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.
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.
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.
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 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.
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.
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.
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."
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 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.
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.
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.
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.
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.
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.
Learn how an AI-powered solution helped Blue Cross Blue Shield of Rhode Island target members within its congestive heart failure (CHF) and spinal care (MSK) programs to identify avoidable hospitalizations and drive significant cost savings.
No comments:
Post a Comment