© 2022 MJH Life Sciences™ and Managed Healthcare Executive. All rights reserved.
All News
The Controversy Over Omega-3 Fatty Acids
A failed trial at the American Heart Association leads to pointed fingers at game-changing research on Vascepa, and counter claims of "manufactured controversy."
CMS, NAACOS Have Entirely Different Takes on the MSSP ACO Program
January 27, 2022
The CMS saw good news in its annual report on the federal healthcare agency’s largest ACO program. The National Association of ACOs say the report shows the program is shrinking and needs changes.
Rodrigo Cerda, M.D.., M.P.H., of Independence Blue Cross in Philadelphia Discusses New Role and the Latest on Value-based Care, SDOH and Covid-19
January 26, 2022
In this episode, Peter Wehrwein, managing editor of Managed Healthcare Executive, speaks with Dr. Rodrigo Cerda. Dr. Cerda has been recently promoted to the position of senior vice president of health services and chief medical officer of Independence Blue Cross in Philadelphia. He is also a member of Managed Healthcare Executive’s editorial advisory board. Peter and Dr. Cerda discuss his new role at the Independence Blue Cross, what it means to be a chief medical officer at an insurer these days, valued-based care, social determinants of health, and, of course, the pandemic.
Health Plans, Insurance Issuers Are Failing to Deliver Full Access for Mental Health and Substance-use Disorder Benefits
January 26, 2022
A 2022 report by the Department of Labor cites specific examples of health plans and health insurance issuers failing to ensure parity. For instance, a health insurance issuer covered nutritional counseling for medical conditions like diabetes, but not for mental health conditions such as anorexia nervosa, bulimia nervosa and binge-eating disorder.
Collaboration, Access to Care, and Member Experience Essential to 2022 Health Plan Success
January 25, 2022
A look inside six trends that will shape and influence care, planning and performance over the next year for health plans.
VA Hospital Improves Timeliness of HCC Diagnosis, Treatment With Electronic Tracking System
January 25, 2022
The introduction of an electronic tracking system decreased the time from hepatocellular carcinoma (HCC) diagnosis to treatment by more than a month.
6 Successful Strategies to Supercharge your ACO
January 25, 2022
The true key to achieving high savings, more patient volume, and better health outcomes is to effectively use clinical and cost data with physicians to create interventions that improve performance.
How to Avoid an ACO Exodus — or Having No Takers in the First Place
January 25, 2022
Authors of an article in Health Affairs about a program for smaller and rural ACOs say their finding show those kinds of ACOs can generate major savings for Medicare, but apprehension about downside risk prompted an exodus from the program.
Billions Flowing into the Cancer Immunotherapy Market
January 24, 2022
The global cancer immunotherapy market is set to grow at a compound annual growth rate, or CAGR, of 12.6% to $277.1 billion by 2030.
Building Trust Through Price Transparency
January 24, 2022
Price transparency is a primary focus for health plans in 2022 to support rising consumer demand for improved healthcare experiences and align to federal price transparency mandates.
Payers Should Be the Quarterbacks of Patient Care
January 22, 2022
Real-time notifications accelerate accurate care management. To deliver better and more timely care management to patients, payers should work with providers to adopt a technology-agnostic communication strategy .