Authors


Ryann Hill, MPH

Latest:

What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care

This webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.


Jessica Scruton, BSN, RN, CCM

Latest:

Reducing Clinician Burnout with Better Care Management Tools

For 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.


Charles A. DeMonaco

Latest:

DOJ Issues Important Updates to Evaluation of Corporate Compliance Guidance

A strong, up-to-date compliance program should be part of a healthcare company's risk management strategy.



Gary M. Rothenberg, D.P.M.

Latest:

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.


Rosemary Kennedy

Latest:

Personal Emergency Response Systems Are More Than Just About Fall Detection

Amid a growing population of older people, many with chronic diseases, personal emergency response systems can be a way to reduce preventable hospitalizations.


Patrick Cooney

Latest:

What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care

This webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.


Chris Paddison

Latest:

Why Now is the Right Time to Double Down on Digital Workforce Management

By 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.


John Parkinson

Latest:

FDA Approves GSK's BLA for 5-in-1 Meningococcal Vaccine

The vaccine combines the antigenic components of its two meningococcal vaccines: Bexsero and Menveo. The action date is Feb. 14, 2025.


Lynn Carroll

Latest:

For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial Help

CMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.


Brian Norris

Latest:

For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial Help

CMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.


Rhett Johnson

Latest:

Inflation Reduction Act: Reforms to Patient Cost-Sharing

Lower out-of-pocket costs for patients might put upward pressure on drug prices, as manufacturers face less price sensitivity, note Matthew Majewski and Rhett Johnson of Charles River Associates. But they also note that upward pressure on price is likely to be limited to the inflation rate as any additional price increase would need to be paid back to CMS in the form of inflation rebates.


Pete Haytaian

Latest:

3 Approaches to Creating a Connected Care Future

By integrating capabilities and services, we can create health experiences that are much more than the sum of their parts


Fred Horton, M.H.A.

Latest:

Building a Culture of Resiliency

Emphasizing best practices and a healthy culture rather than focusing narrowly on compensation will help medical groups thrive.



Ellie Stang, MD

Latest:

The Reaching Impact of Health Disparities: Why Closing the Gap Begins Before Birth

Managed care organizations must ensure that all of their members—including their youngest—receive the most equitable start in life. Here’s how to get started.


Jiani Zhang

Latest:

The Convergence of High Tech and Healthcare

The growth of digital twin technology — paired with the transition towards personalized medicine — has left many healthcare industry professionals evaluating the potential of a “patient twin.”


Phil Mason

Latest:

How the Pandemic Has Shifted the Benefits Conversation

The benefits space is changing and there is currently a shift to “enviable benefits” - ones that go beyond traditional health and retirement coverage. Many companies, especially those still doing well during the economic downturn, have ramped up benefits communication about existing support programs such as telemedicine, financial well-being and childcare.


Robert Krayn

Latest:

What’s Needed to Navigate America’s Mental Health Care Crisis

Demand for mental health care is booming. With a shortage of psychiatrists, author of this opinion piece, Robert Krayn, asks how can we ensure providers are empowered to deliver the best care possible for their patients?


Ben Scully

Latest:

3 Ways to Embrace the Digital Age in Healthcare

There are many misconceptions about healthcare technology, but you can improve your organization’s approach to IT by clearing them up and following these three steps.


Sheila Talton

Latest:

Advanced Analytics: an Essential Tool for Value-Based Care Success

Data analytics allows providers to gain insights from performance management measures and metrics that hold the clues to financial viability under risk-based and pay-for-performance contracts. By embracing advanced analytics, hospitals and health systems can accelerate their path to value.


Larry Hanover

Latest:

Artificial Intelligence Saves Payers Time and Money

Artificial intelligence can help deal with everyday problems such as prior authorization and high utilization. But payers are also eyeing it for loftier purposes.



Dan Leonard

Latest:

While We Await Vaccine Progress, We Can Trust in Generic Drugs

Generic drugs account for 90% of the prescriptions filled in the United States. They are the backbone of healthcare providers’ treatment protocol and they are remarkably cost effective: despite being 90% of the prescriptions filled, generics account for only 20% of drug spending.


Diana Do, MD

Latest:

Future of Wet AMD Treatment

Diana Do, MD, and Steven Peskin, MD, MBA, FACP, discuss unmet needs and future approaches to treatment in wet AMD.


Michael Adelberg

Latest:

Considering the Ideal Role for Non-Emergency Medical Transportation in Addressing SDoH in Medicaid and Medicare Populations

Medicare and Medicaid programs that serve the most-vulnerable Americans facing SDOH barriers can be major facilitators of appropriate non-emergency transportation to non-medical sites. But how do we determine what is appropriate, and what do we know about transportation services to non-medical sites today?


Katherine Capps

Latest:

5 Tips for Employers on Reforming and Optimizing Medication Use

Lives can be saved, physician burnout and waste can be reduced, and drug costs can decrease by achieving medication optimization through comprehensive medication management.


Daniel Vorobiof

Latest:

Overcoming Cancer’s Financial Toxicity with Real-World Data

Financial Toxicity is a growing concern for many cancer patients and caregivers, and with the continued rise in treatment costs, it can no longer be ignored.



Tanya Sanderson

Latest:

How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

In an early 2023 brief published by KFF, CMS transparency data for 2021 revealed an average denial rate of 17% for all in-network claims, with authorization denials reported as high as 24% of denial volume for some plans and medical necessity denial rates as high as 37% for others.

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