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Expert Insights

Viewpoint
As we say goodbye to the 2010s, we look at the prevailing trends and project forward to what we think are the key topics to consider in the coming decade. Not an easy task. Looking back at commentary and predictions from 10 years ago, the main issues were the patent cliff and the move to specialty…
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Americans are finding it increasingly difficult to access in-network care for addiction and mental health issues, according to a new analysis. The report, released November 20 by actuarial and consulting firm Milliman and commissioned by the Mental Health Treatment and Research Institute LLC (a…
Cover Story
Technology continues to play a prominent role in the evolution of health care delivery but it comes with its own batch of challenges. What happens when systems are based on faulty programming, inaccurate data, or algorithmic calculations include biases? Increasingly health care, like other sectors…
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In 2018 the Trump administration updated how association health plans are regulated as a way to increase choice and lower costs. More recently, democratic-controlled states are threatening to ban them while the courts decide their ultimate fate. Our experts analyze how events might play out.…
Formulary Frontlines
Age-related macular degeneration (AMD) is a leading cause of vision loss and blindness in individuals aged 65 and older in the United States, with an economic burden of $9 billion per year.1,2 Globally, AMD is projected to increase in the coming years with an estimated 196 million affected by 2020…
Commentary
By Danny Sanchez, vice president and general manager of population health services, Omnicell In-home voice assistants have proliferated rapidly in recent years, and the utility of such devices are only limited by what we can imagine. Why not rely on one as your home’s health care manager to…
Cover Story
As the push to deliver increasingly higher quality care at lower costs continues to be of the utmost importance, stakeholders and providers are implementing and testing a number of models to see what suits their patient population best. Home-based primary care is a top-perfomer among those models—…
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In the wake of the recent massive out-of-court settlement by a maker and three distributors of opioids, experts weigh in on the role managed care stakeholders should play at this critical juncture. In October 2019, three major drug distributors and an opioid maker settled out of court with two…
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A recent analysis estimates current levels of wasteful spending in the US health care system and suggests there are opportunities to intervene and save. Experts point to shared decision-making as one tool that could help address waste factors such as overtreatment and low-value care without…
Managed Care Q&A
Caraline Coats, vice president of population health strategy, and Andrew Renda, MD, associate vice president of population health, both from Humana, recently spoke with First Report Managed Care about their company’s Bold Goal initiative, the importance of addressing social determinants of health,…
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