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Real-World Digitally Based Diabetes Management Program Implementation by a Large Employer

March 4th 2025

This study offers new insights to self-insured employers and health plans related to investment in digitally based disease management programs and enrollee engagement.

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ERISA Industry Committee Sues Minnesota Over PBM Law

January 3rd 2025

AJMC
Prescription Rebate Guarantees: Employer Insights

July 19th 2024

To Expand Access to Cancer Expertise, Collaboration Is Key
To Expand Access to Cancer Expertise, Collaboration Is Key

February 20th 2023

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What We’re Reading: Pediatric Vaccine Schedule Updated; Workplace Toll on Health; Drugmakers Lobby Against IRA Impact

October 21st 2022

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Assessing Health Care Policy Reform at the Federal and State Levels
February 14th 2021

Assessing Health Care Policy Reform at the Federal and State Levels

In addition to coronavirus disease 2019, several other factors will play a major role in health care policy reform for federal and state-level health officials this year, including the transition to value-based care and containment of high health care costs.
Artificial intelligence
February 11th 2021

Humana, IBM Watson Health Collaborate to Improve Health Benefit Transparency

Matthew Gavidia
Humana and IBM Watson Health collaboration to streamline access to accurate information on benefits and health care costs for Humana employer group members, agents, and employers.
Examining Initiatives Addressing Mental Health, Care Disparities in Underserved Communities
February 7th 2021

Examining Initiatives Addressing Mental Health, Care Disparities in Underserved Communities

Several initiatives help to provide free clinical research and education to promote diversity and inclusion in clinical trials, as well as to spotlight and destigmatize mental health issues, noted Angela Colon-Mahoney, MS, Otsuka America Pharmaceutical Inc.
Employer Health Centers Expand Virtual Care Services Amid Pandemic
February 4th 2021

Employer Health Centers Expand Virtual Care Services Amid Pandemic

Matthew Gavidia
A survey by Willis Towers Watson found that nearly half of employer onsite and near-site health centers expanded virtual care services during the coronavirus disease 2019 pandemic, including in chronic condition management and behavioral health.
Percival Barretto-Ko, president of Astellas Pharma
January 31st 2021

How Diversity and Inclusion Initiatives Can Improve Patient Inequities, Workforce Culture

Through an organizational commitment to diversity and inclusion initiatives, the biopharmaceutical industry can better serve historically underserved populations and cultivate a more diverse workforce and inclusive culture.
More Americans Choosing Medicare Advantage Plans Amid Pandemic
January 30th 2021

More Americans Choosing Medicare Advantage Plans Amid Pandemic

Matthew Gavidia
A 9% year-over-year increase was observed in the number of US Medicare beneficiaries who enrolled in a Medicare Advantage health plan in 2020, with the increase in enrollment influenced by the coronavirus disease 2019 pandemic and its related effects.
Gurpreet Singh, US Health Services Leader at PwC.
January 25th 2021

Spotlighting Top Health Care Issues to Monitor in 2021

Several factors will have a significant impact in the health care industry in 2021, such as management of disparities in vaccine administration and greater investment in telehealth, said Gurpreet Singh, MBA, US Health Services Leader at PwC.
Medical Claim Denial Rates Rising, Highest in Initial COVID-19 Hotspots
January 21st 2021

Medical Claim Denial Rates Rising, Highest in Initial COVID-19 Hotspots

Matthew Gavidia
Findings of the Change Healthcare 2020 Revenue Cycle Denials Index indicate that since the onset of the coronavirus disease 2019 (COVID-19) pandemic, medical claim denials have risen 11% nationwide, with the most denial rates found in regions with the highest first wave of outbreaks.
Addressing Health Insurance Consumer Behavior in 2020, Potential Trends to Watch in 2021
January 15th 2021

Addressing Health Insurance Consumer Behavior in 2020, Potential Trends to Watch in 2021

Matthew Gavidia
Based on US health insurance consumer behavior reported in the eHealth Insights: 2020 Retrospective report, notable trends of the past year to watch for in 2021 include the popularity of $0 premium Medicare Advantage plans, the rise of telemedicine, and potential hesitancy against taking a vaccine for coronavirus disease 2019.
How COVID-19 May Drive Changes in Health Care Delivery, Investment in Value-Based Care
January 13th 2021

How COVID-19 May Drive Changes in Health Care Delivery, Investment in Value-Based Care

As coronavirus disease 2019 (COVID-19) continues to drive significant change in health care delivery, physician leaders affiliated with the Council for Accountable Physician Practices have worked to increase investment in strategies to address disparities in care exacerbated by the pandemic, such as value-based care and telemedicine.
Contributor: Internal Communication and How It Affects Engagement
January 8th 2021

Contributor: Internal Communication and How It Affects Engagement

Shaun Parker
Dr Richard Shinto on Managing Disparities in Health Care Services Amid the Pandemic
January 6th 2021

Dr Richard Shinto on Managing Disparities in Health Care Services Amid the Pandemic

Despite limited resources to combat the coronavirus disease 2019 pandemic, collaborative efforts among the government, health plans, and providers in Puerto Rico exemplify how care can be better optimized in communities in the United States impacted by disparities in health care services.
Contributor: 3 Ways Health Plans Can Leverage Natural Language Processing Technology
December 30th 2020

Contributor: 3 Ways Health Plans Can Leverage Natural Language Processing Technology

Karen Kobelski, MBA
Robert Baird, RN, MSA
December 28th 2020

Robert Baird, RN, MSA, on Direct Contracting for Smaller Employers

Rose McNulty
Robert Baird, RN, MSA, president of the National Cancer Treatment Alliance, discusses ways that employers of all sizes can pursue direct contracting with health care providers.
Top 5 Most-Read Employer Articles of 2020
December 24th 2020

