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Telehealth – A Missed Opportunity?The doctor’s office waiting room is an age-old concept. We have waiting rooms because patients need to arrive early to ensure that the clinic runs on time and at near-full capacity. But clinics rarely run to schedule, so we end up wasting lots of time queuing to see a scarce, expert resource - the doctor.
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A Health Plan’s “No Regret” Strategy to Open EnrollmentThis year, health plans need to focus on the following smart, “no regret” investments in the enrollment process that have low risk, high reward, and ultimately deliver an exceptional member experience while simultaneously reducing costs and improving data quality.
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New Joint Commission Requirements Likely to Boost Maternal Patient SafetyThe outlook for decreasing the maternal mortality rate in the country has recently improved as a result of a recent initiative by the Joint Commission, which has developed 13 new elements of performance (EOPs) to help evaluate hospitals.
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Spinal Muscular Atrophy Drug Risdiplam Proves Success in InfantsPatients treated with risdiplam at 12 months demonstrated significant improvement in survival and developmental milestones, with 19 of 21 (90%) infants able to survive without permanent ventilation and 7 (41%) infants able to sit without support for at least 5 seconds.
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Addressing the Mental Health Needs of Seniors with a Value-Based Care Team ApproachCaring for seniors means attending to both their physical and emotional health. Unfortunately, the mental health of older patients is rarely evaluated and treated. Multiple barriers to care exist, including availability and access to mental health practitioners, as well as the stigma associated with psychological conditions that may prevent patients from seeking help.
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Questions Linger Around COVID-19’s OriginWe may never know where the virus came from, but the development and rollout of the COVID-19 vaccines has been the medical miracle of our lifetime.
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Inflation Reduction Act and the Impact on Pharmaceutical Pricing and Investment DecisionsThe reference to “maximum fair price” in the act bodes poorly for manufacturers and suggests more of a take-it-or-leave-it situation rather than a negotiation where clinical evidence would be the prevailing factor in determining price.
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Medicaid Redetermination: 5 Reasons Why Texting is Essential for Reaching Members Before It’s Too LateThe average person checks their phone 58 times a day, so there is a good chance that a text message will be read.
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Using Predictive and Prescriptive Insights to Close Care GapsBy using a combination of predictive and prescriptive next best action insights, providers can close the gap in care for individual patients by leveraging a combination of data sources — clinical data, patient surveys, SDOH data, and consumer and behavioral data sets — and applying artificial intelligence techniques to create those insights.
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Paying it Forward: How Payers Can Accelerate the Transition to Value-based CareWith healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago.
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Improving Operations Through CFO and CIO CollaborationFinance departments have tended to view information system departments as budget breakers. But information system departments are contributors to other departments in an organization that drive profits.
