Washington, D.C. - The high court heard arguments last month in a case(Kentucky Association of Health Plans vs. Miller) charging that a Kentuckystate any-willing-provider (AWP) law violates the Employee Retirement IncomeSecurity Act (ERISA). Kentucky insurers urged the Supreme Court to overturna lower court decision that the state law regulates insurance and thus isnot subject to the ERISA preemption. The managed care community maintainsthat the proliferation of AWP laws is undermining their ability to controlcosts and hopes that the U.S. Supreme Court will issue a strong ruling thisspring to curb this trend.
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
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Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
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Women PCPs Have Equal or Better Medicare Patient Outcomes Than Men PCPs in Value-Based Care Model
June 24th 2025Women primary care providers (PCPs) treating Medicare patients in a value-based care model achieved better patient outcomes and earned more per patient than male counterparts, despite receiving equal patient satisfaction ratings, highlighting a potential for value-based payment to help close the gender pay gap.
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A Progress Report on Chronic GVHD. The Grades Are Not So Great
June 24th 2025There has been no or some progress in most areas since a National Institute of Health consensus development project in 2020, according to a group of experts. But exception is important: Prevention of moderate or severe chronic graft-vs.-host disease.
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