Clarivate

DECEMBER 19, 2022

Whenever a health insurer partners with retail giant Walmart, it has the ability to shake up the market. For 2023 Medicare Advantage open enrollment, the United States’ largest retailer will begin a 10-year partnership with the nation’s largest insurer. payer marketplace, please visit us here.

Competition 52

Competition Retail Insurance Marketing 52

World of DTC Marketing

AUGUST 19, 2022

The Inflation Reduction Act’s health insurance subsidies and drug pricing reforms will improve health care affordability for Americans but won’t do a damn thing for our overall healthcare costs, which will keep rising. population health issues increase, the risk of insuring the average American goes up. As the U.S.

Healthcare 204

Healthcare Healthcare Insurance Competition 204

Salesforce

DECEMBER 16, 2022

When it comes to meeting healthcare consumers’ expectations, health insurers have a lot of room to improve. To learn more about what today’s consumers want, we surveyed nearly 12,000 global healthcare consumers about their expectations of health insurance providers for our latest Connected Healthcare Consumer report.

Insurance 52

Insurance Healthcare Healthcare Healthcare Provider 52

MedCity News

NOVEMBER 26, 2023

While current government and commercial efforts to negotiate competitive drug prices are important, this focus represents a minor—and misplaced—implementation of medication management. It’s time that policymakers, insurers and healthcare providers make pharmacogenomic testing a fundamental standard of care delivery.

Healthcare 90

Healthcare Healthcare Insurance Healthcare Provider 90

Clarify Health

JANUARY 23, 2024

With deep expertise in the healthcare and insurance fields and in-depth knowledge of industry standards, laws, and regulations, they can help businesses plan health benefits, streamline processes, and manage costs. The TPA market is expected to grow at a compound annual growth rate of 9.6%

Networking 52

Networking Competition Healthcare Healthcare 52

World of DTC Marketing

MARCH 1, 2022

Most Americans don’t have much of a choice for their insurance plan. Mor than 54 % get health insurance through their employer. The lack of choice limits competition, which can drive prices higher. Tho e who are covered by health insurance are not immune to the burden of health care costs.

Insurance 154

Insurance Prescription Healthcare Healthcare 154

Clarify Health

MARCH 22, 2024

While healthcare price transparency regulations aim to empower patients and promote competition in the market, providers face significant challenges in implementing and complying with these requirements effectively. private insurance, Medicare, Medicaid).

Healthcare Provider 52

Healthcare Provider Healthcare Healthcare Competition 52

World of DTC Marketing

APRIL 20, 2022

This was especially true with new drugs that have a significant competitive market. Their biggest complaint is insurance companies’ preapprovals. They see this as an insurance company coming between them and their patients.

Marketing 218

Marketing Pharma Insurance Medical 218

Pharmaceutical Technology

MARCH 8, 2023

Eli Lilly has announced that it will reduce the price of its most commonly used insulin, Humalog, in the US, by 70% and cap the out-of-pocket cost for those on commercial insurance at $35. This recent price reduction to $35 has significant impact as rationing of insulin dosing has led to an increasing number of deaths among diabetics.

Competition 105

Competition Insurance Leads Marketing 105

World of DTC Marketing

OCTOBER 5, 2021

last year gave away more than $23 billion in rebates to insurance intermediaries, but still netted $50 billion in sales. Via Axios “The 10 highest-selling drugs in the U.S. Its immense power relative to most of the other stakeholders in the $3.5 trillion health care sector stems from many factors, but it begins from what it does.

Pharma 241

Pharma Insurance Sales Government 241

Clarify Health

OCTOBER 17, 2023

How health insurance companies use outcomes data Outcomes data is more than just numbers; it’s a roadmap for continuous improvement and innovation. This approach can also enable payers to offer more competitive insurance plans and attract a larger customer base, further boosting their financial sustainability.

Insurance 59

Insurance Networking Healthcare Healthcare 59

Clarify Health

DECEMBER 12, 2023

A well-balanced and adequately resourced provider network is a strategic asset for payers in the highly competitive healthcare insurance market. When looking to optimize, it is critical to ensure network adequacy or the provider network’s ability to meet the healthcare needs of an insured population.

