New Innovations and Cures Require Overhauling Insurance and Benefit Design
May 5th 2019Healthcare is very comfortable with treating a disease, but it’s not as good with handling cures. However, the advent of gene therapy and precision medicine means more and more expensive cures are coming down the pipeline, said panelists on the last day of Asembia’s 15th annual Specialty Pharmacy Summit, held April 29 to May 2 in Las Vegas, Nevada.
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Policy Changes Need to Address OOP Costs to Have a Real Impact on Patients
May 3rd 2019Out-of-pocket (OOP) costs remain a problem, and even patients who are receiving co-pay assistance worry about these expenses. Unfortunately, charitable foundations that provide financial assistance are under increasing strain as demand rises, with funds running out of money quickly, explained Ayesha Azam, senior director of medical affairs, Patient Access Network Foundation.
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Claims Data Can Provide New Insight Into the Condition of Patients With MS
May 3rd 2019Analyses of real-world data have broadened the understanding of multiple sclerosis (MS) and provided a snapshot into patient conditions and healthcare costs in the years leading up to and the years after an MS diagnosis, explained Bruce Pyenson, FSA, MAAA, Principal, Consulting Actuary, Milliman, Inc, during a session highlighting findings of a recent Milliman white paper at Asembia’s 15th annual Specialty Pharmacy Summit, held April 29 to May 2 in Las Vegas, Nevada.
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Cancer Moonshot Agenda Continues on With the Biden Cancer Initiative
May 2nd 2019During a session at Asembia’s 15th annual Specialty Pharmacy Summit, Greg Simon, president, Biden Cancer Initiative, outlined commitments that came out of the Cancer Moonshot, the work of the Biden Cancer Initiative, and ongoing challenges that patients with cancer face.
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Matt Farber Discusses Pharmacist Role in Managing Cancer Care Costs
May 2nd 2019New technologies are enabling pharmacists to play a bigger role in managing overall care delivery and the cost of care for patients with cancer, explained Matt Farber, MA, senior director of Patient Care and Advocacy for Walgreens.
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Gottlieb: There Couldn't Have Been a Better Time to Be at the FDA
May 2nd 2019During his keynote speech at Asembia’s 15th annual Specialty Pharmacy Summit, Scott Gottlieb, MD, reflected on governing principles he learned during his time as FDA commissioner, highlighted secular trends for which FDA wrote modern rules, and outlined ongoing reimbursement challenges. He even discussed the likelihood of some form of Medicare for All passing.
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Rule Eliminating Rebates Leaves Plenty of Uncertainty
May 1st 2019A policy from the Trump administration to benefit patients and alleviate the high cost of prescription drugs would eliminate rebates from pharmaceutical companies to pharmacy benefit managers. However, there is still a lot of uncertainty around the rule. Two speakers from Deloitte Consulting LLP outlined what models are expected to result from the changes to rebates and how they will affect various stakeholders in healthcare.
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Senator Cassidy Touts Alternative to Medicare for All, Outlines Other Healthcare Priorities
May 1st 2019During a session at World Health Care Congress 2019, Senator Bill Cassidy, MD, offered his alternative to Medicare for All, which is modeled after the Children’s Health Insurance Program, and discussed other healthcare issues on his radar.
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The Promise of Specialty Oncology Innovations in the Drug Pipeline
May 1st 2019The oncology drug pipeline has experienced rapid growth over the past decade, driven by innovation in cell therapies, immunotherapy, and precision medicine, according to a specialty pipeline update presentation at Asembia's 15th annual Specialty Pharmacy Summit, held April 29 to May 2 in Las Vegas.
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Dr Sebastian Schneeweiss Discusses How Rapid-Cycle Analytics Can Evaluate Drug Safety, Efficacy
May 1st 2019Sebastian Schneeweiss, MD, ScD, professor of medicine and epidemiology, Harvard Medical School and Brigham and Women's Hospital, and co-founder of Aetion, explains how rapid cycle analytics of real-world evidence can be used to evaluate the safety and efficacy of newly approved drugs.
