In his second video interview with Managed Healthcare Executive, PBMI Innovator Award winner David Blair discusses why breaking up traditional pharmacy benefit manager models is key to improving transparency, reducing conflicts of interest and delivering better outcomes.
In a video interview with MHE editors, Sharon Faust, Pharm.D., MBA, senior vice president and chief pharmacy officer at Navitus Health Solutions, shared that while she originally saw herself as a scientist focused on patient care, she found that her skills in problem-solving and critical thinking were a natural fit for the business side of healthcare.
An expert discusses the growing importance of real-world evidence in informing payer decisions and value-based care strategies for bispecific therapies in relapsed/refractory multiple myeloma (R/R MM), highlighting the need to validate clinical trial outcomes, assess economic impact, and ensure equitable integration into treatment pathways.
An expert discusses how adding an anti-CD38 antibody to a triplet backbone improved minimal residual disease (MRD) negativity and progression-free survival (PFS) in frail, transplant-ineligible patients with multiple myeloma. He also raises concerns about the real-world feasibility of intensive regimens and emphasizes the need for personalized dosing and further research on using MRD to guide treatment duration and intensity.
An expert discusses how treatment guidelines and institutional pathways are evolving to integrate CAR T-cell therapies and bispecific antibodies for relapsed/refractory multiple myeloma (R/R MM), emphasizing individualized sequencing decisions, logistical considerations, and the critical role of patient and caregiver education in optimizing outcomes with bispecific therapy
In this final video part of a three-part video interview series, Brian Anderson, MBA, principal and consulting actuary at Milliman, told MHE he sees a more complex picture when it comes to consolidation in the pharmacy benefit manager industry—one that still holds potential for innovation and improvement. Anderson is one of this year's six inaugural winners of Managed Healthcare Executive’s PBMI Innovator Award.
In this second part of a three-part video interview series, Brian Anderson, MBA, a principal and consulting actuary at Milliman, shared his belief that PBM transparency is essential—but he sees risks in how it's being pursued. Anderson is one of this year's six inaugural winners of Managed Healthcare Executive’s PBMI Innovator Award.
Risks and benefits associated with mail-order pharmacies and third-party platforms, according to Amanda Bogle, a healthcare attorney at Sheppard Mullin.
In a video interview with MHE editors, Nathan Downhour, Pharm.D., vice president of strategic pharmacy solutions at Prime Therapeutics, said a shift is already underway in the pharmacy benefit market in terms of becoming more transparent and sustainable across the industry.
In a video interview with MHE editors, David Blair, founder, chairman, and CEO of LucyRx, expressed his belief that pharmacists are an underused resource in the U.S. healthcare system, especially at a time when access to primary care is becoming more limited. Blair is one of this year's six inaugural winners of Managed Healthcare Executive’s PBMI Innovator Award.
Pharmacies and PBMs face growing regulatory and reporting demands around drug pricing and reimbursement, while misalignment between state rules and payer practices complicates the expanded clinical role of pharmacists.
An expert discusses how vitiligo treatment historically relied on off-label therapies such as topical corticosteroids, calcineurin inhibitors, and phototherapy, but now includes the first FDA-approved agent, topical ruxolitinib 1.5% cream, used alone or in combination with other treatments.
In a video interview with MHE editors, Brian Anderson, MBA, a principal and consulting actuary at Milliman, shared his entry into the pharmacy benefits space was driven by a desire to improve healthcare by making it easier for people to access what they need—especially medications. Anderson is one of this year's six inaugural winners of Managed Healthcare Executive’s PBMI Innovator Award.
An expert discusses how less frequent administration of therapies like nadofaragene (every 90 days) significantly reduces clinical resource burden compared with combination treatments like gemcitabine-docetaxel, which require extensive logistics, chemotherapy-licensed staff and daily clinic visits.
An expert discusses how clinics can successfully implement gene therapy workflows by establishing strong institutional protocols, assigning dedicated clinic coordinators, and using strategies like rectal diazepam premedication to prevent bladder spasms and medication loss during expensive treatments.
New insights emerge from ongoing analyses of GA studies, enhancing AMD treatment strategies and patient management at Bay Area Retina Associates.
Discover new safety insights on Syfovre for geographic atrophy treatment, as Roger A. Goldberg highlights promising long-term data at ASRS 2025.
New findings reveal Syfovre may protect central vision in macular degeneration patients, delaying vision loss and enhancing treatment strategies.
New findings reveal that early treatment with Syfovre significantly improves vision preservation in geographic atrophy patients, according to Robert Goldberg, M.D., MBA, of the Bay Area Retina Associates.
Interest in surgical advancements such as retinal detachment repair is driven by the need for balance within the field and a new generation entering the workforce, according to Gaurav K. Shah, M.D., program chair of ASRS 2025.
A session on a surgery technique to treat macular holes using amniotic membrane transplants will be one of the highlights at the 2025 meeting of the American Society of Retina Specialists, according to Gaurav K. Shah, M.D., program chair of ASRS 2025.
There will be a greater focus on surgical topics at the 2025 meeting of the American Society of Retina Specialists, compared with previous years, which reflects the need for balance within the industry, according to Gaurav K. Shah, M.D., program chair of ASRS 2025.
Surveys of American Society of Retina Specialists members have revealed a preference for physicians’ experiences with new therapies, rather than summaries of clinical trial data, according to Gaurav K. Shah, M.D., program chair of ASRS 2025.
An expert discusses the evolving role of BCMA-targeted therapies in relapsed/refractory multiple myeloma (R/R MM), comparing the efficacy, safety, and logistical considerations of CAR T-cell therapies, bispecific antibodies, and antibody-drug conjugates, and emphasizing the importance of individualized treatment selection and ongoing refinement of therapeutic sequencing.
An expert discusses how bispecific antibodies are reshaping the treatment landscape for relapsed/refractory multiple myeloma (R/R MM) by offering off-the-shelf, effective alternatives to CAR T-cell therapy, while emphasizing the need for institutional planning, patient monitoring, and coordinated care to manage continuous therapy, adverse effects, and resource demands.
An expert discusses how frontline management of transplant-ineligible multiple myeloma has progressed from melphalan-based regimens to modern anti-CD38–based combinations, now including emerging quadruplet strategies. He highlights data showing improved responses and progression-free survival (PFS) even in frail populations, while emphasizing the need to balance efficacy with treatment burden, especially for older adults with comorbidities.
An expert discusses how integrating newer NMIBC therapies faces operational barriers including administration logistics, staff training and formulary restrictions, while solutions require better comparative data, institutional protocols and industry partnerships to overcome unwarranted practice variation.
An expert discusses how real-world evidence is driving gene therapy adoption in BCG-unresponsive disease primarily through demonstrated durability and excellent tolerability, with 30% to 40% of patients achieving long-term disease-free survival despite the need for better comparative data to guide treatment selection.
Panelists discuss how autoantibody testing has high diagnostic accuracy with nearly 100% conversion to hyperglycemia when two or more antibodies are present, though timing of testing is crucial and retesting may be necessary since antibody levels can fluctuate over time.
Audere is closing gaps in HIV care and education with the help of Aimee, their artificial intelligence companion designed to reach women and young girls in South Africa, according to Sarah Morris, CPO of Audere.
