Dr Steve Miller Discusses Specialty Pharmacy's Role in New Care Delivery Models
May 26th 2016High costs associated with specialty pharmacy will necessitate the evolution of a new specialized model to help ensure that patients are receiving the financial assistance they need and adhering to their treatment, according to Steve Miller, MD, senior vice president and chief medical officer of Express Scripts.
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Dr Pamela Becker: Bar Is Set Very High to Meet Biosimilar Definition
May 25th 2016The bar is set very high in terms of the biosimilar requirement definition, and physicians who are hesitant about substituting biosimilars for treatment should not be worried about the perceived differences, according to Pamela S. Becker, MD, PhD, professor of medicine in the Division of Hematology at the University of Washington School of Medicine.
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Dr Steven Pearson on Defining Value of a Treatment
May 22nd 2016Defining value of a treatment can be complicated, but at the center of it is the need to include both long-term and short-term effects, said Steven Pearson, MD, MSc, FRCP, founder and president of the Institute for Clinical and Economic Review.
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Dr Julia Adler-Milstein on Measuring Patient Engagement
May 20th 2016In order for providers to achieve balance between patients who want more direction and patients who want more autonomy, the healthcare industry must first find some measure of patient engagement, said Julia Adler-Milstein, PhD, assistant professor at the School of Information and the School of Public Health at the University of Michigan.
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Dr David Brumley Explains How Technology Is a Good Fit for Diabetes Care
May 19th 2016Telemedicine works well with diabetes because it is a condition that works with a lot of numbers and data, and physicians can look at that data remotely rather than requiring a face-to-face visit, explained David Brumley, MD, MBA, senior medical director at Tufts Health Plan.
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Dr James Whitfill on Engaging Physicians and Patients in ACOs
May 18th 2016Accountable care organizations have to work more on engaging physicians in meaningful leadership roles and should focus on learning about patient goals, said James Whitfill, MD, chief medical officer of Scottsdale Health Partners.
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Dr John Santopietro Outlines Carolinas' Move to a Virtual Behavioral Health Team
May 17th 2016In order to provide care to people with behavioral health issues early, in the primary care setting, Carolinas HealthCare System set up a virtual behavioral health provider team that can provide care to the 200 primary care offices and roughly 800,000 people in need that are part of the system, explained John Santopietro, chief clinical officer of behavioral health at Carolinas HealthCare System.
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Robin Wright King Discusses Communication With Health Plan Members
May 16th 2016With the Affordable Care Act expanding access to healthcare coverage, health plans have to handle consumers who are very different: some are very new to healthcare, some are more knowledgeable, some are healthy and never use care, and some are chronically ill, explained Robin Wright King, MBA, of Blue Cross Blue Shield of Massachusetts.
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Dr Lee Schwartzberg Discusses Results of Checkpoint Inhibitors in Breast Cancer
May 15th 2016There is much excitement over the new checkpoint inhibitors, which have shown benefit across a variety of tumors. Right now, researchers are trying to define the subgroup of patients with breast cancer who might be most suited to checkpoint inhibitors, explained Lee Schwartzberg, MD, FACP, chief of Division of Hematology Oncology and professor of medicine at the University of Tennessee Health Science Center.
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Chip Kahn on Better Alignment of Quality Measures
May 13th 2016Measurement is essential to improving care and having the equivalent measurements across the field will allow clinicians and providers to be held accountable for the care they provide, said Chip Kahn, president and CEO of the Federation of American Hospitals.
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Dr John Thompson Discusses Screening and Diagnosis, Immunotherapy, and Biomarkers
May 12th 2016While at the National Comprehensive Cancer Network’s 21st Annual Meeting, John A. Thompson, MD, co-director of the Melanoma Clinic at the Seattle Cancer Care Alliance, discussed screening and diagnosis of melanoma, immunotherapy, and biomarkers.
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Dr Farzad Mostashari Explains How ACOs Overcome Short-Term Thinking
May 10th 2016In order for accountable care organizations to overcome short-term thinking they must be careful with their fee-for-service codes and ensure that people are using the system responsibly, Farzad Mostashari, MD, chief executive officer of Aledade, said at the National Association of ACOs Spring 2016 Conference.
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Dr Steven Pearson: Medicare Part B Demonstration Is a Good Learning Opportunity
May 9th 2016The Medicare Part B demonstration has been controversial since its announcement, but Steven D. Pearson, MD, MSc, president of the Institute for Clinical and Economic Review, considers it a wise move on the part of CMS because it provides an opportunity to learn about different payment structures.
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Dr Toby Campbell Explains Patient Understanding of Palliative Care Remains Limited
May 4th 2016Patients and families can still have a limited understanding of palliative care, which may mean they have an open mind toward the suggestion, said Toby C. Campbell, MD, MSCI, associate professor of medicine, hematology-oncology at the University of Wisconsin School of Medicine and Public Health.
