Payers

Experts Push for Limiting Co-pays, Increasing Migraine Medication Access During Pandemic

July 05, 2020

Article

A recent article in the Journal of Head and Face Pain outlines strategies for migraine treatment without face-to-face visits, and describes ways health insurance companies can remove barriers to migraine care during the coronavirus disease 2019 (COVID-19) pandemic.

A Timeline of COVID-19 Developments in 2020

July 03, 2020

Article

From January to June, coronavirus disease 2019 (COVID-19) has evolved from an isolated disease in a region of China to a global pandemic that has brought countries to a standstill, pushed hospital systems to the brink, and dragged the global economy into a recession. Here, we take a look at how this pandemic evolved and progressed thus far in 2020.

Is Home Care Going Mainstream in the United States?

June 22, 2020

Article

Technology has made it easier to deliver health care in the home in recent years, but the financing models have not caught up just yet.

Secukinumab Approved to Treat Nonradiographic Axial Spondyloarthritis Based on Safety, Efficacy of PREVENT

June 19, 2020

Article

Based on the safety and efficacy outcomes from the PREVENT phase 3 study, the FDA has approved secukinumab (Cosentyx) from Novartis for the treatment of active nonradiographic axial spondyloarthritis.

ACOs Describe What's Involved When Implementing a SNF Waiver Program

June 16, 2020

Article

Leaders from several different accountable care organizations (ACOs) describe their experience of creating programs to care for Medicare beneficiaries using the skilled nursing facility (SNF) waiver process.

Survey of Commercial Health Plans Finds Few Give Biosimilars Preferred Status

May 23, 2020

Article

Compared with use of originator products, use of biosimilars in the United States is apparently still not a priority of commercial health plans, according to the results of a recent JAMA study.

What We're Reading: Olympics Postponed; ASCO Advocates for Support; AHIP Waives Transfer Requirements

March 24, 2020

Article

The International Olympic Committee postpones the 2020 games slated for this summer; the American Society of Clinical Oncology (ASCO) urges Congress for increased protection and support for medical practices; AHIP will allow its member payers to transfer patients with coronavirus disease 2019 (COVID-19) from hospitals to other clinical settings, if appropriate, without prior authorization.

Dr Michael Diaz on How a Delay to an OCM Successor Will Benefit Practices

March 19, 2020

Video

"We want to make sure practices have time to learn, understand, adapt, and modify, to a new Oncology Care Model," said Michael Diaz, MD, president of Community Oncology Alliance.

How to Make Value Assessment More Relevant to Healthcare Decisions

February 07, 2020

Article

There are shortcomings in the ways we have approached value assessment to date, writes the executive director of the Innovation and Value Initiative.