MedCity News

DECEMBER 17, 2023

This bipartisan legislation will help create a more transparent process that allows patients and physicians to seek exceptions to step therapy protocol. Although it only applies to employer-sponsored health plans, the bill represents an important step towards reining in this troubling practice.

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Insurance Patients Physicians 135

World of DTC Marketing

AUGUST 7, 2022

First, the health insurance companies are making a lot of money while burying doctors in paperwork and limiting treatment options. The insurance companies get to dictate medical care and go out of their way to deny medications, surgery, or treatments with no repercussions. Health insurance policies are stressing many physicians out.

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Insurance Doctors Government Physicians 263

Referral MD

OCTOBER 23, 2024

Prior authorization is a crucial healthcare topic related to the relationship between a patient, their healthcare provider, and the insurance company. A patient’s physician or healthcare provider can decide what treatment the patient needs. What is prior authorization? ’ Why does prior authorization exist?

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Healthcare Healthcare Insurance Healthcare Provider 102

World of DTC Marketing

AUGUST 29, 2022

That information should be shared with HCPs and insurers to understand better the barriers and opportunities of treating patients. HCPs want to understand their patients better as insurers require better patient outcomes. Most physicians are trained in medicine and rely on their experiences to understand patients.

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Side effects Physicians Insurance Marketing 203

MedCity News

NOVEMBER 22, 2023

Insurers and PBMs are increasingly implementing white-bagging policies, which require oncology practices to obtain physician-administered infusions and other medications from designated specialty pharmacies often owned by or affiliated with insurers and their PBMs.

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Insurance Physicians Patients Medical 104

Healthcare Success

JULY 5, 2022

Marketing to doctors, physicians, surgeons, and other health care professionals can be extremely challenging, complicated, and expensive. Today's traditional and digital marketing technologies offer unprecedented opportunities to reach physicians and other health care professionals cost-effectively—and at scale.

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Doctors Physicians Marketing Prospecting 62

World of DTC Marketing

AUGUST 30, 2022

Display is an incredibly low-effort way to spend your marketing budget, whether trying to reach physicians or patients. While some have seen luck with ePocrates, it’s been my experience that physicians don’t like ads when looking up medical information for patients.

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Physicians Marketing Pharma Insurance 270

MedCity News

MARCH 3, 2023

Aledade — an independent primary care network focused on value-based care — struck a 10-year partnership with insurer Humana. Under the collaboration, Humana’s Medicare Advantage members will receive primary care from Aledade physicians using value-based arrangements.

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World of DTC Marketing

OCTOBER 12, 2020

Of course, this comes at an increased cost even though health insurers are making a lot of money. Employees for the most part are happy with their health insurance but that happiness is going to come at a higher cost. The weight management services should be mandatory as obese employees are liable to cost companies and insurers more.

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Healthcare Healthcare Insurance Sales pitches 207

World of DTC Marketing

FEBRUARY 18, 2022

Convenience is a crucial reason, but what do patients consider convenience versus what physicians call convenience? 83% believed the quality of the patient-physician communication was good. 83% believed the quality of the patient-physician communication was good. What about physicians? According to the AMA.

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Doctors Physicians Insurance Medicine 247

World of DTC Marketing

MARCH 1, 2022

Hospitals, physicians, and clinical care made up more than half of the total healthcare spending in 2019. Most Americans don’t have much of a choice for their insurance plan. Mor than 54 % get health insurance through their employer. residents pay more for each interaction.

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Insurance Prescription Healthcare Healthcare 154

World of DTC Marketing

DECEMBER 20, 2021

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. health insurers report billions as small providers face stress in the first quarter. The answer may be in offering a value-based healthcare model.

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Healthcare Healthcare Insurance Prescription 209

World of DTC Marketing

JULY 17, 2022

But before the company can make Wegovy mainstream, it has to convince doctors to prescribe it and insurers and governments to pay for it. Wegovy’s monthly list price in the US is about $1,350, and some insurers are not yet covering the drug. Some 80 million obese Americans do not have insurers who will pay for Wegovy.

