Predictive Health

Eight ways Trump could change MedicaidExperts share their ideas on how President-elect Trump could change the single largest source of insurance in the country.
Insurer: No more prior auths for opioid addiction medsAs part of efforts to combat the opioid epidemic, Cigna removes prior authorization from medication-assisted treatment for opioid use disorder.
Health execs: How I feel about healthcare’s futureWe asked executives how they feel about the future of healthcare. Here’s what they said.
Re-evaluate coverage policies for breast cancerNew NCCN guidelines include new technology as an option for patients’ annual screening.
Up for debate: CMS Star Ratings releasedExperts break down the controversy over the agency’s release of Overall Hospital Quality Star Ratings.
CMS updates data mining rule to enrich patient careCMS finalized new rules that aim to enrich the Qualified Entity Program by expanding access to analyses and data that will help providers, employers, and others make more informed decisions about care delivery and quality improvement.
Apply consumer insights to drive high-value careThe hurdle for managed care organizations is not identifying individuals who may benefit from support, rather, it’s finding a way to tailor efforts to engage members in the solutions being offered.
Will price impede recently approved implant for opioid addicts?Probuphine implant could be a new option for addicts if obstacles, such as price, don’t get in the way.
Pharma industry must adopt value-driven perspective: Providers and health plans aren’t the only industry groups affected by the shift to value-based care. It’s time for pharma to get in on the action.
Experts assess the fallout as United exits ACA exchangesIndustry watchers weigh in on UnitedHealth Group’s announcement that it will exit all but a “handful” of state Affordable Care Act (ACA) exchanges.