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Medication Therapy Management
August 2011
This podcast discusses the growing role of Medication Therapy Management in Medicare Advantage and Part D plan offerings. It explains what MTM is, what the requirements are and how insurers are reacting to the requirements of this program.
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Ten Things You Need to Know About Medicare Now
August 2011
HealthLeaders-InterStudy looks at the Top 10 Trends in Medicare you need to know about now.
This podcast covers:
Major Medicare Players, Market Trends, and all the topics the industry is discussing.
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Self-Insured
August 2011
One of the trends highlighted in the Spring 2011 issues of Health Plan Analysis here at HealthLeaders-InterStudy is the movement of the market into self insurance as a funding type. While the recession has prompted overall declines in the health insurance market, the self-insured segment of the commercial base had smaller declines. Listen to Product Director Jane DuBose discuss the self-insurance trend and where it is having the biggest impact on the market.
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Trends in Multiple sclerosis (MS) Treatments
June 2011
Multiple sclerosis (MS) therapies are one of the fastest-growing drug groups today. Listen to Senior Analyst Roy Moore discuss the current MS therapy reimbursement landscape; and what the future holds for this growing market.
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Where the Rubber Meets the Road: Accountable Care Organizations and Antitrust Regulations
April 2011
Federal healthcare reform urges consolidation and integration for cost and quality improvement. Accountable care organizations (ACOs) are the preferred mechanism for delivering this increased quality for lower cost, starting with the Medicare market. Listen to Market Analyst Lyda Phillips as she talks about a new enforcement policy from federal antitrust regulators regarding the formation of ACOs.
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Domestic Medical Tourism: Cleveland Clinic, Lowe's Nail Down New Relationship
March 2011
While the concept of medical tourism has typically meant traveling to another country for a medical procedure, employers today are redefining this trend in their quest to find quality care and create cost-savings in today's healthcare reform environment. In this brief presentation, Market Analyst Jenny Kerr discusses the most high-profile example of this up-and-coming trend--Lowe's Companies' new three-year agreement with Cleveland Clinic.
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Trends in Reimbursement for Type 2 Diabetes
February 2011
Therapies for the treatment of Type 2 diabetes receive generous reimbursement among U.S. health plans but a number of upcoming market events may negatively affect the reimbursement landscape. In this brief presentation, the effects of generic entry of pioglitazone on reimbursement of branded therapies is addressed by Leigh Compton, M.D., Ph.D.
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Personalized Medicine in Practice
November 2010
Personalized medicine involves sequencing the human genome or identifying known mutations, and it is designed to pre-determine risk for illness, as well as patient response to drugs and treatments. Listen to analyst Christian Bottorff highlight several health systems where this trend is underway.
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Changes to Medicare Advantage and Part D Benefits in 2011
October 2010
Thanks to healthcare reform, prodding by the federal government and new benefit designs, we're seeing substantial changes in store with the market. Learn about changes to Medicare Advantage and Part D benefits from senior analyst Roy Moore.
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Trends in Reimbursement for Immune Biologics
September 2010
In 2009, sales of immune biologics in the United States exceeded $10 billion US dollars, owing to the clinical success of the drugs, the growing number of marketed brands and the increasing list of indications for which immune biologics may be prescribed. This brief presentation by Leigh Compton, M.D., Ph.D., will focus on trends in reimbursement of immune biologics among U.S. health plans.
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Value-Based Insurance Design and Self-Insured Employers
September 2010
Value-based insurance design is a plan design that promotes drugs and services wherein the clinical benefit exceeds the cost, and discourages those drug and services wherein the clinical benefit fails to justify its cost. Listen to analyst Chris Clancy discuss recent trends.
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Narrow-Network Products Impact Health Plans, Markets and Pharmaceuticals
August 2010
As employer groups and health plans explored new options for lowering health care costs and premium expenses, narrow-network products emerged as a winning option. Listen to senior data analyst Rebecca Waller discuss recent trends.
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Healthcare Reform's Impact on Physician-Owned Hospitals
June 2010
Listen to Josh Kelley, assitant director, managed market analysis, discuss how physician-owned hospitals will be affected by healthcare reform and which markets will see the greatest impact.
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Medical Homes: Arriving at a Practice Near You
May 2010
Analyst Bill Melville discusses the growing trend of medical homes and how states such as Louisiana and Colorado have made innovative steps with the concept that will affect its development nationwide.
