Payers

Webinar: How Biosimilar Rebates Shape Payer Policies, Provider Behavior

September 25th 2020, 3:45pm

Webinar

More biosimilars are hitting the US market, but marketplace dynamics have made it difficult to take advantage of these therapies.

Transitioning From Pediatric to Adult Care Is a Vulnerable Time for Patients With Rheumatic Diseases

September 20th 2020, 12:30pm

Article

Pediatric patients who had a referral from their pediatric rheumatologist and continued insurance coverage saw decreased delays when transitioning to an adult rheumatology clinic.

CMS Finalizes Kidney Care Model to Promote Home Dialysis, Live Donor Transplants

September 18th 2020, 10:00pm

Article

Trump administration officials said the new payment incentives represent the biggest change in kidney care in decades.

A Strategy to Promote Population-Wide Life Satisfaction While Advancing Equity

September 18th 2020, 1:00pm

Article

The authors used health care claims and survey data to identify a strategy that might promote life satisfaction while advancing equity in an insured population.

Contributor: FAIR Health Study Reveals Impact of COVID-19 Pandemic on Dental Services

September 17th 2020, 1:11pm

Article

A FAIR Health review finds a dramatic drop in dental claims in March and April 2020 due to COVID-19.

Quality of Care, Mortality Consistent Among MA, FFS Medicare Enrollees With Heart Failure

September 12th 2020, 1:00pm

Article

Reports of Medicare Advantage (MA) patients receiving higher-quality care for their cardiovascular disease prompted this comparison study of patients with heart failure enrolled in Medicare fee-for-service plans (FFS) and MA plans.

Precision Medicine Could Yield Significant Cost Savings in RA Treatment

September 11th 2020, 9:38pm

Article

A decision-analytic model could save more than $7 million in overall ineffective health care costs per 1000 patients by predicting which patients with rheumatoid arthritis (RA) will have an inadequate response to anti–tumor necrosis factor therapies.

Oral Treatment for Renal Anemia Draws Attention From Congress

September 10th 2020, 5:00pm

Article

Members of Congress introduce a bill to force Medicare to cover a drug they say will protect CKD patients during the COVID-19 pandemic.

Contributor: Telehealth Claim Lines Increased 4132% Nationally From June 2019 to June 2020

September 3rd 2020, 1:30pm

Article

Telehealth claim lines increased 4132% nationally from June 2019 to June 2020, rising from 0.16% of medical claim lines in June 2019 to 6.85% in June 2020, according to new data from FAIR Health’s Monthly Telehealth Regional Tracker.

Added Ertugliflozin Heart Failure Data Show It’s Best in HFrEF

September 3rd 2020, 12:15pm

Article

Data presented during the European Society for Cardiology 2020 Congress were a follow-up to the presentation of VERTIS CV at the American Diabetes Association Scientific Sessions in June.