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

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

New research based on data from the H1N1 Pandemic was used to model a pathway to achieve faster vaccination and stem COVID-19 crisis.

Now more than ever, dental providers are on the front lines of chronic disease. How? Before the pandemic, the Centers for Disease Control and Prevention (CDC) reported that older adults were more likely to visit a doctor than a dentist. Even though older adults with chronic conditions were more likely to have severe tooth loss than persons without chronic conditions, national data showed dental visits lagged behind medical.
Having specialty pharmacies fill prescriptions may lower costs, but critics of the practice see safety issues and other drawbacks.

Her selection leaves the FDA commissioner's post as the only top healthcare job for which Biden hasn't made a pick.

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.

Adjustments to payment models are beginning to take social determinants into account.

CEO Karen Lynch says the market has stabilized. CVS received a $307 million ACA risk corridor payment last year.

Novartis says the drug may be appropriate for five out of six Americans with chronic heart failure.


Healthcare non-profit makes first-ever outside investment in Nashville-based company that’s transforming care for patients with chronic kidney and end-stage renal disease.

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


Woodcock is seen as more pro-industry and favored by patient advocacy groups. Sharfstein's supporters say he would restore integrity to the agency. Sharfstein has proposed reforms to the FDA approval process.

Caring for seniors means attending to both their physical and emotional health. Unfortunately, the mental health of older patients is rarely evaluated and treated. Multiple barriers to care exist, including availability and access to mental health practitioners, as well as the stigma associated with psychological conditions that may prevent patients from seeking help.

Enforcement of rules to encourage the freer flow of healthcare data were delayed because of the COVID-19 pandemic. They are now scheduled to go into effect this year.

A survey conducted by Nationwide Retirement Institute® highlights the challenges Black caregivers overcome during COVID-19.


Many moms-to-be are searching for new remote pregnancy monitoring solutions and some tips and facts for those expecting and for prenatal care organizations are included below.

Peter Wehrwein, senior editor of Managed Healthcare Executive, speaks with Mohan Giridharadas, the founder and CEO at LeanTaas, a software and machine learning company. The Santa Clara, California, company’s software enables healthcare systems to maximize efficient use of their infusion centers, operating rooms and other facilities. More efficient use translates into improved access to services for patients, especially during the COVID-19 pandemic, Giridharadas explains.

Insight into people’s irrational choices can improve healthcare.

Young adults, in particular, are more likely to seek out and place high value on telemedicine for eye care and those in vulnerable populations are benefitting most, according to an annual vision wellness study by VersantHealth.

The Next Generation ACO program, was supposed to end in 2020, but it was granted a one-year reprieve because of the COVID-19 pandemic. The National Association of ACOs (NAACOS) wants that extension to become permanent and says the “Next Gen” ACOs save the Medicare program a lot of money. Former CMS Administrator Seema Verma begs to differ.

As distribution of the COVID-19 vaccines sputters along, this question will be asked: Should people who are immunocompromised get vaccinated?


Deloitte health report projects a deceleration in health spending, likely creating a U.S. $3.5 trillion “well-being dividend” by 2040. The report shares what the future of health could look like: new business models, emerging technologies, and highly engaged consumers.

One of the new treatments available is a CAR-T cell therapy to treat relapsed or refractory large B-cell lymphoma.

MHE's Briana Contreras spoke with Bill Coletti, CEO, and Founder of Kith, a firm serving organizations in communication crisis and reputation management, in this week's episode of Tuning In to the C-Suite. Bill and Briana discussed how working with healthcare leaders during a crisis has changed since the COVID-19 pandemic, how leaders in the C-Suite can be prepared for a crisis and what to do in the journey post-crisis.

Diabetes education has shifted from in-person classes to Zoom meetings.

Population immunity is required in order to beat COVID-19. According to an opinion piece by Michael Criqui and Robert M. Kaplan on NPR, a quicker end to the pandemic requires two policy changes: delaying inoculation of those with prior COVID-19 infections, and temporarily widening the interval between the vaccine doses.