High-deductible plans are often used by relatively healthy people with a small chance of exceeding the plan's annual deductible. These individuals have little loyalty to their plans. Here are eight ways health plans can create "stickiness" to keep members happy.
FDA’s approval last week of Vertex Pharmaceutical’s groundbreaking drug lumacaftor/ivacaftor (Orkambi) for cystic fibrosis is certainly good news, but formulary managers need to be aware of the high cost of the drug and other factors.
While recent attacks on Anthem, Community Health Systems, Premera and CareFirst helped focus awareness on the importance of cybersecurity, many healthcare payers and providers are still mired in outmoded or unfocused strategies and thus remain vulnerable.
Taking reasonable preventative care is a must as healthcare breaches grow in number.
A leading pharmaceutical company is partnering with payers to help lower COPD complications.
Use of investigational reversal agent idarucizumab can allow physicians to focus on other vital aspects of emergency management beyond anticoagulant reversal in dabigatran-treated patients, according to a study published in the New England Journal of Medicine.
Illinois legislators recently approved a pilot program that would place locking devices on some prescription painkillers.
A surprising 50 percent of U.S. drug overdoses are caused by prescription drugs – 22,000 annually – according to a new report, The Facts Hurt: A State-By-State Injury Prevention Policy.
Novartis’ new injectable drug secukinumab (Cosentyx) showed significant improvements in treating psoriatic arthritis (PsA), according to a new study.
FDA has approved lumacaftor/ivacaftor (Orkambi, Vertex) for the treatment of cystic fibrosis in patients 12 years and older.
After its proposed acquisition of Humana, Aetna is considering bringing its prescription drug management business in-house, which would mean an end to its contract with CVS Health in 2019.
New data from two phase 2 studies showed ceritinib (Zykadia) shrank tumors in patients with anaplastic lymphoma kinase-positive (ALK+) non-small cell lung cancer (NSCLC) who had received previous treatment with an ALK inhibitor and in those receiving an ALK inhibitor for the first time.
Antibiotics are frequently and often inappropriately prescribed to nursing home residents, according to a new study in JAMA Internal Medicine. These antibiotics pose direct risks to recipients and indirect risks to others residents.
Drug maker Novartis plans to try a new pricing model with some healthcare customers when it launches its heart failure drug LCZ696, an angiotensin receptor neprilysin inhibitor (ARNI).
In a new lawsuit, the U.S. government alleges Novartis paid kickbacks to specialty pharmacies to increase sales of deferasirox (Exjade), which removes excess iron from the blood of patients who receive transfusions, and mycophenolic acid (Myfortic), to prevent rejection of kidney transplants.
The American Society of Clinical Oncology is asking for comments on its ASCO Value Framework, which compares the value of new cancer therapies with established treatments.
Patients with previously-treated metastic colorectal cancer (mCRC) taking regorafenib (Stivarga) experienced progression-free survival of 2.7 months, according to new data presented at the recent ESMO 17th World Congress on Gastrointestinal Cancer 2015 in Barcelona.
A first-in-class antipsychotic that is a selective serotonin inverse agonist (with no dopaminergic, histaminergic, adrenergic, or muscarinic activity) potentially targeting 5-HT2A receptors, improved Parkinson’s disease psychosis (PDP) with demonstrated safety and tolerability, and without worsening motor Parkinson’s, according to data presented in two posters at the 19th International Congress of Parkinson’s Disease and Movement Disorders (MDS), in San Diego.
We are on the verge of healthcare modernization that will transform the healthcare experience.
An active population health management program is key to improving performance, and it needs big data engagement analytics if it’s going to succeed.
According to the August issue of Consumer Reports, the overuse and misuse of antibiotics is leading to the strengthening and spread of dangerous infections that are becoming resistant to these drugs. Here are four recommendations Consumer Reports has for the medical community.
Clearly, healthcare organizations need to be prepared for a cyber breach. The question, then, is: What steps should we take now to prepare?
Healthcare organizations must better incorporate change management and cultural integration into their M&A strategy. Here's how.
Overuse and misuse of antibiotics has led to a public health crisis-a crisis we must pay attention to now, according to a report that will be published in the August issue of Consumer Reports.
FDA has approved Aurobindo’s entacapone tablets USP, 200 mg, the generic equivalent to Novartis’ Comtan tablets 200 mg.
Coverage decisions about new technologies, including access and cost considerations, are a major challenge for public and private payers.
How does your health system compare to others when it comes to new initiatives? Recent survey findings from HFMA might provide some answers.
How do we reverse the trend of super users and reduce costs for this small, unique pool of members? Here are some tips.
Stuart M. Gerson, member of Epstein Becker Green's Litigation and Health Care & Life Sciences practices, discusses four possible consequences of the King v. Burwell ruling.
Health plans, exchanges and associations share their reactions to the Supreme Court's King V. Burwell ruling.
