Survey: Rheumatologists Still Reluctant to Switch Patients to Biosimilars
July 2nd 2020Cardinal Health recently conducted a survey of more than 100 rheumatologists asking their feelings about biosimilars, and the findings revealed that the majority of them were familiar with and comfortable prescribing biosimilars.
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David Calabrese of OptumRx Talks Top Three Drugs in Pipeline, Industry Trends in Q2
July 1st 2020In this week's episode of Tuning Into The C-Suite podcast, MHE's Briana Contreras chatted with David Calabrese, R.Ph, MHP, who is senior vice president and chief pharmacy officer of pharmacy care services company, OptumRx. David is also a member of Managed Healthcare Executives’ Editorial Advisory Board. During the discussion, he shared the OptumRx Quarter 2 Drug Pipeline Insights Report of 2020. Some of the information shared includes the three notable drugs currently being reviewed or those that have been recently approved by the FDA. Also discussed were any interesting industry trends to watch for.
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The veteran healthcare executive says this may be a Netflix vs. Blockbuster moment for hospitals. And health plans may be under pressure to meet the statutory levels for medical spending and recontract with their networks to offer enhanced payments in return for clinical improvement activities.
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How Proactive Patient Engagement Can Influence Patient Health During COVID-19
July 1st 2020More than half of approximately 600 consumers (52%) surveyed in mid-March—the time when major metropolitan areas began issuing “shelter-in-place” orders and encouraging “social distancing”—said they had not been given direct guidance from either their payers or providers regarding the novel coronavirus.
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Characteristics of Pregnant, Non-pregnant Women of Reproductive Age Diagnosed With COVID
June 29th 2020Data to assess the prevalence and severity of COVID-19 among pregnant U.S. women and determine whether signs and symptoms differ among pregnant and nonpregnant women are limited, according to a report by the CDC.
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Pandemic Demands Highlight Resilience, Value of Physician Assistants
June 26th 2020COVID-19 has applied a type of pressure on the U.S. this year that none of us have experienced in our lifetimes. Like every other segment of healthcare professionals, certified physician assistants have been put to the test during 2020.
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9 Ways to Show Strong Leadership During the COVID-19 Outbreak
June 26th 2020The COVID-19 outbreak has tried the souls of people the world over, both personally and professionally, and healthcare executives are no exception. Despite seeing their plans and schedules torn up, executives can meet and master the unrelenting demands of leadership when a typical workday is anything but. Consider these tips from your industry peers to not just survive but also thrive — and to inspire your employees to do the same.
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Mostashari, Emanuel See A Future For Telehealth and Payment Reform
June 26th 2020Farzad Mostashari and Ezekiel Emanuel agree: The COVID-19 experience could be what finally weans American healthcare off of its dependence on fee-for-service payment. But they have a slightly different vocabulary and different notions about what might lead to a tipping point.
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Telehealth and Therapy: On the Couch. But Now It’s Your Own Sofa.
June 25th 2020COVID-19 forced a shift to virtual behavioral health therapy. Some once-skeptical providers, however, are finding telehealth beneficial. Reimbursement and continued relaxation of regulations will determine whether it’s here to stay.
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John D'Amore of Diameter Health Talks FHIR and How it Applies to Insurers
June 25th 2020John D'Amore, president and co-founder for Diameter Health, speaks with Managed Healthcare Executive Senior Editor, Peter Wehrwein, about fast healthcare interoperability resources standards , or FHIR, as they apply to insurers. There are new CMS FHIR regulations for Medicare Advantage and Medicaid managed care plans that go into effect in July 2021. Private insurers are expected to follow suit.
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Continue Continuous Medicaid Eligibility, Says EAB Member Margaret A. Murray
June 24th 2020One way the federal government responded to the COVID-19 pandemic was to temporarily increase the federal Medicaid matching rate by 6.2 percentage points. In exchange, states couldn’t add restrictions to eligibility and had to offer COVID-19 testing and treatment without cost sharing.
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