Scott Burrows

JUNE 5, 2024

Returning to college, I earned a degree in Finance and embarked on a successful career with Northwestern Mutual Life, specializing in disability income insurance planning. Not content with mere survival, I embraced a new challenge—competitive wheelchair rugby, known as Murderball, now a Paralympic Sport.

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Insurance Specialization Competition Management 52

Clarify Health

FEBRUARY 20, 2024

Since July 2022, CMS has required most group health plans and issuers of group or individual health insurance to post price information for covered items and health services. For most, the concept of price transparency has been approached as a compliance necessity. However, it offers far more than just adherence to regulations.

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Clarify Health

JUNE 29, 2023

Ideon will power Clarify Networks’ competitive intelligence software module with national insurance network data across commercial, Affordable Care Act (ACA), and Medicare Advantage (MA) markets to empower health plans to gain valuable insights into their competitors’ networks. To learn more, please visit: www.ideonapi.com.

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Scott Burrows

MAY 21, 2024

As an Inspirational Business and Sales Keynote speaker entrenched in the insurance and financial industry, I have a unique story to tell—one of resilience, determination, and ultimate triumph. Moreover, I understand the unique challenges faced by financial advisors in today’s fiercely competitive marketplace.

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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.

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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.

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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.

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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers ¹.

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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.

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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.

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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%

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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.

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Clarify Health

NOVEMBER 15, 2021

By 2023, available annual profit pools will range from $11 billion to $13 ­billion, making Medicare Advantage the single biggest driver of profit growth for health care insurance providers¹. Medicare Advantage is expected to reach 40% penetration by 2025.

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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.

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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).

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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.

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World of DTC Marketing

JANUARY 31, 2021

Still, she is missing a lot of facts at a time when hospital and health insurance costs are soaring. PBM’s and insurers required that patients with high cholesterol first use generic versions of Lipitor and Crestor to save money. I always have pointed instances in which pharma puts Wall Street first and patients second.

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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.

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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 [.].

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Healthcare Success

SEPTEMBER 12, 2024

In this two-part series, I explore the evolution of organic and paid search, discuss its impact on your SEO strategy, and share how your healthcare organization can navigate these changes to enhance online visibility and remain competitive. car insurance and auto insurance), expanding your content’s reach.

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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.

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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.

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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.

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Evolve Your Success

SEPTEMBER 11, 2024

With her unique expertise in both marketing and enterprise software, Anne sheds light on the groundbreaking changes brought about by the 2020 law that mandates insurance companies to disclose negotiated rates. Anne Saulnier, the trailblazing CEO of Hex IQ, joins us to reveal how reimbursement data is revolutionizing healthcare sales.

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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

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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.

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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.

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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.

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Healthcare Success

OCTOBER 17, 2024

HELPCare, LLC delivers affordable, direct primary care by eliminating insurance payments, offering ample appointment time, and focusing on personalized, preventive care. We did that under the insurance. And I think it's we have kind of a special model of it, but it's Lee Aase: The big difference is that we don't take insurance.

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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.

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Scott Burrows

MAY 21, 2024

In the fast-paced world of healthcare sales, where challenges abound and competition is fierce, embracing change isn’t just a necessity—it’s a mindset that can make all the difference. My journey began in the insurance industry, where I achieved the prestigious Million Dollar Round Table as a financial advisor.

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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.

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Clarify Health

APRIL 23, 2024

This access facilitates the creation of more competitive offerings and pricing strategies. For instance, a payer might use data insights to develop a new insurance product that addresses a previously unmet need in the market, attracting a new segment of customers. They also allow payers to offer competitively priced health plans.

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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.

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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.

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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.

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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.

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