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7 Actions Every Health System CFO Needs to ConsiderHealth systems are struggling as a result of the reduced activity of elective procedures, the loss of health coverage for many employees, and the resultant drop in billings. According to this article, there are seven approaches recommended for immediate consideration to increase revenues and stanch losses.
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3 Cost of Care Strategies for Health Plans to Mitigate Revenue Losses From Medicaid RedeterminationHealth plan leaders should act quickly to implement cost of care strategies to help offset future Medicaid-related revenue losses. Steps they can take include careful reviews of pricing and of medical management to make sure that the services are medically appropriate and necessary.
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Pharma: Striding Towards the Digital-only Reality with AIAs industries across the board move towards a digital-only world, pharma companies must account for the different technologies that are transforming the R&D process.
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Telehealth – A Missed Opportunity?The doctor’s office waiting room is an age-old concept. We have waiting rooms because patients need to arrive early to ensure that the clinic runs on time and at near-full capacity. But clinics rarely run to schedule, so we end up wasting lots of time queuing to see a scarce, expert resource - the doctor.
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A Health Plan’s “No Regret” Strategy to Open EnrollmentThis year, health plans need to focus on the following smart, “no regret” investments in the enrollment process that have low risk, high reward, and ultimately deliver an exceptional member experience while simultaneously reducing costs and improving data quality.
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New Joint Commission Requirements Likely to Boost Maternal Patient SafetyThe outlook for decreasing the maternal mortality rate in the country has recently improved as a result of a recent initiative by the Joint Commission, which has developed 13 new elements of performance (EOPs) to help evaluate hospitals.
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Pegozafermin for Nonalcoholic SteatohepatitisThe drug has been engineered using a proprietary glycopegylated technology that is designed to increase its overall half-life.
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Spinal Muscular Atrophy Drug Risdiplam Proves Success in InfantsPatients treated with risdiplam at 12 months demonstrated significant improvement in survival and developmental milestones, with 19 of 21 (90%) infants able to survive without permanent ventilation and 7 (41%) infants able to sit without support for at least 5 seconds.
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Designing a Better Peer-Support Experience for Patients, Caregivers, and SurvivorsThe process of building digital peer support experiences requires taking in feedback from users and their caregivers to address risk concerns, add new features and continuously improve the user experience.
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Addressing the Mental Health Needs of Seniors with a Value-Based Care Team ApproachCaring for seniors means attending to both their physical and emotional health. Unfortunately, the mental health of older patients is rarely evaluated and treated. Multiple barriers to care exist, including availability and access to mental health practitioners, as well as the stigma associated with psychological conditions that may prevent patients from seeking help.
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Questions Linger Around COVID-19’s OriginWe may never know where the virus came from, but the development and rollout of the COVID-19 vaccines has been the medical miracle of our lifetime.
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Inflation Reduction Act and the Impact on Pharmaceutical Pricing and Investment DecisionsThe reference to “maximum fair price” in the act bodes poorly for manufacturers and suggests more of a take-it-or-leave-it situation rather than a negotiation where clinical evidence would be the prevailing factor in determining price.
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Common Challenges in Health Systems of Great Britain and the United States Offer Valuable Learning OpportunitiesThe National Health Service provides some lessons — both good and bad — around models of coverage expansion.
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Medicaid Redetermination: 5 Reasons Why Texting is Essential for Reaching Members Before It’s Too LateThe average person checks their phone 58 times a day, so there is a good chance that a text message will be read.
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Using Predictive and Prescriptive Insights to Close Care GapsBy using a combination of predictive and prescriptive next best action insights, providers can close the gap in care for individual patients by leveraging a combination of data sources — clinical data, patient surveys, SDOH data, and consumer and behavioral data sets — and applying artificial intelligence techniques to create those insights.
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Paying it Forward: How Payers Can Accelerate the Transition to Value-based CareWith healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago.
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Improving Operations Through CFO and CIO CollaborationFinance departments have tended to view information system departments as budget breakers. But information system departments are contributors to other departments in an organization that drive profits.
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Fixing Prior Authorization: How to Improve Outcomes Using Episodic Care PathsAs the industry becomes oriented toward value-based care and its focus on high-value outcomes, utilization management must evolve to address the entire patient care journey, often across multiple episodes of care.
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Opportunity Uncovered: How COVID-19 Accelerated Healthcare TransformationBy embracing change, leveraging emerging trends and prioritizing patient-centered care, organizations and individuals can find opportunities for growth and innovation in the post-pandemic era.
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How Precision Medicine and Genetic Testing Will Drive Value-based CareThe shift to value-based care in the U.S. has been slow in coming, in large part because providers have continued to cling to the traditional “fee for service” healthcare model that historically has worked well for them.
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Reducing Clinician Burnout with Better Care Management ToolsFor many provider organizations, one way to address burnout begins with making clinicians’ lives easier by giving them the right technology to seamlessly access critical patient data at the point of care.
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DOJ Issues Important Updates to Evaluation of Corporate Compliance GuidanceA strong, up-to-date compliance program should be part of a healthcare company's risk management strategy.
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Can Medical Schools Help Improve Outcomes for Minorities Living with Diabetes?Professional development should take steps to incorporate outreach into medical school curriculums, say Rosemay Michel, D.P.M., and Gary M. Rothenberg, D.P.M. "Students must learn what motivates people to make healthy choices in their daily lives, including the influences of schools, faith-based groups, social media and extended family on personal decision-making," argue Michel and Rothenberg.
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Personal Emergency Response Systems Are More Than Just About Fall DetectionAmid a growing population of older people, many with chronic diseases, personal emergency response systems can be a way to reduce preventable hospitalizations.
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Why Now is the Right Time to Double Down on Digital Workforce ManagementBy doubling down on digital investments that transform the workplace, organizations improve their workforce management through the end of the crisis and build up their digital capabilities for a promising future.