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Healthcare Reform: Innovative States Provide Taste of the Future
April 2010
Analyst Deborah White discusses healthcare reforms that have already taken place in three states to provide a glimpse of how national healthcare reform may play out in local markets.
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Are Health Plans Firming? Or Is It Just a Dead Cat Bounce?
March 2010
Despite a difficult economy and other factors, health plans emerged from the past 18 months with strong earnings. Listen to analyst Rick Byrne discuss what to watch for from publicly traded health plans in 2010.
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Trends in Medicare Pharmacy Benefit Enrollment
February 2010
Since their 2006 introduction to the Medicare market, prescription drug plans have grown to cover nearly 27 million seniors. Over the past 18 months, Medicare Advantage drug plans, with medical and pharmacy benefit coverage, have grown more than the stand alone drug plans. Listen to senior data analyst Rebecca Waller discuss recent enrollment trends.<
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A Tale of Three Cities: Comparison of the Three Largest Healthcare Markets in the United States
September 2009
The three largest cities in the nation—New York City, Los Angeles and Chicago—make up about 10 percent of the nation's total population. Some clear healthcare trends emerge that are particular to these markets vs. other large metro areas. Though by nature fundamentally similar, the three cities have nurtured different healthcare markets. Listen to analyst Mark Cherry's brief presentation.
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Trends in Consumer-Driven Plans and Effect on Pharmacy Benefits
August 2009
Consumer-driven health plans came onto the market almost a decade ago with lots of hype and promises of lower premiums and transparency in healthcare pricing. While they haven’t exactly lived up to that hype, they have gradually grown to be a small but significant part of the market. Listen to Sheri Sellmeyer, vice president of market analysis, discuss this growing trend.
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Caught in the Net: Impact of Public Hospital Trends on the Pharmaceutical Industry
June 2009
As the nation’s economy has weakened throughout the recession, the impact has rippled throughout the healthcare industry. Large safety-net hospitals are often at the epicenter of these economic difficulties as they struggle with declining revenue, escalating costs and rising demand for services. Listen to analyst Dave Raiford discuss safety net hospital trends.
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Medicaid Managed Care Opportunities in 2009
April 2009
Market analyst Bill Melville discusses Medicaid managed care opportunities for 2009, including states to watch.
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Healthcare Market Variation in Florida
April 2009
As a result of the economic downturn, Florida’s healthcare market is being impacted by a rising uninsured rate, more uncompensated care and a downturn in elective medical treatments. Listen to Josh Kelley, assistant director, managed market analysis, discuss how economic conditions are affecting healthcare in Jacksonville, Tampa and Miami.
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Healthcare Markets and the Recession: Lessons and Opportunities
February 2009
Analyst Mark Cherry discusses three healthcare markets that are better positioned to weather the economic storm and three that epitomize the struggles faced by the current downturn.
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Louisiana Proposes to Reshape Healthcare
February 2009
Analyst Jan Shuxteau discusses the Louisiana Health First Initiative and the state's plans to reform its Medicaid program.
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Wisconsin Healthcare Expansion: Challenges and Expectations
January 2009
Analyst Ric Gross reviews the health initiatives under BadgerCare Plus in Wisconsin and challenges the program may face in light of today's economic climate.
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TriState Insurers Brace for Financial Fallout
December 2008
Analyst Chris Lewis discusses how today’s economic downturn will impact insurers and government-sponsored programs in the TriState, that is composed of Connecticut, New Jersey and New York.
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Clinical Integration of Physician Organizations and Its Impact on the Healthcare Industry
November 2008
Assistant Director Josh Kelley discuss recent movements by independent physician associations and physician hospital organizations to clinically integrate and gain the ability to negotiate with payers on behalf of doctors to improve fee-for-service reimbursements.
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Blue Cross Blue Shield Plans: Market Strengths and Strategies
September 2008
The 2008 Blue Profiler series explores the top 15 non-profit Blue Cross Blue Shield plans, which represent one third of the commercial market, or about 50 million lives. Listen to analyst Roy Moore provide an overview of the market strengths and strategies for Blue Cross Blue Shield plans.
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Perspectives on Individual Insurance in a "Change" Environment
July 2008
With stagnant growth in the commercial market and employer insurance offerings declining, insurers are now paying increasing attention to the individual buyer. Insurers anticipate this market to grow five to eight percent over the next five years. To attract the individual buyer, insurers are actively redesigning products to tailor specific individual needs. Listen to analyst Rick Byrne provide an overview of the individual insurance marketplace, including key players who are leading the charge.
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