Managed Healthcare Executive
WEBSeptember 8th 2024. The president and CEO of CareOregon discussed the merger with SCAN Health that didn’t go through, Medicaid redetermination and the 2024 election with Managed Healthcare Executive (MHE) editors. Hunter is a member of MHE's editorial advisory board. Results From Review of Real-World Studies of Advanced Therapies in …
An MCO’s Roadmap to Continuous Compliance: 3 Adjustments to …
WEBSep 3, 2020 · An MCO’s Roadmap to Continuous Compliance: 3 Adjustments to Make. As MCOs contend with more federal and state-level regulations, below are a few adjustments leaders can make to ensure compliance while Medicaid enrollees increase. As COVID-19 continues to disrupt the economy and keep many out of work, and Medicaid expansion continues across ...
News - Managed Healthcare Executive
WEBSep 9, 2009 · FDA Approves Fasenra for Treatment of Eosinophilic Granulomatosis with Polyangiitis. Logan Lutton. September 18th 2024. More than half (60%) of patients in latest trial reached active remission and 41% stopped taking corticosteroid entirely. Read More.
How Capitation Contracts Benefit Providers, Payers and Patients
WEBMay 11, 2023 · Capitation contracts can benefit providers, payers, and patients. But they require thoughtful planning, careful alignment between PCPs and specialists, a commitment to optimizing the patient/member experience within a narrower network of providers, and a robust digital infrastructure. Lynn Carroll is the chief operating officer of HSBlox, an ...
Beyond the Big Three PBMs - Managed Healthcare Executive
WEBDec 19, 2022 · But beyond the big three PBMs is a swarm of some 60 smaller, up-and-coming PBMs. Even if they are operating in a small slice of the pie relative to the towering dominance of the big three, the PBM pie is growing rapidly. The global PBM market is projected to increase from $495 billion in 2022 to $740 billion by 2029 (a 50% jump), according to a ...
MHE Publication - Managed Healthcare Executive
WEBMHE April 2022. Volume: 32. Issue: 4. View Issue. |. Download Issue. 1 2 3>. Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
AMCP Annual - Managed Healthcare Executive
WEBBriana Contreras. March 24th 2023. Melissa Andel of CommonHealth Solutions spoke at the AMCP annual meeting today in San Antonio about the ins and outs of the Inflation Reduction Act. She shared her discussion highlights the Act's plans of cost shifting in healthcare and the Medicare part-D benefit re-design.
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
WEBSep 26, 2019 · The Biggest Issues Facing Healthcare Today. Healthcare executives rank the top 10 transformational themes for 2020. More than 100 C-suite and director-level executives voted on and then ranked the top 10 critical challenges, issues, and opportunities they expect to face in the coming year, during the 2019 HCEG Annual Forum.
7 Skills Healthcare Executives Need to Succeed
WEBSep 23, 2020 · As a result, healthcare executives need to be transparent in a way that is more real than ever. For important decisions, they should involve more, not fewer stakeholders. True collaboration makes for greater alignment, better decisions and better execution. “Executives don’t have to give up their power to …
Managed Care – a Path to the Future - Managed Healthcare …
WEBFeb 26, 2021 · Managed care providers are beginning to recognize the opportunity for ROI that comes from supporting practitioners’ back-end systems. Investing in IT capabilities—along with teaching employees how to use new systems to generate reports and analyze data—would streamline the process of collecting electronic clinical quality data.