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Expert Insights

Commentary
By Joni Pidcock, director, Payer Products & Services, Orion Health Timely, accurate, and unbiased information is essential to making sound decisions; from the coffee you order in the morning to the health care choices you make for yourself and your family.  Quality, cost, and risk are just a…
Managed Care Q&A
Beth Roberts, senior vice president, commercial business at Harvard Pilgrim Health Care, discusses the importance of communicating with members what is available to them through their plan, and how population health management is key in delivering quality care.  Please introduce yourself and…
Cover Story
With technology constantly evolving, the health care industry pushes forward developing new ways to look at and assess population health so that patients, providers, and payers alike will see improved outcomes and reduced costs. An increasingly important measure includes factoring in social…
Feature
Our experts analyze pending legislation, branded drug price increase trends, the real impact of the record number of generic drug approvals, and the value of presidential executive action. According to the Kaiser Family Foundation’s (KFF) October 2019 Health Tracking Poll, nearly 80% of Americans…
Cover Story
In December 2019, a bipartisan bill designed to curb surprise medical billing appeared to be fast-tracking its way through the legislative process; President Trump seemed eager to sign the bill into law. But now that 2020 has begun, none of that happened. Our experts discuss where the bill may have…
Feature
As the number of people living with Alzheimer disease and related dementias soars in the years ahead, so too will the related health care costs. Experts highlight the biggest challenges of controlling these expenses and explore possible strategies. Dementia is already one of the most expensive…
Pharmacy Insight
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 automate and simplify the process of refilling your prescriptions or offer recurring reminders to…
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…
Feature
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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