Payers

Examining SDOH in a Commercially Insured Health Care Workforce

April 22nd 2021, 7:04pm

At a session at the National Association of Managed Care Physicians Virtual Spring Managed Care Forum, an Aetna executive discussed how one employer used the payer's data to see how its workforce was affected by social determinants of health (SDOH).

Tech, mRNA Among Key Trends in Health Care as the Pandemic Eases

April 22nd 2021, 1:15pm

Microsoft's acquisition of Nuance reflects health care trends of an economy emerging from COVID-19, according to a speaker at the National Association of Managed Care Physicians Virtual Spring Managed Care Forum.

The Impact of Reinsurance of Gene Therapies on Employer Financial Risk

April 22nd 2021, 12:21pm

Medicare APMs at a Crossroads

April 21st 2021, 1:00pm

To be sustainable and successful, Medicare alternative payment models (APMs) have to attract and retain high and low performers. That requires a different approach to pricing and evaluation.

Removing Barriers to Mental Health Care for Children and Teenagers

April 20th 2021, 8:38pm

On this episode of Managed Care Cast, we speak with the chief strategy officer for Well Being Trust, one of the authors of a recent report about how well health insurers and state Medicaid programs are covering mental health care for children and compliance with federal law. We discuss the unique challenges that youth face, the health disparities, racism, and community trauma that has been experienced in the past year, and some creative ways that organizations and communities can consider increase access to mental health supports.

Avalere Report Looks at Geographic Challenges to Accessing CAR T-Cell Therapies

April 17th 2021, 1:29am

Given that some patients may need to travel out of state to access CAR T sites of care, some may not have a clear understanding of their insurance benefits, including requirements for out-of-state or out-of-network treatment, as well as adequate assistance with the costs of medical-related travel.

From the Editorial Board: Charles N. Kahn III, MPH

April 16th 2021, 1:00pm

Low-Income, Non-White Patients Delay Care Using HDHPs, Study Says

April 15th 2021, 7:02pm

A poster at the Academy of Managed Care Pharmacy 2021 meeting examined the impact of high-deductible health plans (HDHPs) on access to health care and resource use in the United States and the interaction of race, ethnicity, and income.

COVID-19’s Impact on Marketplace Trends Will Continue, but Lessen

April 15th 2021, 2:21pm

The pandemic reduced visits to specialists last year, which in turn reduced the volume of prescriptions, according to a presentation at the Academy of Managed Care Pharmacy 2021 meeting.

PAH Treatment Patterns and Costs Related to Hospitalization

April 15th 2021, 1:45pm

New research presented at AMCP 2021, the annual meeting of the Academy of Managed Care Pharmacy, evaluated treatment patterns and costs related to hospitalization for patients with pulmonary arterial hypertension (PAH).