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The percentage of employers and plans offering wellness incentives is steadily rising, and program designs are becoming more diverse.
Public and private insurers are seizing the opportunity to devise programs that promote preventive care and positive behaviors.
Spurred on by the Affordable Care Act, retailers, health plans and providers are staking strong retail positions that are increasing coverage opportunities and access to care.
From Blue Shield of California's recently-announced purchase of a Medicaid plan to Partners HealthCare's hard-fought effort to fold more hospitals into its Massachusetts health system, the volume of mergers and acquisitions...
Envisioning a public health threat, managed care recently notched up its readiness for an Ebola outbreak in the United States. Valuable lessons emerged from the latest effort, adding to the knowledge gleaned from other epidemics, such...
Unlike a traditional formulary, the value-based formulary emphasizes the clinical effectiveness of a drug rather than cost so that if a drug is very effective but expensive, it might still fall on tier one.
Nearly a year after two medical societies released a national consensus statement on the safe prevention of certain C-sections, broad consensus seems to boil down to this: Steps must be taken to lower C-section rates in the U.S., and...
The industry is challenged by a number of issues in 2015 including cost control, technology threats, and the emerging consumer market.
espite the fact that approximately 2.74 million patients used anti-obesity drugs in 2011, according to information services company IMS Health, the majority of health plans are following the lead of the Centers for Medicare and...
Two goals of the Affordable Care Act (ACA) are to provide more Americans with health insurance and lower the overall cost of healthcare. Managed Healthcare Executive recently asked four stakeholders to share their thoughts on what the...

INDUSTRY ANALYSIS
Kaiser's prostate cancer care ...

Kaiser Permanente Southern California's population-based program for men with prostate cancer has led to improved ...

Consumers would benefit from ...
A low-fat, plant-based diet may help ...
Complementary medicine used by ...

PHARMACY BEST PRACTICES
Drug use differs for exchange members

Two recent studies show that members who obtain health insurance through state or federal insurance exchanges use more ...

Aetna subscribers can switch plans ...
Limiting drug insurance not the ...
Anthem strikes deal with Gilead ...

ACCOUNTABLE CARE
6 developments bring optimism back ...

A recent report from Aegis Health Group listed six developing trends that are spurring increased optimism among ...

UnitedHealthcare enrolls 11 million ...
Analytics a top priority for ...
ACO or PCMH: Making a crucial ...

POLICY
Bill would require drug companies to ...

A bill has been introduced in California which will require drug companies to reveal operational costs in order to better ...

11 million sign up during ACA's ...
Medical device tax targeted by new ...
HHS promotes open enrollment with ...

LEGAL
Bad Apple rule updated by CMS

The Centers for Medicare and Medicaid Services recently issued a final rule that updates requirements and strengthens ...

ICD-10's impact on reimbursement
Federal subsidies questioned
Managing obesity from a legal ...

FOR YOUR BENEFIT
MA market's downside could be a ...

The confluence of two factors is making it increasingly seductive for stakeholders to consider entering the MA market, ...

Reforming reimbursement
Three game changers threaten the ...
Gain narrow network buy-in

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