Volume 17, Issue 6, June/July 2020 - First Report Managed Care
07/21/2020
Betsy Seals and Debra Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting firm; how COVID-19 shifted things into hyperdrive; and the keys to success in the rapidly evolving Medicare Advantage space.
Betsy Seals and Debra Devereaux, MBA, RPh, explain what motivated them to start a managed care consulting firm; how COVID-19 shifted things into hyperdrive; and the keys to success in the rapidly evolving Medicare Advantage space.
Betsy Seals and Debra Devereaux,...
07/21/2020
First Report Managed Care
Department
News Connection
07/21/2020
In an effort to inform both the public and policy makers, the Institute for Clinical and Economic Review (ICER) published a white paper this week entitled “Alternative Policies for Pricing Novel Vaccines and Drug Therapies for COVID-19.”
In an effort to inform both the public and policy makers, the Institute for Clinical and Economic Review (ICER) published a white paper this week entitled “Alternative Policies for Pricing Novel Vaccines and Drug Therapies for COVID-19.”
In an effort to inform both the...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
Heart disease, stroke, and chronic kidney disease have an independent and cumulative effect on all-cause mortality and medical costs in patients with diabetes, according to a study published online in Diabetes Care.
Heart disease, stroke, and chronic kidney disease have an independent and cumulative effect on all-cause mortality and medical costs in patients with diabetes, according to a study published online in Diabetes Care.
Heart disease, stroke, and...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
Between 2010 and 2016, knowledge of dental and vision benefits under Medicare Advantage plans grew among enrollees, but the proportion of enrollees aware of nursing home care benefits shrank. Researchers reported their findings online in the...
Between 2010 and 2016, knowledge of dental and vision benefits under Medicare Advantage plans grew among enrollees, but the proportion of enrollees aware of nursing home care benefits shrank. Researchers reported their findings online in the...
Between 2010 and 2016, knowledge...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
In a recent announcement, the US Department of Health and Human Services (HHS) outlined its plans to provide additional distributions from the Provider Relief Fund to eligible providers that participate in Medicaid and the Children’s Health...
In a recent announcement, the US Department of Health and Human Services (HHS) outlined its plans to provide additional distributions from the Provider Relief Fund to eligible providers that participate in Medicaid and the Children’s Health...
In a recent announcement, the US...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
The Centers for Medicare & Medicaid Services (CMS) proposed new rules that are intended to encourage innovation by allowing states to pay for prescription drugs based on clinical outcomes—fostering more value-based payment arrangements.
The Centers for Medicare & Medicaid Services (CMS) proposed new rules that are intended to encourage innovation by allowing states to pay for prescription drugs based on clinical outcomes—fostering more value-based payment arrangements.
The Centers for Medicare &...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
As enrollment in Medicaid continues to skyrocket, keeping costs low for both the health plans and consumer is of the utmost importance. AHIP’s latest report shows that Medicaid managed care programs provide value and quality and that more...
As enrollment in Medicaid continues to skyrocket, keeping costs low for both the health plans and consumer is of the utmost importance. AHIP’s latest report shows that Medicaid managed care programs provide value and quality and that more...
As enrollment in Medicaid...
07/21/2020
First Report Managed Care
News Connection
07/21/2020
Humana is launching a pilot home-testing program for its members that will allow them to utilize LabCorp at-home test collection kits for COVID-19. The major insurer also announced a new collaboration with Quest Diagnostics and Walmart that...
Humana is launching a pilot home-testing program for its members that will allow them to utilize LabCorp at-home test collection kits for COVID-19. The major insurer also announced a new collaboration with Quest Diagnostics and Walmart that...
Humana is launching a pilot...
07/21/2020
First Report Managed Care
07/02/2020
Events of the past weeks and months are laying bare the endemic health disparities in the United States. Experts believe technology has a significant role to play in correcting these gaps and providing improved care for all.
Events of the past weeks and months are laying bare the endemic health disparities in the United States. Experts believe technology has a significant role to play in correcting these gaps and providing improved care for all.
Events of the past weeks and...
07/02/2020
First Report Managed Care
06/15/2020
“While keeping members physically healthy may be a plan’s first priority, with so many people—especially seniors—dealing with increased isolation and loneliness during the pandemic, it’s important to focus on members’ mental health as well,”...
“While keeping members physically healthy may be a plan’s first priority, with so many people—especially seniors—dealing with increased isolation and loneliness during the pandemic, it’s important to focus on members’ mental health as well,”...
“While keeping members...
06/15/2020
First Report Managed Care
