The Delegation Dilemma: Why It’s Time for Health Plans to Rethink Vendor-Managed Utilization Management
As an industry, we need to ask hard questions. Are delegated vendors delivering on the…
The Delegation Dilemma: Why It’s Time for Health Plans to Rethink Vendor-Managed Utilization Management
As an industry, we need to ask hard questions. Are delegated vendors delivering on the promise of better, faster, more transparent decisions? Or are they simply moving the pain to another part of the system? The post The Delegation Dilemma: Why It’s Time for Health Plans to Rethink Vendor-Managed Utilization Management appeared first on MedCity…
Which PEPFAR Investments Drive HIV Outcomes? Informing PEPFAR Transition and Scale-Down
This analysis examines PEPFAR spending and HIV viral suppression rates in 22 countries from 2018–2023 to help identify which investments most effectively drive HIV outcomes and inform future directions.
Addressing the Primary Care Crisis by Integrating Advanced Practice Providers (APPs)
Since practices tend to build more flexibility into APPs’ schedules, they can efficiently expand patients’ access to care while allowing physicians to focus on more complex patients. The post Addressing the Primary Care Crisis by Integrating Advanced Practice Providers (APPs) appeared first on MedCity News.
The Top EAP Companies for Mental Health Support
[Sponsored] Employee assistance programs have become essential tools for organizations aiming to address mental health challenges, reduce burnout and foster healthier workplaces. The post The Top EAP Companies for Mental Health Support appeared first on MedCity News.
Projected Surge in Uninsured Will Strain Local Health Systems
RIO GRANDE CITY, Texas — Jake Margo Jr. stood in the triage room at Starr County Memorial Hospital explaining why a person with persistent fever who could be treated with over-the-counter medication didn’t need to be admitted to the emergency room. “We’re going to take care of the sickest patients first,” Margo, a family medicine…
Team Trump’s Answer to Ballooning Obamacare Premiums: Less Generous Coverage
Trump administration officials, looking at the possible impact of large insurance premium increases for millions of next year’s Obamacare customers, want more people to consider plans with less generous benefits and high deductibles. The agency that oversees the ACA announced early this month that it would expand eligibility for “catastrophic” plans sold in Affordable Care…
Montana Advocates Worry About Federal Impacts on Support for Students With Disabilities
Tucker Jette lives for gaming, but like so many other recent high school graduates, he’s had to come to terms with the reality that he can’t make a living playing video games. And while he may not know yet exactly what he wants to do for a living, said Jette’s mother, Jessie Sather, he does…
Innovation: How can we quantify it?
In the HEOR world, you hear a lot about innovation. However, how can we measure innovation? The easiest way is to count the number of new drugs. However, ten “me too” products may be considered less innovative than a single product that cures a disease. An essay by Sukhun Kang in The Incidental Economist conducted…
Harbor Health Secures $130M To Grow Insurance Plans and Clinical Footprint
Harbor Health’s funding was co-led by General Catalyst, 8VC and Alta Partners. The round also includes participation from Dell Family Office Management, Health 2047 Capital Partners, Lemhi Ventures, Martin Ventures and Breyer Capital. The post Harbor Health Secures $130M To Grow Insurance Plans and Clinical Footprint appeared first on MedCity News.
With Drug Picked Up From Sanofi, Startup AllRock Takes Aim at Two Severe Lung Diseases
AllRock Bio’s drug is a small molecule pan-ROCK inhibitor ready for Phase 2 testing in pulmonary arterial hypertension and pulmonary hypertension with interstitial lung disease. The startup is led by the management team that steered CinCor Pharma to a $1.3 billion acquisition by AstraZeneca. The post With Drug Picked Up From Sanofi, Startup AllRock Takes…