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Side effects Doctors Insurance Prescription 209

World of DTC Marketing

MARCH 11, 2022

Trust, for example, in physicians is still relatively high. Most patients completely trusted their physicians “to put their needs above all other considerations” (69%). Physician trust in the U.S. Physician trust in the U.S. While this is an excellent general overview, it does not apply to all healthcare.

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World of DTC Marketing

JUNE 3, 2021

Every year, more than any other factor, health care bankrupts Americans, even though 70% of them have insurance. Fraud drives up the cost of insurance, but insurance companies don’t pursue it as banks do credit card fraud. What is worse, 70% of those people had health insurance. 1 cause of bankruptcy for Americans.

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Insurance Education Electronics Prescription 198

World of DTC Marketing

MARCH 28, 2021

Aronne, an obesity specialist at Weill Cornell Medicine says “physicians need better education, and they need a different attitude toward people who have obesity”. Some health insurers require that HCP’s notify patients they are obese and that they are in danger of chronic conditions but that’s not enough.

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Doctors Patients Insurance Physicians 250

Celeritas

SEPTEMBER 26, 2022

Additionally, an administrator needs to be well-versed in the company’s policies, payment options, insurance matters, and government regulations. Many hospitals want to support their physicians in expanding their expertise by providing useful educational resources. Training and Engagement: .

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Physicians Patients Medical Management 52

World of DTC Marketing

MARCH 29, 2022

The current role in healthcare has been in treatment with drugs that lower A1C, but most physicians don’t have “the talk” about weight with patients, and in fact, there is a trend to tell HCPs not to weigh patients when they come into the office. What is the role of healthcare? This is unacceptable.

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Insurance Education Healthcare Healthcare 231

World of DTC Marketing

FEBRUARY 15, 2021

There is a physician discussion guide, but the key question is, can this discussion be had online, or does it require an office visit? I had a chance to talk to my local physicians group about the product/DTC and they had mixed emotions. Does TV DTC make sense to reach such a small audience?

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Physicians Education Doctors Insurance 205

World of DTC Marketing

MARCH 11, 2021

According to a survey , close to 60% of physicians have lingering reservations about the quality of care they can provide remotely. Insurers are starting to embrace telehealth because it saves them money compared to in-office patient visits but HCP’s have valid concerns. What can pharma do?

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Doctors Physicians Consulting Pharma 180

Referral MD

MAY 30, 2023

Another benefit of working with outsourced physician billing services is that it will handle the complexities of insurance credentialing. Once an insurance credential is established, the medical biller must verify that the insurance information matches that on file with a patient’s health insurer.

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Clarify Health

DECEMBER 22, 2020

On December 3, 2020, Clarify Health’s CEO, Jean Drouin, MD , sat down with a panel of senior leaders from Horizon Blue Cross Blue Shield of New Jersey , C olorado Permanente Medical Group, and Mercer to discuss how the most innovative payers, providers, and employers are putting physician performance analytics into practice.

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World of DTC Marketing

SEPTEMBER 24, 2021

Physicians and insurers are rejecting Aduhelm because it should never have been approved in the first place. Thank health care professionals and insurers for not drinking any of Biogen’s Kool-Aid. More importantly, they felt the company should never have launched Aduhelm. Biogen is in trouble.

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Insurance Pharma Doctors Physicians 222

PM360

AUGUST 24, 2023

biosimilars market is evolving rapidly and pharma marketing programs need to evolve as well to better meet physician needs. As we found in our latest physician survey, physicians are actively seeking more information on key topics such as patient affordability, patient eligibility, clinical results, formulary coverage, and more.

