Industry Analysis

Federal assistance programs and telehealth have helped, but they haven’t made up for the shortfall from lack of services.

Healthcare has successfully pivoted and collaborated. But COVID-19 also has spotlighted flaws in how hospitals are financed and the weakness of the public health infrastructure.

For several years, the Association of American Medical Colleges (AAMC) has presented data showing that the United States faces a shortage of physicians in almost every specialty. In June 2020, the association issued its sixth annual report on the shortage, predicting that in just over a decade, the U.S. healthcare system would face a shortage of between 54,100 and 139,000 physicians in primary and specialty care.

A favorable Supreme Court ruling has improved the financial outlook of the three nonprofit health insurers.

In this latest episode of the Meet the Board series on Tuning In to the C-Suite podcast, Managed Healthcare Executive's Peter Wehrwein and Briana Contreras speak with Rodrigo Cerda, vice president of clinical care transformation at Independence Blue Cross in Philadelphia. Rodrigo is a newer member of MHE's Editorial Advisory Board and in the discussion he shared a bit about himself such as what his personal goals were. The focus of the discussion highlighted a pipeline of clinical care and what's to come, as well as looking at virtual care.

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

Managed care organizations must ensure that all of their members—including their youngest—receive the most equitable start in life. Here’s how to get started.

MHE Associate Editor Briana Contreras and Senior Editor Peter Wehrwein speak with Julie Olson, senior director of Population Health and Product Development at Navitus, a full pass-through pharmacy benefits management (PBM) company. In this discussion they talked about how Navitus has created a Clinical Engagement Center designed to improve medication adherence and reduce both member and plan prescription costs, while easing benefit transitions. Additionally, they discussed what it means to be a “full pass-through” PBM and how it compares to other PBMs.

In this first of a two-part video series, MHE Senior Editor Peter Wehrwein and Associate Editor Briana Contreras speak with Perry Cohen, Pharm. D., CEO of The Pharmacy Group. Perry has been on MHE's Editorial Advisory Board for over 25 years and has contributed a number of interviews and guest articles toward the publication. In this discussion, Briana, Peter and Perry talked about the current pharmacy benefits market as well as Sweden, Japan and the United States' response to COVID-19.

In this episode of Tuning In to the C-Suite's Meet the Board series, MHE Senior Editor Peter Wehrwein and Associate Editor Briana Contreras speak with Perry Cohen, Pharm. D., CEO of The Pharmacy Group. Perry has been on MHE's Editorial Advisory Board for over 25 years and has contributed a number of interviews and guest articles toward the publication. In this discussion, Briana, Peter and Perry talked about the current pharmacy benefits market as well as Sweden, Japan and the United States' response to COVID-19.

Eric Whitaker, M.D., credits influences in high school and medical school with his success. Now he wants to turn his new Medicare Advantage plan, Zing Health, into a training ground for Black and Latino health insurance executives — and has his sights set on unicorn status.

Last year a lull in provider mergers and acquisitions was followed by an uptick. Experts say the disruptive effect of COVID-19 may mean plenty of deals this year.

Managed Health Executive® editors Peter Wehrwein and Briana Contreras interviewed Kevin Ronneberg, M.D., for our “Meet the Board” podcast series. Ronneberg is vice president and associate medical director for health initiatives at HealthPartners, a nonprofit integrated healthcare delivery system headquartered in Bloomington, Minnesota. He has been on the MHE editorial advisory board since 2015.

In this week’s episode of Tuning In to the C-Suite podcast, MHE's Senior Editor Peter Wehrwein and Associate Editor Briana Contreras spoke with CEO of Syntellis Performance Solutions, Kermit Randa. In the discussion they talked about a recently released survey by Syntellis called the 2021 Healthcare Financial Trends Survey report, which highlights how finance leaders pivoted in 2020 and the way they will continue to evolve in 2021.

In this final part of a six-part series, most are neutral-to-negative on chance of meaningful change.

In this fifth part of a six-part series, data said respondents split on the effect of the pandemic on value-based care

In this fourth part of a six-part series, data shows the pandemic severely affected revenues, expenses.

In this third of a six-part series, respondents give administration poor marks.

In this second of a six-part series, the biggest concern is short supply.

Respondents ranked the importance of healthcare issues.

The decrease in in-person healthcare this year because of the COVID-19 pandemic could be a good thing for telehealth and programs that deliver hospital-level care at home.

If the pandemic taught us anything, it’s that the status quo of an inefficient, outdated healthcare system cannot continue. One thing that is changing is medical billing. Medical billing will completely change because of the events of 2020.

There’s some skepticism as programs to address social determinants of health proliferate. Some data are being collected.

Today, senior care can have a number of health benefits for the well-being of older adults. However, some family members of the patients receiving care are carrying more of the financial weight and taking care of the groundwork in their family member's care.

DocASAP’s second annual survey reveals an accelerated demand for timely, convenient care across different settings and the pandemic’s impact on care.