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Tracey Walker
Exchange plans are missing out on millions of dollars
A new Express Scripts report highlights risk reporting gaps and offers advice for plans looking to close those gaps to ensure accurate risk payments
How state-mandated formularies impact costs
Research by Express Scripts presented at the AMCP examines costs among Medicaid members in the Florida plan to members in a similar Medicaid plan without a state-mandated formulary.
Better outcomes for CF patients in monitoring program
Study examines the effectiveness of the Walgreens Connected Care CF program compared to a matched sample of control patients.
Republicans face difficult post-election healthcare decisions
ACA repeal/replace was a Congressional Republican cornerstone, so there will be lots of pressure to move quickly. But that may be easier said than done.
Top 10 states with the highest uninsured rates
A new report highlights the highest uninsured rates by state. Is your state among the top 10?
Medicaid MCOs must use caution when reporting data
Failure to report accurate data can result in significant penalties for Medicaid managed care plans.
Non-physician providers play critical role in optimizing care
PwC report finds most primary care teams not designed to optimize care. Here’s how to mobilize non-physicians to create a care dream team.
P4P programs feasible in addiction settings
Alcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.
Insurer: No more prior auths for opioid addiction meds
As 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 future
We asked executives how they feel about the future of healthcare. Here’s what they said.