Prior authorization is a complex, lengthy process that stands between patients and the drugs they need. In a panel at the Academy of Managed Care Pharmacy 2023, Heather Odem, PharmD, of UnitedHealthcare and Richard Ogletree, PharmD, of Alliant Health Solutions spoke about the need to shift measures […]
Transparency, Oversight, and Opt-in Consent Makes Patients More Open to Sharing Data
A newly published paper in JAMA Network Open found that patients are more likely to participate in patient data sharing programs if certain conditions are met. Survey data from 3,500 hundred patients showed that patients valued transparency, opt-in informed consent, oversight mechanisms, and […]
Talking Remote Care and Reimbursement with Bronwyn Spira of Force Therapeutics
The US Centers for Medicare and Medicaid Services (CMS) introduced new CPT codes last year, reducing barriers via remote care. In a new video by Managed Healthcare Executive, Force Therapeutics’ Bronwyn Spira talks about how these new codes affected outcomes and why outcomes-based reimbursement […]
ISPOR Task Force – Good Practices for Patient Preference Studies
Healthcare decision-makers have increasingly recognized the importance of patient health preferences, incorporating results from patient preference studies into a wide range of deliberative processes. ISPOR has published a set of good practices to enhance the impact of these studies in a newly […]
Connecting Payers to Patients with Rare Diseases
Patients with rare diseases often require complex, expensive medications that may or may not be on their payer’s formulary. In a recently published paper in Future Medicine, Siva Narayanan put forward a payer-patient engagement framework (PPEF) intended to connect rare disease patients with payers […]
Managing the Implementation of Patient-Centered Care
At the recent R&D and Quality Summit, hosted by Veeva Systems, industry experts broke down the moving parts underlying patient-centered care. One requirement is consolidate data sources so that different parties can work together from the same playing field in risk management. In addition, […]
Engaging Patients and Improving Outcomes through Self-Driven Healthcare
The UK agency Innovate UK established the idea of self-driven healthcare (SDH), a broad term covering strategies to help engage patients in their own healthcare. In a newly published paper in the Journal of the Royal Society of Medicine, authors lay out a framework for SDH that would use digital […]
Community Care Hubs as an Avenue to Improve Health Outcomes
The US Department of Health and Human Services (HHS) has prioritized the need to address social determinants of health to improve health outcomes for marginalized people. In this month’s issue of Health Affairs¸ authors discuss the use of community care hubs to help improve community health […]
FACILITATE Patient-Centered Framework Will Boost Repurposing of Clinical Trial Data
The Framework for Clinical Trial Participants’ Data Reutilization for a Fully Transparent and Ethical Ecosystem (FACILITATE) is a project supported by a coalition of EU and Non-EU nations to help support the re-use of clinical trial data. This will allow increased access to existing pools of […]
PCOC 2022: AJMC Talks with Dr. Kashyap Patel About Value-Based Care
This year’s Patient-Centered Oncology Care 2022 saw several talks about defining value in oncology care, according to Dr. Kashyap Patel of Community Oncology Alliance and Carolina Blood and Cancer Care Associates. Patel spoke about this and other topics covered at the conference with the AJMC staff […]