Insurance

White, Brown Bagging of Therapies Creates Extra Steps for Oncology Practices

March 18th 2021, 10:30pm

Article

Pharmacists from the Cleveland Clinic discuss the impact of payer dispensing requirements, known as white bagging and brown bagging, on oncology practices and on patients.

Shifting Dialysis Away From Employer-Based Coverage Cost Medicare $3 Billion, Study Finds

March 18th 2021, 3:00pm

Article

The study examined the cost to Medicare when patients with end-stage renal disease switched from their employer-based health insurance to Medicare between 2007 and 2017 before the end of the 30-month coordination period.

Early Adopters of VBID Sought to Remove Barriers to High-Value Care

March 17th 2021, 1:30pm

Article

A desire to remove barriers to high-value care and provide services that would improve health and quality of life drove early adopters of value-based insurance design (VBID).

Nonmedical Switching Led to Gaps in COPD Care, Study Says

March 16th 2021, 10:45pm

Article

After Medicare Part D plans stopped covering a chronic obstructive pulmonary disease (COPD) therapy, patients had gaps in care and increased out-of-pocket costs, according to a recent study.

How Payers Can Use 4 Strategies to Ensure Opioid Use Disorder Care

March 16th 2021, 8:51pm

Podcast

On this episode of Managed Care Cast, we speak with the chief medical officer for Virginia’s Medicaid program about 4 ways payers can make sure that those with opioid use disorder get the treatment they need; the strategies are outlined in the March issue of The American Journal of Managed Care.

20 Years of VBID Policy Achievements and How to Continue Progress

March 14th 2021, 5:00pm

Article

A panel of policy experts, including employees of the previous 2 administrations and a former lobbyist for health plans, discusses achievements of value-based insurance design and how to take the concept to the next level.

Are Payment Reform Efforts Enough to Fix Future Medicare Financing Woes?

March 11th 2021, 10:30pm

Article

During a session presented at the America’s Health Insurance Plans (AHIP) National Health Policy Conference, Michael Chernew, PhD, the director of Healthcare Markets and Regulation Lab at Harvard Medical School, and Mark McClellan, MD, PhD, founding director at Duke Margolis Center for Health Policy, discussed the potential for Medicare innovation and reforms in 2021 and beyond.

In American Rescue Plan, ACA Exchanges Start Clock for New Enrollees

March 11th 2021, 6:56pm

Article

The $1.9 trillion spending package aimed at providing COVID-19 relief for those with low and middle incomes also represents the biggest investment in the exchange marketplaces created by the Affordable Care Act (ACA) since the landmark law was passed 11 years ago.

What We’re Reading: Pandemic Cuts Life Expectancy; CMS Administrator Nominee Chosen; Funds to Track Virus Variants

February 18th 2021, 2:58pm

Article

The coronavirus disease 2019 (COVID-19) pandemic has led to sharp declines in US life expectancy; a new CMS administrator nominee is selected; Biden administration announces funds to combat virus variants.

Regional Payers Outline Challenges, Successes of Telehealth Implementation

February 17th 2021, 5:56pm

Article

In a panel at the 2021 AcademyHealth National Health Policy Conference, representatives from 3 community health plans across the United States discussed how payers are driving telehealth access and utilization in the wake of the coronavirus disease 2019 pandemic.