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Gathering and Using Real-World Data to Improve Patient Outcomes
May 1st 2019In a session at Asembia's 15th annual Specialty Pharmacy Summit, held April 29 to May 2 in Las Vegas, speakers highlighted a pilot program to gather and use real-world evidence to compare outcomes at 7 large academic medical centers for patients with rheumatoid arthritis, multiple sclerosis, and malignant melanoma.
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Health System Specialty Pharmacies Can Drive Value-Based Care With Data Collection
May 1st 2019As the number of health system specialty pharmacies grows, and they become more complex, they have a role to play in integrating at the point of care to collect data and drive value-based care, said panelists at Asembia's 15th annual Specialty Pharmacy Summit.
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Building the Evidence Base to Quantify, Communicate the ROI of SDOH Initiatives
May 1st 2019A panel discussion during World Health Care Congress 2019 discussed the importance of quantifying and communicating the return on investment (ROI) for social determinants of health (SDOH) initiatives.
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The Intersection of Technology and Care Management: Ensuring Optimal Aging at Home
May 1st 2019More and more, older adults are choosing to receive care in their homes rather than in the hospital. While technology has a role in aiding home-based care for older patients by allowing providers to implement remote monitoring, these technologies must be met with care management in order for outcomes to truly be improved, according to a panel discussion at World Health Care Congress 2019.
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Redesigning Care to Be Proactive in the Move to Value
April 30th 2019Transforming a practice to become proactive in delivering care, rather than reactive, will be crucial in improving patient care and reducing costs, said Thomas Graf, MD, president, Ascension Medical Group, at the spring session of the National Association of Accountable Care Organizations, held April 24-26 in Baltimore, Maryland.
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Unlocking Innovation in Value-Based Care
April 30th 2019During a World Health Care Congress 2019 panel discussion on unlocking innovation in value-based care, panel members offered a comprehensive look at what’s driving this shift toward value-based care, what works and what doesn’t, and where consolidation fits into the mix.
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What Dr Howard Burris Will Focus on as ASCO President
April 28th 2019As Howard A. "Skip" Burris, III, MD, FACP, FASCO, president, clinical operations, and chief medical officer of Sarah Cannon Research Institute, prepares to become the president of the American Society of Clinical Oncology (ASCO) in June, he discusses what his focus will be.
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Strategies for Success: Insights From Top Performing ACOs
April 28th 2019During a session at the National Association of Accountable Care Organizations (ACOs), top performing ACOs shared lessons learned and best practices for ensuring compliance with quality measures while keeping the patient at the forefront.
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Dr C.K. Wang: How COTA's Real-World Data Platform Helps Oncologists Make Informed Decisions
April 27th 2019In addition to helping make treatment decisions, COTA's real-world data platform can help oncologists understand and identify areas where there is treatment variability and help them work to contain cost in the long run, explained C.K. Wang, MD, senior medical director, COTA.
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Joann Sciandra on Advice She Would Offer an ACO Implementing Technology Into Its Practice
April 27th 2019Technology interventions have to be targeted at the right patients and be properly explained to them, explained Joann Sciandra, RN, BSN, CCM, associate vice president of healthcare management, Geisinger Health System.
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Travis Broome Outlines How HHS New Primary Care Models Provide More Flexibility
April 26th 2019The new primary care models from HHS will provide greater flexibility to practices that want to participate and deliver care in a different way to reduce hospitalizations, said Travis Broome, vice president of policy at Aledade.
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Ensuring Successful Interventions Once Social Determinants of Health Are Identified
April 26th 2019During a session at the National Association of Accountable Care Organizations (ACOs), panelists offered perspectives on how ACOs can successfully address social and behavioral needs of their patients.
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Katie Goodman Discusses Clinical Trial Participation Criteria's Impact on Trial Participation
April 25th 2019Clinical trial criteria is really about patient safety and making sure participating patients don't experience undue risks, explained Katie Goodman, RN, BSN, CCRP, director of clinical research, Florida Cancer Specialists & Research Institute.
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