Networking 52

Networking Insurance Competition Healthcare 52

World of DTC Marketing

JUNE 13, 2022

Right now, annual raises are being neutralized by increasing healthcare insurance premiums. If pharma wants to retain people, they may have to develop a solution to lower healthcare insurance premiums. The average per-employee cost of employer-sponsored health insurance jumped 6.3 Employers in the U.S. percent and 5.2

Insurance 201

Insurance Healthcare Healthcare Consulting 201

Clarify Health

AUGUST 15, 2023

Health plans and issuers of group or individual health insurance are also required to publish pricing information for covered services online so members can understand their financial responsibility before scheduling care.

Insurance 52

Insurance Competition Healthcare Healthcare 52

Healthcare Success

DECEMBER 6, 2022

In this blog, I share nine healthcare marketing trends you need to embrace in 2023 to remain competitive in today’s ever-changing healthcare marketplace. Competition from Retail and Telehealth Disruptors Continues to Intensif y. The COVID-19 pandemic supercharged a new type of competition for legacy healthcare organizations.

Healthcare 112

Healthcare Healthcare Marketing Competition 112

Clarify Health

JULY 8, 2021

An efficient and effective network must be competitive to attract members and retain them by meeting their needs with high-value providers. While the health insurance industry has created new provider network models aimed at reducing health care costs and improving quality, there has been almost [.].

Networking 52

Networking Insurance Competition Healthcare 52

World of DTC Marketing

APRIL 5, 2021

They said “medical claims and revenues noticeably declined among hospitals during the height of the pandemic, which has benefited health insurers. One of the best ways is to cut costs which means letting experienced healthcare workers go. HCA’s second-quarter profit was roughly $1.1

Healthcare 188

Healthcare Healthcare Patients Insurance 188

MedReps

SEPTEMBER 19, 2022

Often we’re lucky if we even get to see our physicians, let alone overcome their objections regarding insurance coverage and competitive claims. Insurance Coverage. On the other hand, if your product is similar to the competition, get your physician’s attention with your product’s affordability and ease of use.

Medical sales 66

Medical sales Medical sales reps Medical Sales 66

MedCity News

MAY 14, 2023

Prioritizing the PBM relationship is critical for payers to provide competitive, cost-effective pharmacy benefits. As payers work to optimize their PBM partnerships, the complexity of their agreements makes it important to increase the understanding and apply best practices to ensure transparency and value.

Competition 104

Competition Insurance 104

Prognos Health

FEBRUARY 4, 2022

The current inflationary environment makes accurate risk prediction more important than ever for health insurance underwriters. The more insight an insurer has into the current health of individual members or groups of members, the more informed the assessment.

Insurance 52

Insurance Prescription Healthcare Healthcare 52

Clarify Health

JULY 20, 2023

As the first in a two-part series, this article will focus on AI’s impact on the payer space and how, by leveraging AI models, insurers can streamline administrative workflows, detect fraudulent activities, and make data-driven decisions to drive efficiency and cost-effectiveness.

Healthcare 52

Healthcare Healthcare Insurance Ethics 52

Pharmaceutical Technology

FEBRUARY 10, 2023

4DMT is creating a gene therapy using an adeno-associated viral vector (AAV) and there is currently competition from several early-stage therapies in trial, such as Sangamo Therapeutics’s Fabry gene therapy that is currently at Phase III, which also uses AAV, and as of November 2022 has reported it is progressing to late-stage plans.

FDA 105

FDA Competition Leads Marketing 105

Clarify Health

JUNE 30, 2023

The law protects Americans from balance billing, which occurs when patients receive care from out-of-network providers and are billed for the difference between the provider’s charges and what their insurance covers. Insurers may also need to update their billing systems and processes to comply with the Act effectively.

Networking 52

Networking Insurance Patients Healthcare 52

PM360

APRIL 7, 2023

However, we expect drugs without strong therapeutic alternatives to have an advantage in negotiations, while drugs in highly competitive classes will be negotiating from a weaker position. Truth is, many patients already pay less than the newly announced costs, whether they are covered by traditional health insurance, Medicare, or Medicaid.

Manufacturing 97

Manufacturing Insurance Government Marketing 97

PM360

SEPTEMBER 21, 2023

They do not have biosimilar or generic competition available in the market. Additionally, highly competitive classes, such as rapid-acting insulin and immunologics are included on the selected drug list. They do not qualify for any exemption (e.g., for orphan products or plasma therapies).

