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Anthem’s Geoffrey B. Crawford Wants To Fix Wellness Programs
The 35-year-old is a rising star in one of the country’s largest health care plans. Included in his take: ACOs hold promise, and gene therapy could break the bank.
Fee for Service Is Dead. Long Live Fee for Service?
The move toward value-based payment for physicians is unfolding ever so slowly. Some say it is doomed to fail and that fixing the Medicare fee schedule would make more sense.
Direct Primary Care Is About To Take Off–or Maybe Not
Brian Forrest, MD
Some call it concierge care for the masses. Born out of physician frustration with insurers, ‘DPC’ could become more popular if Congress passes legislation that allows people to use HSA funds to pay the monthly fee.
And the Oscar (Health) Goes to Cleveland (Clinic)
The insurance upstart, Oscar Health, is joining forces with Cleveland Clinic as more large health care systems are becoming insurers.
The Role of Proteomic Testing in Improving Prognosis And Care Planning Quality Measures for Lung Cancer
Ray D. Page, DO, PhD
A. Christine Argento, MD
David B. Nash, MD, MBA
More Sunshine, Say Some PBM Forecasts. More of the Dark Arts, Say Others.
Tis Most Excellent: Union, Mount Sinai Find Happiness in Center of Excellence
Walmart Came a-Calling. Emory Answered.
What We Talk About When We Talk About Value-Based Care
FDA, Gottlieb Get Real About Real-world Evidence
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Senate grills drugmaker CEOs, the most sweeping Medicare-for-all plan yet, & a Washington State effort to identify low-value health care services
More Americans riled about drug prices, bispecific antibodies have arrived, CMS rule requires more interoperability
IN THIS ISSUE
Berwick: Time for a New ‘Era 3’ In American Health Care
Legislation & Regulation
To Dent Soaring Drug Costs, States Turn to ‘Price-Gouging’ Laws
Maryland is the first state to enact legislation, but it must pass a court challenge.
Regimen Change: Gilead’s TAF Drugs Toppling TDFs in HIV Treatment
But for Truvada, there’s new life as a drug that people are taking to prevent HIV infection in the first place.
Three Turbulent Spots That Could Ground Value-Based Care
At their core, value-based care models are expressions of health care’s Triple Aim. Lack of attention to any one of its dimensions could threaten the viability of a value-based model.
Wilson-Cook’s Flourish Device Uses Magnets To Fix Pediatric Esophageal Atresia
Thomas Morrow, MD
Magnets pull the ends of the separated esophagus together so surrounding tissue can grow and reattach them. FDA approval was based on a 16-subject study.
Physician Compensation: Let Form Follow Function
Health Plans Start To Focus More On Social Needs of Beneficiaries
Gerard A. Vitti
Gerard A. Vitti
Three Components Missing in Many Population-Management Strategies
News & Commentary
Study: CareFirst’s patient-centered medical home didn’t save money for Medicare patients
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