Payers

Telehealth Claim Lines Rise 2980% in One-Year Period Through September 2020

December 1st 2020, 3:00pm

Article

COVID-19 created a striking rise in telehealth services over the past year, as seen in claims tracked by FAIR Health.

A Timeline of COVID-19 Developments in 2020

November 25th 2020, 1:32pm

Article

The entire year has been dominated by the coronavirus disease 2019 (COVID-19) and many countries in the world are experiencing second or third waves of COVID-19 cases as the weather turns colder. Here, we take an updated look at how this pandemic evolved and progressed thus far in 2020.

Tanya Siddiqi, MD, Discusses the Promise of Reduced Toxicity With Liso-Cel

November 24th 2020, 5:37pm

Article

City of Hope's Dr. Tanya Siddiqi offers an update on a new chimeric antigen receptor (CAR) T-cell therapy awaiting approval from the FDA.

US Rheumatologists Reluctant to Switch to Biosimilars for Patients Doing Well on a Reference Product

November 16th 2020, 3:00pm

Article

Although half of US rheumatologists have patients for which nonmedical switching has been suggested, only 35% were likely to switch patients with rheumatoid arthritis doing well on a reference product to a biosimilar.

Outpatient Volume Management of Heart Failure May Reduce Hospitalization, Mortality Risks

November 11th 2020, 7:45pm

Article

Intravenous diuretic treatment of patients with decompensated heart failure can increase urine output, promote weight loss, and improve dyspnea.

Bang for the Buck: How Health Care Innovation Affects Life Expectancy and Patient Well-Being

November 11th 2020, 5:53pm

Webinar

During a webinar, experts discussed where health care has improved life expectancy and the relationship between cost and relative contribution that each area makes to life improvement and expectancy.

Medicare Advantage Providers, Patients Connect Without a Playbook: A Q&A With William H. Shrank, MD, MSHS

November 1st 2020, 1:00pm

Article

To mark the 25th anniversary of The American Journal of Managed Care®, each issue in 2020 will include a special feature: an interview with a thought leader in the world of health care and medicine. The November issue features a conversation with William H. Shrank, MD, MSHS, chief medical officer of Humana.

Dr Milena Murray on the Importance of Using People-First Language With Patients Living With HIV

October 30th 2020, 6:00pm

Video

The patients must always come first, emphasized Milena Murray, PharmD, MSc, BCIDP, AAHIVP, associate professor at Midwestern University College of Pharmacy, who practices at the Northwestern Medicine Infectious Disease Center in Chicago.

Sacubitril/Valsartan Treatment for HFrEF Results in Removal of Prior Authorization Requirement

October 28th 2020, 4:42pm

Article

Study results demonstrate the multimillion-dollar savings achieved among patients with heart failure with reduced ejection fraction (HFrEF) following treatment initiation with sacubitril and valsartan.

Succeeding in Value-Based Payment Requires Engaging Pharmacists From Health Plans and Systems

October 21st 2020, 9:51pm

Article

Pharmacists have an important role to play in the success of value-based payment models, according to panelists who discussed their health plan’s value initiatives at the Academy of Managed Care Pharmacy Nexus 2020 meeting.