Manufacturing 111

Manufacturing Competition Marketing Physicians 111

Healthcare Success

JUNE 6, 2022

What’s more, your highest revenue service lines are likely already facing stiff competition from all angles. . For these reasons and more, it’s imperative to identify your unique selling propositions, review them, and revise them regularly to remain competitive. . So, how can your brand stay competitive? The answer is twofold.

Competition 112

Competition Healthcare Healthcare Marketing 112

PM360

APRIL 7, 2023

Simplicity seems to be the aim here, by providing a fixed monthly price consumers don’t need to compare pharmacy prices or discern their insurance copay. Both programs list price information for the medications they provide, demonstrating the average savings based on retail and insurance prices.

Marketing 52

Marketing Prescription Insurance Retail 52

Clarify Health

SEPTEMBER 5, 2023

Create high-performing networks with competitive intelligence and price transparency data Data in healthcare is notoriously siloed. For instance, the Transparency in Coverage Rule required insurers offering individual and group health plans to publish their in-network negotiated prices and out-of-network rates online by July 1, 2022.

Networking 52

Networking Healthcare Provider Healthcare Healthcare 52

Clarify Health

OCTOBER 13, 2021

Healthcare price transparency continues to grow, with health insurers required to release cost-sharing estimates beginning in 2022. After decades of negotiations between health insurance companies and healthcare providers being clothed in secrecy, Americans can now access negotiated prices before receiving care.

Healthcare 52

Healthcare Healthcare Insurance Networking 52

Impetus Digital

MARCH 15, 2024

Increased competition and evolving standard of care New competitors are entering the market at a rapid pace, and competition is intensifying. This competitive intensity tends to focus on smaller patient populations with multiple treatment options (1,2). However, with rapid growth comes growing pains.

Recruitment 83

Recruitment Healthcare Provider Patients Healthcare 83

Clarify Health

FEBRUARY 15, 2023

Ashley Tidd partners with payers and provider groups to help them utilize healthcare analytics to increase their competitive footprints in existing markets and expand into new markets as quickly and efficiently as possible. The second way to be more efficient is to leverage competitive intelligence comparing your existing networks.

Networking 52

Networking Competition Marketing Healthcare 52

Healthcare Success

APRIL 8, 2024

As an engineering undergrad, I took a Marketing 101 class on a lark, seeking to better understand the psychology behind consumer behavior and developing products with a competitive edge. The 7 tactics of marketing can help you: Develop a competitive advantage. Promote that competitive edge with vigor. Reach a broader audience.

Marketing 112

Marketing Competition Patients Healthcare 112

MedCity News

JUNE 1, 2023

Increasingly, it’s a competitive differentiator – and it can help drive clinical improvements. Payers also benefit from a member experience boost, as there’s less confusion about Explanation of Benefit statements, bills, and overall insurance coverage.

Patients 123

Patients Healthcare Healthcare Electronics 123

Contrarian Sales Techniques

DECEMBER 19, 2023

As a Business Development Assistant Manager for a leading insurance company in the vibrant East Coast region, you'll be at the forefront of this dynamic industry, playing a pivotal role in propelling both your career and the company's success. But isn't Bancassurance all cold calls and pushy tactics? Not in this world.

Insurance 40

Insurance Sales Training Marketing 40

Pharmaceutical Technology

MARCH 24, 2023

Biosimilars are an important tool to facilitate competition, lower the price of drugs, and create savings across the board. In addition, insurers’ contracting practices can help preserve the sales of brand-name drugs. At the current rate, biosimilars have not yet achieved the intended goal of increasing competition and reducing prices.

Competition 59

Competition Marketing FDA Physicians 59

Clarivate

DECEMBER 6, 2022

In a fiercely competitive U.S. While marquee IDNs attract national headlines, these smaller systems reflect how markets are adjusting to an increasingly value-based and competitive landscape. ChristianaCare’s future expansion plans could escalate the competition between Highmark and UPMC. ChristianaCare, Wilmington, Delaware.

Networking 52

Networking Healthcare Healthcare Competition 52

Clarivate

JULY 5, 2023

The Biosimilars Forum has hailed 2022 as a watershed year that could create a more competitive U.S. The larger discount will be available to insurers who choose not to utilize those discounts and rebates. Clarivate research indicates biosimilar competition will drive down prices and relative market share of HUMIRA ® in the U.S.

Marketing 97

Marketing Physicians Manufacturing Competition 97