Managed Care

How Can Medication Adherence Boost Medicare Advantage Success?
Management & Administration How Can Medication Adherence Boost Medicare Advantage Success?

In the complex landscape of healthcare, particularly within Medicare Advantage (MA) plans, the challenge of ensuring that members consistently take their prescribed medications stands as a critical barrier to both individual health and systemic efficiency, demanding innovative solutions. For older

How Is Thyme Care Transforming Oncology with $97M Funding?
Management & Administration How Is Thyme Care Transforming Oncology with $97M Funding?

In a healthcare landscape where cancer care often feels fragmented and prohibitively expensive, a new player has emerged with a vision to overhaul the system through innovative, value-based solutions. Thyme Care, a trailblazer in oncology care, has recently captured significant attention by

Florida's $4M Plea to Save Canadian Drug Import Program
Management & Administration Florida's $4M Plea to Save Canadian Drug Import Program

In a striking move to address soaring prescription drug costs, Florida has embarked on a groundbreaking initiative to import cheaper medications from Canada, becoming the first state to gain approval from the Food and Drug Administration (FDA) for such a program in early 2024. However, this

How Can We Hold Health Insurers Accountable for Care Delays?
Management & Administration How Can We Hold Health Insurers Accountable for Care Delays?

Imagine a patient with a chronic illness waiting weeks for a critical treatment, only to be told that their health insurer requires additional paperwork through a process called prior authorization, delaying care at a pivotal moment when they need it most. This scenario is far too common in the

Mortality Gap in Medicare Advantage: Puerto Rico vs. US Mainland
Management & Administration Mortality Gap in Medicare Advantage: Puerto Rico vs. US Mainland

The disparity in health outcomes for Medicare Advantage (MA) enrollees between Puerto Rico (PR) and the US mainland represents a critical challenge in the American health care system, demanding urgent scrutiny and action to address systemic inequities. Recent research spanning from 2010 to 2022

How Will Trump's Health Cost Cuts Impact Molina Healthcare?
Management & Administration How Will Trump's Health Cost Cuts Impact Molina Healthcare?

The healthcare industry stands at a critical juncture as President Trump’s aggressive push to slash health insurance costs sends ripples through the sector, directly affecting companies like Molina Healthcare Inc. (NYSE: MOH), a major player in managed care and Medicaid services. With a focus on

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