Whining about thousand-dollar pills

David Williams
David Williams's picture

When I saw Paying for the Thousand-Dollar Pill, an anti-Sovaldi op-ed in the Wall Street Journal, it brought back memories from my childhood when I toured the FBI headquarters in Washington, DC. The tour guide started off by showing us a wall with pictures of the 10 most wanted fugitives in the country and asked for our help in tracking them down.

Walmart could be a sleeping healthcare giant and genius

Ron Hammerle, Health Resources, Ltd.

Walmart's potential impact on healthcare is far greater than creating more primary care clinics or becoming just another health plan.

How ICD-10 can help payers and docs collaborate

Andy Arends, Dell Services
Andy Arends's picture

Lacking the expertise in-house and the time and money to seek outside help, many physicians have procrastinated on ICD-10 preparations. This an opportunity for both physicians and health plans to forge a collaborative relationship.

Navigating the sea change in healthcare

Matt Whalen, McKesson Care Management

Are we designing our population health management programs to serve the consumer in the year 2000 or today and beyond?

Keeping your wind in the final AEP laps

Debbie R. Mabari
Debbie R. Mabari's picture

Medicare plans are mid-way through the process of creating Annual Election Period (AEP) materials that are due to members by the end of September. At this stage of the game, tension is running high and time is running out.

Patient engagement as a route to better star ratings

Mariza Hardin, Alere Health
Mariza Hardin's picture

Not only are older Americans living longer than in past generations, they also have multiple health problems. If Medicare Advantage plans focus on effective engagement strategies that address these issues, they can improve member satisfaction and outcomes, scores for which are weighted three times more heavily than operation measures.

What about the working class and middle class?

Robert Laszewski, Health Care Policy and Marketplace Review
Robert Laszewski's picture

Perhaps the biggest consumer problem Obamacare has is that the plans with high premiums even after the subsidy, big deductibles, and narrow networks are not attractive to working class and middle class families and individuals who don't qualify for the biggest tax credits.

Lessons learned from consumerism

Tom Paul, chief consumer officer, UnitedHealthcare

In recent years, there has been an incredible transformation in the healthcare industry, especially in the role of consumers. A decade ago, health plans worked with employers to manage almost all health benefit decisions, leaving consumers relatively unaware of the costs associated with their healthcare needs. Not so today.

Four ways to thrive in the midst of change

Sohil Goorha

Though the deadline for complying with significant reforms of the Affordable Care Act has come and gone, payer organizations across the country are still adapting to the newfound complexities of their evolving industry.

The hidden segment

Shiv Gupta

With the first healthcare exchange open enrollment period concluded, savvy health plan marketers are spending much of their time and resources sifting through enrollment data hoping to gaint insights. However, this is a new world for plan providers, and most current marketing plans and sales strategies were developed for commercial and Medicare sales.


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