Features

How Payers and Pharmacy Benefit Managers Work Together to Lower Costs

HealthPayerIntelligence As prescription drug spending rises in the United States, healthcare stakeholders and policymakers constantly look for ways to curb costs. Many payers turn to pharmacy benefit managers (PBMs), which aim to negotiate lower drug prices with...

Senate Report Exposes Big Pharma’s Profiteering at Americans’ Expense

PharmaNewsIntelligence On February 6, 2024, the United States Senate's Health, Education, Labor, and Pensions (HELP) Committee published a Majority Staff Report highlighting the issue of exorbitant drug prices in the United States. It focuses on the business...

Maximizing Personalized Approaches with Precision Vaccinology

LifeSciencesIntelligence Traditional vaccines have played a crucial role in combating infectious diseases but often follow a one-size-fits-all approach. With the advent of cutting-edge technologies and a deeper understanding of immunology, researchers are now...

A Deep Dive into CA’s mHealth Effort to Support Youth Mental Health

mHealthIntelligence As healthcare stakeholders attempt to stem the youth mental health crisis in America, many have turned to digital health technology. The latest to do so is the California Department of Health Care Services (DHCS), which has launched a...

Overcoming Tech Barriers to Achieve Prior Authorization Transparency

HealthPayerIntelligence Prior authorization has posed problems for nearly all healthcare stakeholders. The CMS Interoperability and Prior Authorization Final Rule aims to streamline the utilization management process and improve data-sharing between payers,...

What Is the Role of the Accelerating Medicines Partnership?

PharmaNewsIntelligence Last week, the Foundation for the National Institutes of Health (FNIH) held its inaugural Accelerating Medicines Partnership (AMP) Program Symposium, discussing the progress of multiple AMP projects. Julie Gerberding, MD, MPH, President and...

The Status of Male Birth Control, Its Impact on Reproductive Health

HealthCareExecIntelligence 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...

From Pilot to Scale, Mount Sinai Leverages Autonomous Medical Coding

RevCycleIntelligence An experiment to streamline medical coding is set to take off at Mount Sinai Health System. The academic medical system nestled in the New York metropolitan area recently implemented autonomous medical coding within its pathology department...

Is Male Birth Control the Answer to the Unplanned Pregnancy Epidemic?

LifeSciencesIntelligence In an interview with Healthcare Strategies, Stephanie Page, MD, PhD, Co-Director of the University of Washington Medicine Diabetes Institute in Seattle, WA, Robert B. McMillen Professor of Medicine in Lipid Research and head of the Division...

Top Trends in Automation, AI Adoption in Revenue Cycle

RevCycleIntelligence Automation has a lot of potential to streamline revenue cycle management, and healthcare organizations are certainly interested in adopting technology to achieve efficiency. However, that interest is not necessarily turning into investment...

What the NJ Lawsuit Adds to Out-of-State Telehealth, Licensure Debates

mHealthIntelligence With the rapid expansion of virtual care in recent years came regulatory flexibilities to enable healthcare delivery across state lines. But many of these flexibilities have expired, resulting in a tussle between providers and patients...

Highlighting Top Revenue Cycle Management Vendors By User Review

RevCycleIntelligence Epic, Experian Health, and Waystar are just some of the revenue cycle management vendors performing well across various operations. The 2024 Best in KLAS Software & Services report highlights the top vendors in claims management,...

Advancing Sterility Assurance Through Environmental Monitoring

PharmaNewsIntelligence In the pharmaceutical industry, ensuring the safety and efficacy of drugs is of utmost importance. Quality assurance is critical in maintaining high standards for pharmaceutical products, and one essential aspect of quality assurance is...

Revolutionizing Diabetes Care with Advanced CGM Devices

LifeSciencesIntelligence Continuous glucose monitoring (CGM) devices have transformed diabetes management by enabling continuous and accurate real-time tracking of blood glucose levels. These minimally invasive wearables eliminate the need for frequent fingerstick...

What Is Behind Rampant Medicare Advantage Contract Terminations?

HealthPayerIntelligence With a history of overpayments, care denials, and limited provider networks, the relationship between Medicare Advantage and the rest of the healthcare industry has always been tumultuous. Over the past year, the private payer program has...

Comparing Female Fertility Drugs: Use Cases, Effectiveness, Risks

PharmaNewsIntelligence Infertility, or the inability to conceive, is characterized by one year of unprotected sex without a subsequent pregnancy. Although infertility can result from male or female partners, most available fertility drugs work on addressing...

Overcoming the Barriers to Value-Based Payment in Primary Care

RevCycleIntelligence Primary care is arguably the most critical component of our healthcare system. Primary care and preventive medicine can help avert and manage chronic diseases and prevent long-term complications. However, efforts to improve primary care...

How Remote Patient Monitoring Can Change At-Home Cancer Care

HealthCareExecIntelligence 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...

Exploring Challenges, Successes in Solid Tumor Cell and Gene Therapy

LifeSciencesIntelligence Cell and gene therapy advancements have significantly impacted the oncology landscape, offering an additional treatment option to patients with systemic cancers. For example, on a recent episode of Healthcare Strategies, Alivia Kaylor, MSc,...