The Leap to Self-Insurance - Managed Healthcare Executive
Jun 4, 2024 · Health insurance, like any insurance, is about pooling risk and paying premiums to create some financial cushion against costly events. For years, though, many large employers — what constitutes large means varies, but it’s typically 500 or more employees — have self-insured, meaning they have taken on the responsibility of setting funds aside to pay healthcare claims instead of a health ...
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
Sep 26, 2019 · In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers.
Five ways to close gaps in care and build a successful quality ...
Jan 8, 2017 · By deploying a proactive, year-round strategy that aligns data analytics with a focused approach for addressing gaps in care, your organization can turn routine quality measurement and reporting activities into a true strategic advantage by ensuring that quality measurably improves across key metrics.
Podcasts - Managed Healthcare Executive
Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with value-based care and the ongoing efforts of reducing waste in the healthcare space for this episode of ...
Gain a solid understanding of compendia and its impact on …
Jul 1, 2012 · The current compendia landscape, through constantly in flux, impacts everything from payer approval of off-label use to manufacturer patient access initiatives. Drug compendia, defined as summaries of drug information, affects coverage and reimbursement decisions for pharmaceuticals products, and as a result, it's important for pharmaceitucal manufacturers and healthcare providers to ...
Five things to know about the role of GPOs in the healthcare …
Sep 14, 2017 · The debate over how to stem the rising costs of healthcare has assumed a central role in the public policy conversation. Because healthcare group purchasing organizations (GPOs) play an integral role in the medical supply chain, questions about whether GPOs operate competitively and whether they reduce healthcare costs have greater urgency.
High-deductible health plans: a brief history
Sep 22, 2015 · tions. In fact, 44% of employers will only be offering high-deductible options over the next three years. Taking a closer look at the statistics, in employer-based plans, specifically, 81% of members had a deductible in 2013, up from 52% in 2003, according to a Commonwealth Fund report, “State Trends in the Cost of Employer Health Insurance Coverage, 2003-2013.” “Over that period, the ...
Managed Healthcare Executive
Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
Analyzing the Cost-Effectiveness of Entresto in Heart Failure
Oct 12, 2023 · Treatment with Entresto (sacubitril-valsartan) was found to be more cost-effective than renin-angiotensin system inhibitors in heart failure patients with below-normal ejection fractions, according to a new economic analysis published online in JAMA Cardiology.The results of that study funded by Novartis, the maker of Entresto, suggest that the drug improves quality-adjusted life-years; the ...
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
Aug 27, 2024 · “In a clinical study, the 5 mg maintenance dose helped patients achieve an average of 15% weight loss after 72 weeks of treatment and has been a powerful tool for millions of people with obesity looking to lose weight and keep it off,” Patrik Jonsson, executive vice president, and president of Lilly Cardiometabolic Health and Lilly USA, said in a news release.