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MHE May 2021
3 Takeaways About Managing the Cost of MS
May 21, 2021
Article
Multiple sclerosis is dependably among the most expensive chronic diseases to treat, but there are ways to reduce the size of the bill.
Lung Cancer Screening Has Had Few Takers. Will Updated Recommendations Make a Difference?
May 20, 2021
Article
A small fraction of those who were eligible under previous U.S. Preventive Services Task Force recommendations were screened with low-dose CT scans. New recommendations will make an additional 6.4 million Americans eligible, but a number of barriers to screening remain.
The Rise in Formulary Exclusions
May 19, 2021
Article
PBMs say exclusions are important for negotiating lower prices on behalf of health plans and members. Some payer and provider groups say they interfere with patient access to medicines.
Digital Behavioral Health is Growing Hand Over Fist
May 18, 2021
Article
Companies are forming and investment dollars are pouring in. Can these services make mental healthcare more accessible and affordable as the pandemic leaves depression and anxiety in its wake?
Patient-Centered Medical Homes: Were They Built to Last?
May 17, 2021
Article
The model has put the patient at the center of healthcare.
Playing it Safe and Secure Amidst Online Vaccine Security
May 14, 2021
Article
Breaches in online vaccination schedulers are the among the security problems the healthcare sector is scrambling to fix.
How the New Price Transparency Rules are Affecting Stakeholders
May 13, 2021
Article
Providers are moving toward acceptance; the rules are here to stay. Payers recognize that people need to know prices.
Pandemic May Lead to Further Provider Consolidation
May 12, 2021
Article
Smaller providers that have seen sharp declines in revenue may be acquisition targets for large healthcare systems.
New Hemophilia Treatments Look to Cut Number of Infusions
May 12, 2021
Article
Longer half-lives mean less frequent administration and improved quality of life.
Herd Immunity May Depend on Persuading “Conspiracy Believers”
May 11, 2021
Article
The supply side of the COVID-19 vaccine rollout has garnered most of the attention. But a recent survey on American beliefs about the vaccines suggests that the bigger problem may be on the demand side of the equation.
AIDS Group Says ACA Plan Copay Accumulators are More Common Than Not
May 10, 2021
Article
Copay accumulators are a common feature in health insurance plans sold on the ACA exchanges, according to a recent report from an AIDS advocacy group that wants the Biden administration to reverse a decision made by the Trump administration that allowed continued use of accumulators.
It Will Not Be Your Pre-pandemic Office
May 10, 2021
Article
There’s no going back to the ways of working before COVID-19’s arrival, say many in the industry. Insurers and PBMs are reducing their footprint as work becomes part remote, part in person.