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Case Study Systematizing Health Plan Targeting

WEBdeploying a go-to-market strategy to sell new population health offerings to payers. While the organization has some pilot clients based on pre-existing relationships, they lack a …

Actived: 5 days ago

URL: https://info.mmitnetwork.com/hubfs/2021%20Case%20Studies/MMIT_Case%20Study-Systematizing%20Health%20Plan%20Targeting_2021.pdf

White Paper Insurer, Specialty Pharmacy Rely on Solutions …

WEBDivisions of MMIT include AIS Health, creator of the Directory of Health Plans and leading healthcare publications; Zitter Health Insights, a preeminent provider of market access …

Category: Health Go Health

Drug Benefits on Business Strategies and Analysis for Health …

WEBOptumRx, and CVS Health Corp.’s Caremark — each posted strong results in the third quarter of 2021. Indeed, those PBMs were essential — in the eyes of Wall Street — to …

Category: Health Go Health

Case Study Systematizing Health Plan Targeting

WEBdeploying a go-to-market strategy to sell new population health offerings to payers. While the organization has some pilot clients based on pre-existing relationships, they lack a …

Category: Health Go Health

White Paper Payer Strategies to Manage Specialty Drugs

WEBAn analysis of health plan claims data by Magellan Rx Management found, for example, that Remicade’s cost per claim was $4,132 in a physician’s office, $5,002 through home …

Category: Health Go Health

Aligning Incentives for IDN Specialty Pharmacy Collaborations …

WEBlearning between health care entities is a hallmark of IDNs, which all identify collaboration as a core value. Another IDN that has taken big strides into specialty pharmacy is …

Category: Health Go Health

Spotlight on MMIT Solutions

WEBhealth care and life sciences, tells AIS Health. Due to the difficulty of taking multiple medications, patients may stop taking them or take them in the wrong combinations. …

Category: Health Go Health

Directory of Health Plans

WEBUse the Directory of Health Plans to: Analyze current enrollment data and market share for every payer in the U.S. Identify growth opportunities for your products and services …

Category: Health Go Health

Spotlight on Market Access

WEBsee Medical Association, tells AIS Health. “The focus of any new health plan policy should be to provide the best care at the best price with the best outcome. When insurance …

Category: Medical Go Health

Fraud, Waste and Abuse (FWA) Issues and Avoidance

WEBData obtained from The Department of Health and Human Services and The Department of Justice Health Care Fraud and Abuse Control Program Annual Reports FY1998 through …

Category: Health Go Health

Addressing Drug Wastage: A $3 Billion Challenge

WEBappropriate wastage and many health plans have followed suite. The following example provides a comparison of drug waste when there is a substantial difference between …

Category: Health Go Health

About MMIT’s Lab-Based Real-World Evidence

WEBMMIT’s lab partner is connected to 20,000 diagnostic ordering locations and analyzes more than 500 million real-time results per month across more than 1 million ordering …

Category: Health Go Health

Strategic Business, Financial Health Plan Weekly and …

WEBfrom medtech company BioTelemetry, Inc., insurer Health Care Service Corp. (HCSC) has included it in its medical coverage policy. Pennsylvania-based man-ufacturer …

Category: Medical Go Health

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN …

WEBPlaintiff SSM is a health services provider who treated Bright members through medical services at its Oklahoma City, Shawnee, and Midwest City facilities. SSM’s primary …

Category: Medical Go Health

How a niche healthcare company bolstered its payer …

WEBthat RJ Health was rare and special in the fact that it is credible and professional, and they came highly recommended by people we respect in the industry.” SUCCESS To learn …

Category: Health Go Health

Strategic Business, Financial Health Plan Weekly and …

WEBHealth Insurers Hail SCOTUS Ruling in Risk Corridors Case The Supreme Court’s near-unanimous decision on April 27 to award health insurers $12 billion in unpaid risk …

Category: Health Go Health

Spotlight on MMIT Solutions

WEBSilverCloud Health and Learn to Live each will have a digital mental health platform for de-pression, anxiety and insomnia on the formulary. Both are designed to reduce barriers to …

Category: Health Go Health

Payer Communication Program

WEBlike RJ Health helped build credibility among our customers. The RJ Health communication was a means of opening doors.” — Vice President of Market Access 24,000 contacts …

Category: Health Go Health

Reality Check: COPD Coverage

WEBHealth Plans’ “Spark Your Health” program aims to promote self-man-agement in members with congestive heart failure and diabetes, CHF and COPD or all three conditions. …

Category: Health Go Health

Subject: Federal Employees Health Benefits Program Call Letter

WEBServices, Maternal Health, Prevention and Treatment of Obesity, and Mental Health and Substance Use Disorders. 2 . FEHB Program Carrier Letter 2023-04 . We also remain …

Category: Health Go Health

an MMIT company Health Plan Weekly Rethinking …

WEBLeslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act …

Category: Health Go Health

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