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Medicare Advantage plans look for physician buy-in on five-star rating system

12/06/2011

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Anthem’s Outpatient Imaging Policy: the Economics of Restrictive Policies

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Jill Sederstorm ;

Anthem recently began rolling out a restrictive outpatient imaging policy, banning the services at hospitals when they are deemed clinically unnecessary.

Anthem recently began rolling...

12/20/2017

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Health Insurer Anthem`s Profit Beats As Medicaid Enrollments Rise

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Anthem Inc (ANTM.N) has reported that their quarterly profit membership rise was greater than anticpated.

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Determining the Most Cost-Effective Option to Treat Opioid Use Disorder

06/10/2019

A new study conducted by ICER sought to research the cost-effectiveness and value of utilizing an extended-release partial opioid agonist to treat patients with opioid-use disorder.

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Backed by Pataki, conservative group launches campaign ad attacking supporters of healthcare reform

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Bridging the Gaps in Prior Authorization: Challenges, Solutions, and Collaboration for Better Patient Care

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David Sand, MD, MBA, chief medical officer at ZeOmega, discusses the challenges of prior authorization, emphasizing the need for transparency, evidence-based standards, collaboration between payers and providers, and the potential for...

David Sand, MD, MBA, chief...

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The Evolving Role of CGRP-targeting Therapies in Migraine Prevention

10/31/2024

Richard Lipton, MD, provides insights on the American Headache Society’s position statement update on calcitonin gene-related peptide (CGRP)-targeting therapies as a first-line option for the prevention of migraine.

Richard Lipton, MD, provides...

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Unmet Needs in the Treatment and Management of Non–Small Cell Lung Cancer

09/26/2024

Alexander Spira , MD, PhD;

Alexander I. Spira, MD, PhD, discusses significant unmet needs in the treatment and management of non–small cell lung cancer (NSCLC).

Alexander I. Spira, MD, PhD,...

09/26/2024

First Report Managed Care

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Treatment Options for NSCLC: A Discussion on Coverage, Clinical Outcomes, and Payer Perspectives

09/25/2024

Learn about research developments in 1L therapy for NSCLC patients with EGFR mutations and how outcomes may impact coverage and reimbursement decisions for insurers.

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Addressing the Root Cause of a Common Ocular Condition: A Virtual Roundtable

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View a roundtable discussion on Demodex blepharitis, a prevalent ocular condition that often goes undiagnosed in patients.

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09/04/2024

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Addressing Health Disparities and Promoting Equity: The Role of Advanced Imaging Solutions

08/15/2024

Guest expert Jordan Bazinsky discusses the challenges facing the medical imaging industry, the potential of AI and emerging technologies, the role of advanced imaging solutions in promoting health equity, and the key trends and challenges...

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Promising Therapies and Clinical Trials for Chronic Lymphocytic Leukemia

08/14/2024

Farrukh T. Awan , MD;

Farrukh Awan, MD, highlights promising therapies and clinical trials within the field of chronic lymphocytic leukemia (CLL).

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08/14/2024

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Evolving Health Care Contact Centers Into Drivers of Value-Based Care

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Discover how health care contact centers can transform into drivers of value-based care through AI, automation, upskilling agents, and rethinking workflows and metrics to improve patient outcomes and population health.

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Enhancing Patient Medication Adherence: Insights and Strategies From Asembia 2024

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Lucille Accetta, PharmD, MBA, MSPH, Senior Vice President of CVS Specialty Operations

Key stakeholders in the health care industry gathered to discuss prevalent topics at this year's Asembia annual summit. Medication adherence emerged as one of the most talked-about issues. In a session led by Lucille Accetta, PharmD, MBA,...

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06/11/2024

First Report Managed Care

Melissa Andel, Principal, CommonHealth Solutions, LLC

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Navigating the Impact of the Inflation Reduction Act: Implications for Payers, Patients, and Manufacturers

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Melissa Andel, Principal, CommonHealth Solutions, LLC

Learn about the impacts of the Inflation Reduction Act on payers and patients, highlighting the changes in Medicare benefits and drug coverage coming in 2025 and 2026.

Medicare Advantage plans look for physician buy-in on five-star rating system

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