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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...
In many ways, autism is a nightmare condition for health plans. Its prevalence appears to be skyrocketing, it typically requires long-term treatment, diagnoses are being made at younger and younger ages, there is a plethora of...
It is with great excitement that we unveil our network-wide redesign. Please read further to learn more about a few of our new features, and browse around to explore the new site!
The economic impact of an Ebola pandemic could reach $32 billion by 2015, according to the World Bank, while costs to the healthcare insurance industry will depend on how quickly the disease is controlled in countries with high...
As of January 1, 2015, the U.S. Centers for Medicare and Medicaid will only be awarding payments to MA plans that receive 4 stars or higher.
In 2013, the adult obesity rate was 27.1%, up from 5.5% 2008

LATEST
Managing populations with complex morbidities

Researchers generally agree that intense, highly-coordinated care, with an emphasis on changing patient behavior is a key ...

Specialty ACOs: A promising option
Gain narrow network buy-in
Top Five Industry Challenges of 2015
Weighing the benefits of anti-obesity drugs

INDUSTRY ANALYSIS
More states moving forward with ...

The number of states deciding to pursue some form of Medicaid expansion continues to grow, with Alabama, Alaska, Florida, ...

Humana’s MA accountable care models ...
Blue Shield of California makes ...
GAO report finds concentration of ...

PHARMACY BEST PRACTICES
The rising cost of generic drugs

Drug shortages and manufacturer consolidation are leaving their imprint on the price of some generic drugs.

Specialty drugs and the role of ...
AARP study finds sharp rise in price ...
Cigna will modify its formulary ...

ACCOUNTABLE CARE
Specialty ACOs: A promising option

Recently, accountable care organization's aims have broadened to include overseeing patients with cancer, end-stage renal ...

Top Five Industry Challenges of 2015
CMS proposes changes to Shared ...
Hospital and insurer join forces to ...

POLICY
Fate of Obamacare uncertain

The implementation of the Affordable Care Act (ACA) stands to alter the U.S. healthcare system and the role of private ...

Supreme Court will hear ACA tax ...
OIG will increase audit activities ...
ONC's plan to solve the ...

LEGAL

FOR YOUR BENEFIT
Gain narrow network buy-in

Narrow networks have sparked concern that they will unduly limit patient care and lead to increased patient use of ...

Accountable care works
2014 was a year of growth and change ...
Cancer management demands ...

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