MA gross margins were 2x other insurance markets’ in 2021

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Top Story Report: MA Gross Margins Were Double Other Health Insurance Markets' in 2021 In 2021, Medicare Advantage gross margins averaged $1,730, more than double other insurance markets, the Kaiser Family Foundation report found. The individual market's gross margins averaged $745 per enrollee, group market's gross margins averaged $689 per enrollee and Medicaid managed care's gross margins averaged $768 per enrollee. Sponsored How to Leverage Diagnostic Development to Guard Against RSV, Flu and Covid-19 Presented by BD and MedCity News A webinar sponsored by BD scheduled for March 7 will explore the following: How diagnostics companies are working with healthcare organizations to guard against the perfect storm of Covid-19, RSV and influenza. Clinical presentation and symptoms  Impact on children and the pediatric population The BD Veritor™ Plus System and its benefits Innovations that companies such as BD have enacted to support public health Register today!

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Medcity Pivot Podcast: Chronic Disease Management With an Interventional Cardiologist Steve Driver is an interventional cardiologist as well as medical director of digital therapeutics at Advocate Aurora Health, which last year merged with Atrium Health. In this episode, he talked about a pilot involving Omada Health targeting a prediabetes population, among other things. Reata Pharma Drug Wins First FDA Nod in Ultra-Rare Neuromuscular Disorder Skyclarys, a Reata Pharmaceuticals drug, is now approved for treating the rare neuromuscular disorder Friedreich's ataxia. The decision makes the capsule the first therapy for a disease that's rarer than either Duchenne muscular dystrophy or spinal muscular atrophy. Crucial Factors Healthcare Providers Should Consider When Migrating CRM Platforms Within the healthcare sector, the migration of CRMs faces even bigger challenges due to the sheer amount and dispersion of data. Maintaining patient safety and ensuring HIPAA-compliance are also pressing factors. Nonetheless, the results of a CRM migration are definitely worth it. UNC Health to Open New Youth-Specific Psychiatric Hospital to Address the Mental Health Crisis UNC Health has partnered with the North Carolina Department of Health and Human Services to open a new inpatient psychiatric hospital for children and adolescents. The partners came together because action is desperately needed to increase access to youth mental health services — research has found a significant link between the country's shortage of mental health professionals and its rise in youth suicides. Mass General Brigham-Born Revenue Cycle Company Snags $55M CodaMetrix, an AI platform for hospital revenue cycle management, recently closed a $55 million Series A funding round. The company, which was launched out of Mass General Brigham in 2019, is focused on simplifying the complicated process of translating patient records into codes for billing and clinical research. Is Exiting the Employer Insurance Market a Smart Move for Humana? Over the next 18 to 24 months, Humana will exit the Employer Group Commercial Medical Products business, which includes fully insured plans, self-funded plans and Federal Employee Health Benefit plans. The decision represents Humana's move to double-down on its Medicare Advantage business, one expert said. Parkinson's Trial Failure Signals a Likely End for CNS Biotech Aptinyx An Aptinyx Parkinson's disease drug candidate failed to beat a placebo—the biotech's third mid-stage failure in the past year. Aptinyx is now terminating a separate PTSD program, cutting costs, and exploring "strategic alternatives." Bridging the Divide Between Research and Clinical Practice The divide between doctors dedicated to pure research, usually in an academic setting, and those working in community practices, is one of the factors driving well-known disparities in research. Eko Launches Heart Disease Detection Platform CEO Calls 'Shazam for Heartbeats' Eko recently launched an AI-powered software that its CEO describes as "Shazam for heartbeats." The platform connects with Eko's digital stethoscopes and identifies whether or not a patient's heart sounds are indicative of disease. 'We Do Not Raise Our Hands': Former Navy SEAL Combats Stigma With Veteran Mental Health App INVI MindHealth, which was created by a former Navy SEAL, is a new mental health app that aims to support veterans. The idea for the app was born out CEO Jonathan Wilson's own struggles with mental health after leaving the service. It's Time To Ask What Comes After 988 The launch of the 988 hotline was a massive win for mental healthcare in America, but it's only the first step. The mental health ecosystem is fragmented and lacks effective tools to help patients find and engage the right providers for their insurance and their clinical needs, both before and after they call 988. CDC Sounds Alarm Over Rise in Drug-Resistant Bacteria Shigella: 7 Things to Know The CDC recently issued an advisory about a bacteria called shigella due to a nationwide increase in infections resulting from drug-resistant strains. The easily transmissible bacteria causes an infection called shigellosis that is uncomfortable and unpleasant but rarely life-threatening — the main symptom is inflammatory diarrhea. Care Delivery Is Transforming. So Too Must The Role Of The Physician Many large health systems and provider practices continue to be restrictive, routinely assigning  tasks like ordering preventive services such as referrals for annual eye exams or mammograms to overburdened physicians, rather than utilizing nurses who are credentialed for these services. The result is dissatisfied nurses, strained physicians, and frustrated patients. Dr. Reddy's Expands in Women's Health With $90M Deal for Mayne's U.S. Meds In acquiring Mayne Pharma's U.S. portfolio, Dr. Reddy's gains a birth control pill whose rapid sales growth is attributed to a direct-to-consumer marketing strategy. The deal also includes pipeline products and approved products that are not yet on the market. The Rise of the Superclinician – How Voice AI Can Improve the Employee Experience in Healthcare Voice AI is the new frontier in healthcare. With its constantly evolving landscape, the healthcare […]

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