Population Health
By adding clinically equivalent biosimilars to its formulary, Express Scripts said it can drive greater savings for its clients.
For health plans, authors expect the study can provide a better understanding of the core customer segments of MA.
About half of adults have avoided at least one common health screening, including tests for certain diseases and other exams.
Non-comprehensive coverage, HHS says, can be harmful to low-income individuals and people with significant healthcare needs.
HIMSS23
Because health organizations are paid by capitation, incentives are aligned to keep the patient healthy, says Ran Balicer, chief innovation officer at Clalit Health Services.
The changes come on the heels of scrutiny from medical experts for alleged imprecise methodology and bias.
The move makes South Dakota the 39th state, along with Washington, D.C., to adopt the ACA's Medicaid expansion.
HIMSS23
Hospitals can adapt by rolling out FHIR APIs for patient access, says ZeOmega associate VP of interoperability strategy Michael Gould and VP of advanced analytics Pravin Pant.
The decrease is due in part to a permanent behavior assumption adjustment.
The best way it can help is by not making the problem worse, says Andrew Eye, cofounder and CEO of ClosedLoop.ai.