News

Across the country more states are taking steps to limit patients’ exposure to surprise out-of-network bills.

A West survey has revealing findings about patient satisfaction.

National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care.

Here are five key strategies to improve care and outcomes for members with advanced illness.

A new study evaluating Humana claims data reveals interesting findings about IVC filter use in managed care.

An Avalere study has interesting findings about payer acceptance of biosimilars.

Novo Nordisk’s DEVOTE study reveals interesting findings.

FDA approves new diagnostic test for non-small cell lung cancer.

Professor in the School for the Science of Health Care Delivery Natalia Wilson, MD, MPH, discusses teaching population health to the next-generation of physicians, and how it will transform care.

Views on the importance of population health differ depending on how you interact with patients, says the NEJM Care Redesign survey.

A survey from telemedicine provider Carena has interesting findings about virtual clinics.

Analysts discuss how pharmacoeconomics will make a difference in treatment decisions.

An engaged staff is a productive one. Here’s how healthcare executives say they motivate their employees.

Personalized, prescriptive medicine creates higher-value care for patients

Predictive analytics involves extracting information from data and using it to forecast the future based on existing patterns and associations. For managed care organizations, the potential is limitless.

FDA has approved a supplemental Biologics License Application (sBLA) for Bayer’s myBETAapp and BETACONNECT Navigator for multiple sclerosis (MS) patients

FDA approved the use of a new fluoroquinolone antibiotic to treat ABSSSI.

Payers realize value in partnering with pharmacists to manage medication-related complications

Study shows Clovis Oncology’s rucaparib shows clinically meaningful impact in delaying disease recurrence in ovarian cancer.

Understanding genetic variations and tumor differences in black women with breast cancer could lead to personalized diagnosis and treatment.

Cost burden prompts payers to consider appropriate utilization

More providers, and even some health plans, are getting in on the action with concierge medicine. Here’s how it works and how it could affect your business.

Having technology tools for member engagement is no longer a novelty. Members now expect and prefer digital communications, and it is critical for MCOs to stay on top of technology trends to compete in the market.

Potential public health consquences prompts FDA to request removal of opioid pain medication.

Adamis’ epinephrine injection promises to be a lower-cost alterative to EpiPen.

In lines of care where improved outcomes aren’t paired with bonus payments, motivating providers and members to close gaps in care can be difficult.

Developing and carrying out a unified strategy for quality improvement can be difficult. CareSource is outlining its goals and supporting the front lines to initiate change.

The Stars ratings are meant to ensure that every health plan is providing adequate services for members. For payers, meeting these ever-changing measures can be a challenge.