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Sarah Lueck Hopes the Government Is Looking Closely at Proposed Mergers
May 2nd 2016In addition to the federal government, state regulators and state insurance commissioners should play a role when considering regulation of recently proposed health insurance mergers, said Sarah Lueck, senior policy analyst from the Center on Budget and Policy Priorities.
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Dr Karen van Caulil on the Role of Consumer Education in Healthcare
May 1st 2016In order for consumers to receive the best care for the best cost, it is important for them to be educated about what healthcare services they purchase, said Karen van Caulil, PhD, president and CEO of the Florida Health Care Coalition.
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Dr Steven Pearson on Analyzing the Long-Term Benefits of New Drugs
April 29th 2016When pricing new drugs, it’s difficult to understand how their performance will play out in the long term, and for that reason, Institute for Clinical and Economic Review (ICER) has created models that predict future costs and benefits, said Steven Pearson, MD, MSc, FRCP, founder and president of ICER.
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Dr Sophia Smith Highlights the Importance of Patient-Reported Outcomes
April 28th 2016Listening to patient-reported outcomes, especially in clinical trials, is extremely important, especially the array of technology available to collect this information, said Sophia K. Smith, PhD, MSW, associate professor at the Duke School of Nursing.
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Amy Dowd Outlines beWellnm's Year 3 Open Enrollment Strategy
April 27th 2016After beWellnm lost a major state insurer, the exchange changed its enrollment strategy and traveled throughout New Mexico to discuss the change in the market and remind the population about the assistance available, explained Amy Dowd, CEO of beWellnm.
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Dr James Whitfill Discusses the Success of the Scottsdale Health Partners ACO
April 26th 2016Scottsdale Health Partners’ success is derived from its physician engagement, care coordination and transformation, and meaningful IT usage, explained James Whitfill, MD, chief medical officer. The organization has also learned that direct contact with both patients and provider is critical to continuing that success.
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Dr John Bennett Stresses the Importance of Transparency in Drug Pricing
April 25th 2016CDPHP created the “Inside Look: A Call for Rx Transparency” website in order to educate consumers about drug costs, and motivate people to price drugs in a more rational fashion, said John Bennett, MD, FACC, FACP, president and CEO of CDPHP.
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Dr Tricia Neuman on Medicare Drug Negotiation and Part D
April 24th 2016With the recent increase of high-priced drugs, the idea of drug price negotiation in Medicare is receiving more attention as even Part D beneficiaries feel the pinch, said Tricia Neuman, ScD, director of the Kaiser Family Foundation's Program on Medicare Policy and the Project on Medicare's Future.
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Anne Jessup Discusses Understanding the Needs of Florida Blue's Hispanic Population
April 20th 2016Florida Blue has experienced a huge surge in their Hispanic population membership and is working to understand and meet that demographic’s needs, said Anne Jessup, senior director of digital channels at Florida Blue.
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Dr Michael Chernew Previews the ACO Coalition Spring Live Meeting
April 18th 2016If accountable care organizations (ACOs) are going to be successful, they need to learn from another and have meetings like the ACO & Emerging Healthcare Delivery Coalition's Spring Live Meeting, being held April 28-29 in Scottsdale, Arizona, to exchange good information, explained Michael Chernew, PhD, co-editor-in-chief of The American Journal of Managed Care. Dr Chernew will also sit on a panel discussion about the future state of healthcare in the United States during the ACO Coalition's meeting.
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Dr Farzad Mostashari: Short-Term Thinking Is One of Healthcare's Biggest Challenges
April 18th 2016One of the greatest challenges for the healthcare industry as it moves to value-based payments is shifting from a short-term to a long-term mode of thinking, Farzad Mostashari, MD, chief executive officer of Aledade, explained at the National Association of ACOs Spring 2016 Conference.
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Daniel J. Klein Explains the Challenges Patients Have With ACA Plans
April 15th 2016Patients encountering high deductibles regarding medication in their Affordable Care Act plans can seek assistance from drug manufacturers by using copay programs, said Daniel J. Klein, president and CEO of the Patient Access Network Foundation.
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Jill Watson Views an ACO as Sitting on the Foundation of a PCMH
April 13th 2016Implementing an accountable care organization well without having gone through the process of getting patient-centered medical home designation is a struggle, Jill Watson, MBA, chief executive officer of The Kansas City Metropolitan Physician Association, said at the National Association of ACOs Spring 2016 Conference.
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Dr Niteesh Choudhry Discusses Consumer Reactions to HDHPs
April 12th 2016Changes with insurance products have led to more costs being shifted to consumers and they are having very mixed emotions when faced with high-deductible health plans, explained Niteesh Choudhry, MD, PhD, associate professor of medicine at Harvard Medical School.
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Dr Robert Gabbay: PCDC Provides an Important Venue for Diabetes Care
April 11th 2016Patient-Centered Diabetes Care (PCDC) is important because it provides a venue to share new knowledge and to meet different stakeholders that impact diabetes care, explained Robert A. Gabbay, MD, PhD, FACP, chief medical officer of the Joslin Diabetes Center, chair of PCDC, and editor-in-chief of Evidence-Based Diabetes Management.
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