New Analysis Shows Benefits of Electronic Prior Authorization for Patients and Providers
March 25th 2021Electronic prior authorizations (ePA) can significantly reduce the time between a request for prior authorization and a decision and the time to a patient receiving care. These were two of the top findings from an initiative launched by America’s Health Insurance Plans (AHIP) to better understand the impact of ePA on the prior authorization process.
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Patients Pay the Price with Proliferation of Substandard Health Plans
March 25th 2021There are significant risks patients face when they enroll in non-compliant and substandard health insurance products. A new report published by 30 patient organizations shares the risks and details ways state and federal lawmakers can help protect these vulnerable consumers.
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Vaccine Mistrust Leaves Vulnerable Seniors at Risk, per Eve Gelb of SCAN Health Plan
March 24th 2021MHE's Associate Editor Briana Contreras spoke with Senior Vice President of healthcare services at SCAN Health Plan, Eve Gelb. The two discussed the issue of vaccine mistrust among family caregivers and how it can result in leaving vulnerable seniors at risk.
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How to Put Some Science Behind the Art of Physician Referrals
March 22nd 2021Medicine is both an art and a science. Some physicians would contend that science—specifically data science—has overtaken medicine and limited their ability to make decisions based on informed intuition and personal experience.
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Searches for COVID-19 Vaccinations Have Skyrocketed in America
March 19th 2021Americans are becoming more anxious to get the COVID-19 vaccine as additional vaccines are approved and doses are being distributed directly to United States retail pharmacies. According to NordVPN, Google searches in America for the vaccine are growing by 1,900% since January.
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ACLI Responds to Misinformation about COVID-19 Vaccine
March 18th 2021The American Council of Life Insurers (ACLI) senior vice president of Policy Development, Paul Graham, recently responded to the social media news which suggested COVID-19 vaccines could be a factor a life insurer considers in the claims-paying process.
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The Opportunity in CMS’s Price Transparency Rule
March 18th 2021The opportunity for health insurers is to implement a well-designed cost estimator tool that goes beyond compliance to the new CMS rule and meets member and health insurer market trends by integrating more quality and cost metrics with an easy-to-use member interface.
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The Rise of the CMO Role, Other C-Suite Positions per Ami Parekh of Grand Rounds
March 17th 2021MHE's Briana Contreras spoke with Dr. Ami Parekh, chief medical officer of Grand Rounds. Ami and Briana talked about the rise of the chief medical officer role, how businesses can benefit from it and what it means for the future of the C-suite. They also discussed how Ami's role as a CMO, and other C-Suite positions, evolved during the pandemic and why it is so essential for businesses to provide advice and clinical guidance to help best keep operations running safely.
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What Healthcare Providers are Adopting from the Texas Hardships in February
March 15th 2021The State of Texas remains to recover from the winter storm blackout back in February. While the state still has much rebuilding and catching back up to do by covering damages and other economic losses, new operations among the state's and nation’s healthcare providers are coming out of it.
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Examining Health Equity Among Different Racial and Ethnic Subpopulations With Multiple Sclerosis
March 15th 2021Multiple sclerosis (MS) is a chronic disease that involves demyelination of plaque throughout the white and gray matter of the central nervous system. The early stages of MS are usually marked by a relapsing-remitting course of neurological deficits, which progress toward continuous, permanent dysfunction and disability. Of those with a diagnosis of MS, 74% are women.
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