Top 5 Most-Read Employer Articles of 2020

Matthew Gavidia
The top 5 most-read employer stories of 2020 on AJMC.com focused primarily on the role of the coronavirus disease 2019 pandemic on several issues affecting the workplace, including adverse mental health outcomes, leave-related concerns, and the rise of virtual care.
Cancer Care Aspects and Cost
December 24th 2020

Employers: Innovators and Partners in the Delivery of More Effective and Equitable Cancer Care

Joseph Alvarnas, MD Harlan Levine, MD
Employers have the focus, innovative mindset, analytical tools, and drive to partner effectively with innovative cancer care entities to bring better care to their respective members.
Robert Baird, RN, MSA
December 22nd 2020

Robert Baird on the Benefits of Direct Contracting for Employers

Rose McNulty
Robert Baird, RN, MSA, president of the National Cancer Treatment Alliance, discusses potential issues employers can avoid by direct contracting with providers.
Multicancer Early Detection Tests
December 18th 2020

Novel Multicancer Early Detection Technology—Potential Value to Employers and the Workforce

Joshua J. Ofman, MD, MSHS Azra Raza, MD A. Mark Fendrick, MD
Multicancer early detection technology could help reduce cancer mortality compared to the current strategy of single-cancer screening tests.
Harlan Levine, MD, City of Hope
December 18th 2020

Reimagining Cancer Care Delivery—and Serving Employers—Through Access Hope

Mary Caffrey
In an interview with Evidence-Based Oncology™, City of Hope's Harlan Levine discussed the rising interest of employers in cancer care and how AccessHope can help them deliver better care where their employees live.
Anthony Harris, MD, MBA, MPH, WorkCare, and Matthew Gavidia, AJMC
December 16th 2020

Dr Anthony Harris on Short-, Long-Term Impact of a COVID-19 Vaccine in the Workplace

Although a vaccine against coronavirus disease 2019 (COVID-19) is now in the fold, Americans should expect to remain in their current work environment in the short term, with potential long-term implications spanning the next 5 years.
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December 11th 2020

Estimating the Economic Burden of Migraine on US Employers

Aylin Yucel, PhD Andrew Thach, PhD Sharanya Kumar, PhD Catherine Loden, BS Mark Bensink, PhD Neil Goldfarb, BA Robert Cowan, MD
The Migraine Impact Model is an interactive calculator that estimates migraine prevalence within a workforce and the associated economic burden of migraine on the employer.
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December 11th 2020

The Persistent Pandemic of Violence Against Health Care Workers

Ashleigh Watson, MD Mohammad Jafari, HBSc Ali Seifi, MD
The problem of violence against health care workers has escalated across the world, and tackling this issue requires the support of administrators.
Michael Thompson on Influence of Mental Health, COVID-19 at National Alliance’s 2020 Annual Forum
December 7th 2020

Michael Thompson on Influence of Mental Health, COVID-19 at National Alliance’s 2020 Annual Forum

At the National Alliance’s 2020 Annual Forum, a chief focus was spotlighting issues within the workplace exacerbated by the coronavirus disease 2019 pandemic such as mental health and disparities in availability of health care services.
Bill Kramer, MBA, Pacific Business Group on Health
December 3rd 2020

Contributor: 3 Reasons Employers Should Be Concerned About ACA Repeal

Bill Kramer, MBA
Bill Kramer, MBA, is the executive director for National Health Policy at Pacific Business Group on Health.
Considerations for Policy Makers Wanting to Optimize Telemedicine, Virtual Care
November 30th 2020

Considerations for Policy Makers Wanting to Optimize Telemedicine, Virtual Care

Through a collaborative effort by Catalyst for Payment Reform, the American Benefits Council, and Mercer, 4 key telemedicine considerations were issued for policymakers seeking to capitalize on the substantial growth in telemedicine and virtual care.
Frederick Schnell, MD, FACP
November 26th 2020

Dr Frederick Schnell on Employer Concerns in Cancer Coverage

Rose McNulty
Frederick Schnell, MD, FACP, medical director of COA, discusses how employers' concerns with cancer care coverage can be addressed without compromising quality.
Health technology
November 24th 2020

Survey Finds Increased Utilization of Virtual Care, Deferral in Preventive Care Among US Employees

Matthew Gavidia
A survey by Willis Towers Watson finds significantly increased use and noted satisfaction in virtual care among the US workforce amid the coronavirus disease 2019 pandemic.
How Halting Telehealth Waivers May Impact Cost, Deferral in Care
November 15th 2020

How Halting Telehealth Waivers May Impact Cost, Deferral in Care

As some private health insurance companies move to end waivers of cost sharing for virtual care, there will be several aspects to monitor for employers, particularly its impact on accessibility and potential deferral of health care services.
PwC Report Previews Biden’s Influence on Health Care Proposals, Policy Issues
November 12th 2020

PwC Report Previews Biden’s Influence on Health Care Proposals, Policy Issues

Matthew Gavidia
A report by PwC discusses the health care agenda of President-elect Joe Biden, particularly how his term will shape the future of the Affordable Care Act, value-based care, and drug prices.
Implications of Justice Barrett’s Confirmation on Employment Law Rulings, ACA Case
November 9th 2020

Implications of Justice Barrett’s Confirmation on Employment Law Rulings, ACA Case

David Weisenfeld, JD, legal editor at XpertHR, previews how employment law rulings may be affected by the Senate's recent confirmation of Justice Amy Coney Barrett to the Supreme Court.
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