Reshaping the PBM, Payer Relationship Could Improve Access to Care
HealthCareExecIntelligence Pharmacy benefit managers (PBMs) and health insurers have significant influence on prescription drug costs and, as a result, on access to care, but the traditional model for this relationship may not support affordability. PBMs were designed to alleviate payers of the responsibility of coordinating with pharmaceutical manufacturers. While the services that PBMs provide are...
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How To Leverage Data Analytics to Improve Suicide Risk Assessments
Behavioral workforce shortages and access barriers to mental healthcare continue to drive the United States’ mental health crisis, leaving many at risk for adverse outcomes like suicide without the care they need. Health systems play...
The Status of Male Birth Control, Its Impact on Reproductive Health
Globally, nearly half of all pregnancies are unintended. While some unintended pregnancies result in a successful and safe birth for both the infant and the mother, many unintended pregnancies result in complicated and potentially fatal...
How Remote Patient Monitoring Can Change At-Home Cancer Care
Remote patient monitoring (RPM) is changing the chronic disease management landscape by allowing clinicians to track patient outcomes and assess their needs on a continuous or near-continuous basis. In cancer care, remote monitoring can...
Top Healthcare Industry Predictions for 2024: Tech, Workforce, Costs
The start of a new year brings a slew of healthcare industry predictions. What trends will take hold in 2024? What strategies will be widely adopted? What will remain the same and what will radically change? Our editorial senior staff...
Integrating Doulas Into Maternal Mental Healthcare, Care Teams
As part of its overall mission to improve health equity, NewYork-Presbyterian is host to a program aimed at improving maternal mental health and, in particular, closing race-based disparities in maternal mental health. According to the...
Best Legal Practices Before, During, After A Cybersecurity Incident
The healthcare sector is up against sophisticated cyber threats, from phishing to ransomware. From 2018 to 2022, there was a 239 percent increase in large breaches involving hacking reported to the HHS Office for Civil Rights (OCR),...
How Lawmakers Use Shield Laws to Protect Abortion Care Access
Shield laws have become a key tool for states in which abortion is legal to further protect abortion care access for people living out of state. The laws are set up to help individuals living in abortion-restriction states get the procedure...
How Virtual Reality Altered the Landscape of Pain Management Therapies
Virtual reality (VR) adoption in healthcare is growing quickly. Together with augmented reality tools, the market is expected to be worth nearly $10 million by 2027, around 3.5 times its value in 2022. But the ideal use cases for VR in the...
Key Strategies for Exploring Generative AI Use in Health Insurance
Artificial intelligence has been in use in the health insurance industry for decades, but the emergence of generative AI has stirred up new questions around regulation and appropriate use of these technologies in the health insurance space....
Exploring the Role of Healthcare Providers in Continuous Glucose Monitoring Coaching, Education
Continuous glucose monitors (CGMs) offer a more holistic perspective on the needs of patients with diabetes. But these tools are only useful if providers are familiar with them and know how to coach patients to use them appropriately....
Kaiser Permanente Strike Ends, HC3 Warns of NoEscape Ransomware
Kaiser Permanente and a group of unions have reached a tentative deal to end the largest US healthcare labor dispute. The new contract addresses understaffing concerns by offering wage increases, establishing a minimum wage for healthcare...
How Advocate Health Keeps the Value-Based Care Momentum Going
Value-based care adoption has hit a tipping point. More than half of all healthcare payments are tied to some level of quality or value measurement as of 2021, according to the latest data from the Health Care Payment Learning & Action...
75K Healthcare Workers May Strike, Hospital Operating Margins Grow
As exhausted healthcare leave their jobs or prepare to go on strike, clinician burnout and staffing shortages rises to the top healthcare leaders' concerns. One symplr survey revealed that 97 percent of respondents struggle with...
How to Realize Health Equity in Benefits, OOP Costs for Women
Health benefits are one of the under-explored contributors to healthcare gender disparities and health equity gaps. Employed women spend $15.4 billion more on healthcare than men per year out of pocket and are more likely to reach their...
Biden To Ban Medical Debt in Credit Scores, Costco Enters Virtual Care
In this episode, we cover federal efforts to diminish the impact of rampant medical debt and retail initiatives to reach into the healthcare space. The Biden administration shared its plans to ban medical debts from...
How One ACO Used Predictive Analytics to Fuel Its VBC Efforts
On this episode of Healthcare Strategies, Assistant Editor Shania Kennedy hears from Sheila Magoon, MD, executive director of Buena Vida y Salud ACO and the South Texas Physician Alliance, and David Clain, chief product officer at the...
Oracle Announces Generative AI Tool, Dana-Farber To Launch New Hospital
In this inaugural episode of Healthcare Strategies | Headlines, we dive into new technologies, partnerships, and data. Oracle has announced a new generative AI model that integrates voice commands into EHRs. The tool will be available...
How Access to Reproductive Mental Health Can Improve Maternal Health
In this episode of Healthcare Strategies, Associate Editor Veronica Salib chats with Dr. Sarah Oreck, a reproductive psychiatrist and co-founder of Mavida Health about the comprehensive reproductive mental health program. The...
Why NYC’s Safety-Net Provider Is Still Struggling After Billions in Federal Aid
New York City Health and Hospitals Corporation (NYC Health + Hospitals) received one of the largest issuances of COVID-19 relief funds from the federal government compared to all other health systems during the pandemic. But three years...
