Category Archives: Trends

Health Insurance, Trends, Uncategorized

The Single Most Important Chart in US Health Care (rebooted)

Posted on by Greg Judd

Note that we did not say it’s the single most important chart in all of US health care spending. Because it’s more than that. The magnitude of the difference in health treatment spending that The Most Important Chart encompasses illustrates that the hodgepodge of services and products we lump together as “health care” are widely divergent […]

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Hospital, Trends

Trusts, Busting (Telehealth and Rx Blooming?)

Posted on by Greg Judd

Last week, the Social Security and Medicare boards of trustees released their annual financial forecasts, and media reports predictably led with their scariest interpretation of those forecasts: “Hospital fund set to run out by 2026” read one typical headline. The trustees have a long-established track record of, well, let’s call it “conservative” forecasting, and nothing […]

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Trends, Uncategorized

Outcome-Based Contracting Acceptance Grows in Market

Posted on by John Santilli
Specialty Pharma Services
03
Feb

Outcome-Based Contracting Acceptance Grows in market with the concept of taking on financial risk on complex contracts as a result of market pressure combined with more familiarity. Outcome-based contracts between pharma companies and health insurers are becoming increasingly popular. In 2016, Novartis, Amgen, and Sanofi publicized risk-sharing, value-based, outcomes-based, or pay-for-performance deals, all of which vary […]

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Trends

Insurers-Hospitals Face Cost Structure Change

Posted on by John Santilli
Knowsource.com Announces Transition to Access Market Intelligence
05
Oct

Insurers-Hospitals Face Cost Structure Change Insurance fundamentals (risk) that supersede the ACA are driving changes seen in coverage, and at a more rapid pace each year, resulting from ACA impacts. One of those changes has been a significant increase in the use of alternate sites of care (ASOCs) due to medical policy changes driven by […]

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Trends

Impact of Commercial Insurance in 2017

Posted on by John Santilli
Clinical trial collaborations – an idea whose time has come
20
May

Impact of Commercial Insurance in 2017 – Considerable attention and planning has been focused on the Medicare market, but as we see from the chart below, Medicare represents approximately 13% of the total population.   Employer 49% Medicaid 19% Medicare 13% Uninsured 10% Non-Group 6% Other Public 2% (Source: Kaiser Family Foundation) A recent Mercer […]

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Trends

Is an HIV Vaccine on the horizon?

Posted on by John Santilli

Published January 3, 2016 in Managed Healthcare Executive Is an HIV Vaccine on the horizon? There’s good news in efforts to combat HIV/AIDs and hepatitis C (hep C, HCV). These viral diseases are now more vulnerable because of improved gene-based targeting and communications around exposure from surveillance programs. Some feel, however, that policymakers could do […]

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Dr. Randy Vogenberg, Trends

A Call to Action to Address Burden of Unintended Pregnancies in Plans’ Benefit Design

Posted on by John Santilli

Benefit Design – A Call to Action to Address Burden of Unintended Pregnancies in Plans’ Benefit Design F. Randy Vogenberg, PhD, RPh Partner, Access Market Intelligence, Greenville, SC Adjunct Professor of Pharmacy Administration, Presbyterian College School of Pharmacy, Clinton, SC Adjunct Instructor, Outcomes and Health Policy, University of Illinois at Chicago College of Pharmacy Originally […]

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