Fighting for Coverage
February 8, 2020
More consumers are purchasing short-term limited duration insurance plans—which will likely have long-lasting effects to consumers and the insurance market as a whole.
Kayt Sukel
ACA in Limbo After New Individual Mandate Ruling
December 20, 2019
A new ruling on the ACA adds more uncertainty about the law’s future.
Reimbursement Remains a Barrier to Digital Health Adoption
November 30, 2019
A recent study suggests healthcare organizations see reimbursement concerns—as well as differences in business culture – as roadblocks to embracing digital health partnerships.
Considering Social Determinants of Health in Reimbursement
November 26, 2019
Could per-person adjustments to Medicaid payments help better address social inequalities that affect overall health?
Continued Uncertainty Regarding Hospital Pricing Transparency
November 25, 2019
CMS has put forth pricing transparency provisions for both hospitals and insurers – but what will they really mean for healthcare?
Strategies to Help Reduce Hospital Readmissions for Cancer
November 7, 2019
As more healthcare organizations look to curb hospital readmission rates, they are taking a hard look at one of medicine’s most complex conditions—cancer.
Missed Savings from Mergers and Acquisitions
November 1, 2019
Healthcare is still undergoing a large number of M&As – but are they offering the kind of value originally sought? New research suggests not.
The Rise of Specialty Spend
October 26, 2019
How can payers appropriately plan and manage benefit coverage with so many expensive specialty drugs coming down the pipeline?
Preparing for Biosimilar Uptake
October 25, 2019
As more biosimilar drugs gain approval, managed care organizations need to consider how to best utilize them for optimal savings.
Embracing Value-Based Outcomes Management
October 25, 2019
As more of the healthcare industry moves to value-based contracts, it is imperative that managed care organizations can successfully measure outcomes.
