Healthcare Reform

Is Highmark's Non-Exclusive Pharmacy Strategy the Future of Healthcare?
Technology Is Highmark's Non-Exclusive Pharmacy Strategy the Future of Healthcare?

Healthcare organizations constantly seek innovative strategies to optimize patient care and reduce medical costs. In recent years, Highmark has embarked on a transformative journey by moving away from exclusive agreements with specialty pharmacies. This strategic decision, influenced by the insights of Sarah Marche, senior vice president of

March 20, 2025
AI's Role in Revolutionizing Healthcare: Balancing Innovation and Inclusivity
Technology AI's Role in Revolutionizing Healthcare: Balancing Innovation and Inclusivity

Artificial Intelligence (AI) is transforming various sectors, with healthcare being one of the most significant beneficiaries of this technological evolution. The integration of AI into healthcare systems offers immense potential to enhance care quality, streamline procedures, and provide personalized patient experiences. However, alongside its

March 18, 2025
Highmark Health Faces 90% Drop in Net Income Amid Rising Costs
Business Highmark Health Faces 90% Drop in Net Income Amid Rising Costs

In 2024, Highmark Health's insurance division grappled with severe financial challenges that deeply affected the organization's fiscal performance. The nonprofit Blue Cross Blue Shield licensee saw a staggering 90.6% plunge in net income, falling to just $50 million, despite posting nearly a 9% increase in revenue, reaching $29.4

March 14, 2025
Is South Korea's Medical School Quota Reversal a Sustainable Solution?
Public Policy Is South Korea's Medical School Quota Reversal a Sustainable Solution?

Amid an alarming crisis in South Korea’s medical education system, the government’s decision to revert the medical school admission quota to 3,058 students for the upcoming academic year has significantly intensified the debacle. This move comes in response to fervent resistance from the medical community following an earlier, controversial inc

March 13, 2025
Is the Proposed National Health Insurance Scheme Sustainable for South Africa?
Public Policy Is the Proposed National Health Insurance Scheme Sustainable for South Africa?

In the ongoing debate over South Africa's healthcare system, the proposed National Health Insurance (NHI) scheme has become a lightning rod for controversy. As part of the government's attempt to improve access to healthcare, the NHI regulations have faced significant criticism from politicians, organizations, and the public. A key point

March 12, 2025
Will Johnson's Funding Patch Secure Essential Healthcare Programs?
Public Policy Will Johnson's Funding Patch Secure Essential Healthcare Programs?

The recent proposal by House Speaker Mike Johnson and Senate Majority Leader John Thune has sparked significant discussion, as the proposed legislation seeks to address pressing healthcare funding issues while aiming to stave off an imminent government shutdown. Known formally as Johnson’s continuing resolution (C.R.), this funding patch is d

March 12, 2025
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