An analysis by 3 Axis Advisors has found that there is a large variability in pharmacy reimbursement of prescription drugs depending on PBM contracts with insurers. This creates a system with huge inconsistences on the prices of both generics and branded products.
Boston Medical Center was named the most racially inclusive hospital by the Lown Institute. A leader of the hospital’s equity efforts touts the value of virtual care.
Findings presented at the European Respiratory Society found that using Dupixent to treat acute exacerbations of chronic obstructive pulmonary disease (COPD) reduced duration of systemic corticosteroid days.
Melissa A. Soliz, J.D., of Coppersmith Brockelman PLC is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, Soliz recommends the book, “The Immortal Life of Henrietta Lacks” by Rebecca Skloot to those in healthcare because "it is a compelling portrayal of how the law, ethics, ownership and business interests, and health inequities impact patient care and the advancement of that care from a generational perspective."
Melissa A. Soliz, J.D., a regulatory health care partner of Coppersmith Brockelman PLC, a Phoenix-based law firm with a nationally recognized health care practice, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
Hannah Ratcliffe, M.Sc., of Waymark, is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, she shared one of the best pieces of professional advice she had ever received, which is understanding that every context and situation in healthcare is different from the next.
Sherry Rais, M.Sc., CEO and co-founder, Enthea, is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, she recommends "Nickel and Dimed: On (Not) Getting By in America" by Barbara Ehrenreich to not only those in healthcare, but all readers as the book illustrates the ways in which inequality affects people’s access to healthcare.
Hannah Ratcliffe, M.Sc., care model and quality lead at Waymark, a public benefit company using technology-enabled, community-based care to improve access and quality of care for people receiving Medicaid, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
Jason Prestinario of Particle Health is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, Prestinario said sports betting is an interest of his as much of it is built from his background of high school and club college sports, being a fan of competition and even pursuing his career as a data scientist.
Those with certain comorbidities, including peptic ulcer disease and renal failure, were at additional risk of developing C diff infection.
Researchers investigated methods for measuring prior exposure in patients with suspected, undocumented COVID-19 infection to give better access to care and counsel.
Sherry Rais, M.Sc., CEO and co-founder of Enthea, a licensed, third-party administrator of health insurance benefits with a mission to provide safe and affordable access to psychedelic-assisted psychotherapies, starting with ketamine therapy, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
Researchers of a study investigated the association between health-related physical fitness and liver function indicators in hopes of finding potential preventative measures and personalized exercise prescriptions for those living with liver complications.
The week, the FDA approved Aphexda for use in stem cell mobilization. The agency also assigned action dates for resmetirom to treat patients with NASH and Libervant Film for young children and extended the review for lifileucel to treat melanoma. Additionally, an FDA advisory committee backed the use of Onpattro in cardiomyopathy of ATTR amyloidosis.
The authors found shifting patterns in the effects of obesity, alcohol, and smoking on atrial fibrillation.
Over the past 20 years, the age-adjusted mortality rate for obesity-related cardiovascular mortality increased by 415% for American Indian or Alaska Native individuals.
Jason Prestinario, M.S., CEO, Particle Health, which unlocks the power of medical records in an intelligent platform that puts the focus of health back on the patient, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
In a JAMA Network Open study published Sept. 11, researchers wanted to take a deeper look into PrEP regimens’ impact on cardiometabolic health, as it is understudied. To do so they examined the risk of incident hypertension and statin use among adult health plan members starting PrEP with tenofovir alafenamide fumarate (TAF) compared adults taking tenofovir disoproxil fumarate (TDF).
Nora Lozano-Evjen of Equality Health, is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, Lozano-Evjen shared that after she moved to the United States from Mexico City, she became involved as a prevention specialist for two U.S. school districts, which introduced her to health and social disparities impacting underserved communities — especially those of color. The exposure to these realities pushed her toward the community health worker model she believes in today.
Nora Lozano-Evjen, community health worker manager at Equality Health, a value-based care leader focused on supporting independent primary care practices, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
Managed Healthcare Executive's Managing Editor Peter Wehrwein, and Editor Briana Contreras, had a discussion in July with Mostafa Kamal, president and CEO of Prime Therapeutics, an organization in which Kamal acquired this position that same month.
Sanjula Jain, Ph.D., chief research officer at Trilliant Health, is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, Jain shared that although she has an affinity for data-driven interpretations, she enjoys going down the rabbit hole of reading horoscope predictions and the personality descriptions of zodiac signs.
Sanjula Jain, Ph.D., chief research officer at Trilliant Health, combining industry expertise, market research and predictive analytics to form evidence-based strategy for healthcare, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
Thompson, the president of the National Alliance of Healthcare Purchaser Coalitions, said if that 20% of the market changes way it deals with PBMs “it will change the market, it will change the conversation, it will change the practices of key players.”
This average rate decrease will lower total premiums by an estimated $130 million.
Kevonne Holloway, MBA, managing director, Global Content Partners, Elsevier, is one of 12 winners in this year's Emerging Leaders in Healthcare feature. In an interview with MHE, Holloway recommended " The Light We Carry," a book by Michelle Obama, as a must-read as it describes how everyone has a light inside of them that illuminates the way for others.
Kevonne Holloway, MBA, managing director of Global Content Partners at Elsevier, a world-leading provider of healthcare and research information, is one of the 12 up-and-coming leaders in healthcare included in the annual Managed Healthcare Executive feature.
In total, Medicare beneficiaries paid $21 billion for 100 drugs that receive the most rebates, while health plans paid $5.3 billion after rebates.
Vaccine manufacturers have publicly announced that the boosters would be ready this fall, and the FDA anticipates they will be available “in the near future.”
Thompson, the president and CEO of the National Alliance of Healthcare Purchaser Coalitions, said rebates and pass through are just the “tip of the iceberg” of the misalignment between employers and PBMs that disadvantages employers.
