Healthcare Cost

What We're Reading: Biden Reportedly Reopening ACA Enrollment; Moderna Developing COVID-19 Booster; Brazil Variant Now in US

January 26th 2021, 3:30pm


President Joe Biden reportedly will take executive action to reopen federal marketplaces selling Affordable Care Act (ACA) health plans; Moderna investigating booster shot designed to be more effective against emerging variants of coronavirus disease 2019 (COVID-19); Brazil coronavirus variant is found in Minnesota.

Analysis Reveals High Cost of Discontinued HMA Treatment for MDS

January 15th 2021, 8:07pm


New research underscores the substantial economic burden associated with early discontinuation of guideline-recommended hypomethylating agent (HMA) therapy among patients with refractory anemia with excess blasts, a diagnosis that substantially overlaps with higher-risk myelodysplastic syndrome (MDS).

Addressing Health Insurance Consumer Behavior in 2020, Potential Trends to Watch in 2021

January 15th 2021, 4:00pm


Based on US health insurance consumer behavior reported in the eHealth Insights: 2020 Retrospective report, notable trends of the past year to watch for in 2021 include the popularity of $0 premium Medicare Advantage plans, the rise of telemedicine, and potential hesitancy against taking a vaccine for coronavirus disease 2019.

Endocrine Society Calls for Negotiated Insulin Prices in Medicare

January 13th 2021, 9:17pm


The statement is aimed at drug companies, policymakers, pharmacy benefit managers, employers, and others, and calls to attention soaring insulin costs, which were the subject of several Congressional hearings in 2019.

How COVID-19 May Drive Changes in Health Care Delivery, Investment in Value-Based Care

January 13th 2021, 8:25pm


As coronavirus disease 2019 (COVID-19) continues to drive significant change in health care delivery, physician leaders affiliated with the Council for Accountable Physician Practices have worked to increase investment in strategies to address disparities in care exacerbated by the pandemic, such as value-based care and telemedicine.

Examining the Shift to Value-Based Kidney Care Delivery in 2021

January 12th 2021, 7:20pm


On this episode of Managed Care Cast, we speak with the new chief financial officer of Strive Health, a value-based kidney care company that works with payers and providers to create an integrated care delivery system for chronic kidney disease and end-stage renal disease (ESRD). We discuss the changes coming to nephrology practices, as well as new ways of looking at the whole patient to halt the slide to irreversible ESRD.

Dr Barbara McAneny Voices Concern for the Future of Payment Reform

January 11th 2021, 6:45pm


Barbara McAneny, MD, founding partner of New Mexico Oncology Hematology Consultants, discusses why putting risk on oncologists is not the way to fix cost issues in cancer care.

Dr Milena Murray: Maintaining HIV Viral Load Suppression Can Save Health Care Dollars

December 31st 2020, 1:00pm


Several economic benefits stem from engaging in care soon after HIV transmission and maintaining viral load suppression, noted Milena Murray, PharmD, MSc, BCIDP, AAHIVP, associate professor, Midwestern University College of Pharmacy.

Contributor: 3 Ways Health Plans Can Leverage Natural Language Processing Technology

December 30th 2020, 1:00pm


The Top 5 Most-Read Pain Management Stories of 2020

December 30th 2020, 11:30am