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Cash-pay care delivery has a serious social stratification problem

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Cell and Gene Therapies Push Payers to New Strategies to Assess Outcomes

By Frank Vinluan Wednesday, November 16, 2022 3:07 AM

Cell and gene therapies are offering patients potentially curative treatments for a growing scope of diseases. Insurance companies are trying to figure out how to pay for them. Industry consultants speaking at the HLTH conference offered some strategies they see payers taking to these new therapies.

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Judge Declares Georgia's Six-week Abortion Ban Unconstitutional

By Amanda James Tuesday, November 15, 2022 5:35 PM

Judge Robert McBurney of Fulton County said sections of the Living Infants Fairness and Equality Act passed in 2019 were unconstitutional when drafted and enacted, therefore there is "no legal basis" for the ban which has banned abortion after six weeks. 

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Making the Most of Structured Data

By Adam Sinensky Tuesday, November 15, 2022 1:45 PM

As the industry strives for data use that is standardized, consistent, and fluid, payers that automate data flow, in the long run, will be able to discern the risk of each member and prioritize their needs to drive member services for outcomes-based care delivery.

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Dementia: Lifestyle Habits Are Way More Important Than We Think

By Joyce Gomes-Osman Tuesday, November 15, 2022 1:00 PM

Ideally, novel therapeutics will be introduced in combination with lifestyle interventions that are going to need to be personalized to each individual, and anchored in reliable, longitudinal metrics to enable modifications as needed.

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Realized Hope: Leveraging Our Modern Understanding of Human Biology To Fulfill the Decades-old Promise of a Miracle Drug

By Frank Czerwiec Tuesday, November 15, 2022 9:30 AM

Seventy-four years ago, patients received hope for a medical miracle. Despite the disappointments which have accompanied that hope, steroids continue to play an important role in the treatment of debilitating symptoms of many autoimmune and other conditions. Now, equipped with decades of advances in our understanding of human biology, the time has come to innovate and execute on that promise.

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Can We Break the Link Between Pain and Addiction?

By Yang Yang and Daniel Millard Tuesday, November 15, 2022 9:10 AM

Opioids are our most effective tool for treating pain, but what if there were a better way to stop pain without relying on addictive substances? To develop a non-addictive painkiller, scientists have been searching for proteins that appear on pain neurons but not in the reward pathway, and this has been no small task.

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New Quantum Health Solution Aims To Provide Employers More Flexibility

By Marissa Plescia Tuesday, November 15, 2022 8:30 AM

The new solution is called Quantum Health Access, which offers healthcare benefits navigation, provider search, claims assistance, point solution referral and member engagement communications.

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