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Marketing Physicians Electronics Patients 97

Clarify Health

JANUARY 19, 2021

Our research reveals some exciting new information about the adoption of telehealth technology in the United States among commercially insured patients and provides early evidence of how the Covid-19 pandemic may have changed the provision and delivery of healthcare permanently.

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World of DTC Marketing

JULY 26, 2022

Telehealth has a future, but one could argue that physicians need to see patients firsthand to diagnose and evaluate patients. However, physicians would argue that they also need to see patients in person for many health issues. Quick Read: Amazon will dramatically expand its healthcare reach with its planned $3.9

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Doctors Prescription Consulting Physicians 283

World of DTC Marketing

JULY 5, 2022

The results of two surveys, one of primary care physicians and the other of patients, found that while most doctors want to help patients lose weight and think it is their responsibility to do so, they often don’t’ know what to say. This is where health insurers and pharma can help.

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PM360

APRIL 7, 2023

Patient Pages: How Healthcare Costs Affect Insured Patients Today A new study shows an insured American with an employer-sponsored health insurance plan can expect to spend more than $320,000 (including insurance premiums and out-of-pocket costs) during his/her adult lifetime. One in three (33%) U.S. While 20% of U.S.

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Healthcare Healthcare Insurance Physicians 52

World of DTC Marketing

NOVEMBER 5, 2021

.” Public payers such as Medicare will not cover the drug, due to a existing rule concerning weight loss treatments, and only a few private insurers have explicitly said that they will cover it. Suppose you consume high energy, particularly fat and sugars, but do not burn off the energy through exercise and physical activity.

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Insurance Side effects Medical Prescription 271

World of DTC Marketing

JANUARY 1, 2022

More and more patients demand a level of service they want with the increased costs of health insurance premiums. Telehealth will find a niche for patients who need their doctors for simple health issues, but physicians still need to be taught how to recognize more severe problems that require an office visit.

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Healthcare Healthcare Side effects Prescription 244

World of DTC Marketing

NOVEMBER 3, 2020

HCP’s and insurance companies too often fail to have a conversation about a patient’s weight and lack of exercise which in turn leads to more health problems and higher healthcare costs. I’m a big believer that patients who don’t exercise and are obese should pay higher health insurance rates.

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Insurance Healthcare Healthcare Physicians 190

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. Physician Access. Every year, another physician’s office or hospital system eliminates representative visits and lunches. Insurance Coverage. Physician Apathy.

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Medical sales Medical sales reps Medical Sales 66

World of DTC Marketing

APRIL 1, 2021

Many Americans think it’s OK to ask people with unhealthful lifestyles to pay higher insurance premiums and deductibles. The most trusted source of health information continues to be physicians, and pharma, along with insurers, should be supplying doctors with all types of patient information that can be used during office visits.

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Healthcare Healthcare Insurance Pharma 144

Referral MD

JUNE 21, 2023

The Challenges of Referral Management Referral management involves multiple stakeholders, including primary care physicians, specialists, care coordinators, and insurance providers. In this blog post, we will discuss how integrations are key to improving the referral management process.

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Management Consulting Physicians Insurance 52

Clarivate

SEPTEMBER 5, 2024

Private health insurers had not been expecting such steep cuts — in all ten negotiations, the federal Centers for Medicare & Medicare Services (CMS) obtained reductions greater than the mandatory minimums required under the IRA of 25% or 60% (depending on the drug’s time on market).

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Insurance Marketing Manufacturing Prescription 52

pharmaphorum

JANUARY 11, 2023

BioMarin’s has signed the first contract with an insurer in Germany for Roctavian, its recently approved gene therapy for haemophilia A, as it tests out its outcomes-based agreement (OBA) reimbursement model in the EU.

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Insurance Physicians Patients Marketing 52

World of DTC Marketing

APRIL 20, 2022

Their biggest complaint is insurance companies’ preapprovals. They see this as an insurance company coming between them and their patients. They also want to understand better why some drugs require more co-pay if the data shows better patient outcomes.

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