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The Future of Employer Sponsored Healthcare Plans Is Cost ManagementAdding tax-preferred savings, perhaps with an employer match, can prompt employees to accumulate assets so they are prepared to shoulder out-of-pocket costs. Using reference-based pricing can establish benchmark fees and put a ceiling on payments across a network.
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How Health Insurers Can Ease the Mental and Emotional Toll of Caregiving for MembersInsurers can assist with navigating the complexities of the healthcare system so caregivers can focus on what matters most — spending quality time with a loved one.
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How Health Insurers Can Create Remarkable Experiences in a Rapidly Changing IndustryThe health industry is changing rapidly, and organizations that don’t adapt are going the way of the Model T. By offering new solutions and capabilities, successful organizations are supporting their customers with whole-person, full-journey care.
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IMPACT’s Pillars to Ensure Your Virtual-First Care Solution Meets Industry StandardsThe potential benefits of a remodeled delivery system based on virtual first care (V1C) are tremendous. Without consistent evaluation criteria to guide builders and buyers towards high-quality V1C, the trust of this movement is at stake.
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How to Put Some Science Behind the Art of Physician ReferralsMedicine is both an art and a science. Some physicians would contend that science—specifically data science—has overtaken medicine and limited their ability to make decisions based on informed intuition and personal experience.
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Encouraging Evidence-Based Healthcare with Pre-Payment IntegrityIncreasing the practice of evidence-based care is vital to improving the quality and efficiency of care in the U.S. To push more providers to adopt evidence-based medicine, we must reward high-quality patient outcomes - not high volumes.
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The Transformational Tale of the P-51 Mustang and What it Means for HealthcareThe development of the World War II fighter plane has lessons for how to manage innovation in healthcare.
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Managed Care Challenges and Solutions for PDT Coverage, and Evaluating Patient Outcomes and SatisfactionDr. Podesta discuss the managed care coverage challenges related to PDTs and explore strategies for improving patient access, while also addressing methods for evaluating patient outcomes and satisfaction with PDTs.
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Study: Reducing Diabetes Drug Costs Improves Health OutcomesA study from Harvard Pilgrim Health Care Institute also found that patients with diabetes who were enrolled in a value-based medication benefit increased their use of antidiabetic medications.
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Three Ways to Alleviate Hospital Staffing Challenges through TechnologyTechnology can help cut back on unnecessary administrative tasks, improve task efficiency and better preserve staff resources.
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Maximizing Impact Through Strategic Research Investments That Address Unmet NeedsPatient organizations should focus on how they can be the most effective by leveraging their strengths to uncover new research opportunities.
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Best Practices for Communicating OBGYN Services During COVID-19At a time like this, it is important for providers and health systems to establish an OBGYN communication strategy to ensure existing and prospective patients are aware of the precautions their obstetricians are taking to safely deliver babies and conduct routine appointments for those who are, or plan to become, pregnant.
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Key Unmet Needs in IPF and PPFAnna Podolanczuk, M.D., M.S., discusses the key unmet needs in diagnosing idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF), and how artificial intelligence (AI) could play a transformative role in enabling earlier detection of these diseases in the future.
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How Healthcare Fared in the First 100 Days of the Second Trump Administration | Asembia's AXS25 SummitHealthcare hasn't been a priority of the second Trump administration so far, panelists at the Asembia agreed. Medicaid may loom large, though, as the administration and congressional Republicans look for ways to slash government spending as a way of offsetting major tax cuts.
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Chances of Developing Gout Are Higher for Patients With IBDStudy links inflammatory bowel disease diagnosis to increased gout risk, with Crohns disease and ulcerative colitis linked to 68% and 38% increases in likelihood of developing gout, respectively, relative to counterparts without IBD.
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Relaxation of Telemedicine Rules Post-COVID-19 Opens Door to FraudFor opportunistic fraudsters and medical predators, the relaxation, suspension or outright elimination of restrictions on the use of telehealth technology presents a plethora of opportunities previously unseen.
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How Much Will Telehealth Go “Back to the Future” Following the Pandemic?Prior to the COVID-19 pandemic, telehealth was more of a stretch goal than a reality for most providers despite the seeming prevalence of video conferencing.
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Unlocking Efficiency: How A Lab Gold Card Program Can Transform Prior AuthorizationGold carding eliminates prior authorization for top-performing labs and eases plan workflows while controlling spending and preventing abuse.
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Medicaid Redetermination Post-PHE: Navigating the UncertaintyIn this opinion piece, Karen shares some of the critical issues related to re-enrolling members subject to Medicaid redetermination and covers some of the most important critical success factors for organizations seeking to optimize their response.
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Why COVID-19 Has Put Records Management in the Spotlight for Healthcare InsurersAlthough the importance of comprehensive records management programs is not a new phenomenon, over the last few months events surrounding COVID-19 have brought records management into increased focus.
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OSHA's COVID-19 Emergency Temporary Standard: What Healthcare Employers Need to KnowOSHA issued new "emergency temporary standards" for healthcare employers that create new rules for personal protective equipment (PPE), isolation in case of contact and other measures designed to protect workers and patients from COVID-19.
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This New Molecule Could Be Key to Treating Inflammatory Bowel Disease and Atopic DermatitisThe molecule, DPT0218, was detected during preclinical animal trials.
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Unlocking Efficiency: How A Lab Gold Card Program Can Transform Prior AuthorizationGold carding eliminates prior authorization for top-performing labs and eases plan workflows while controlling spending and preventing abuse.
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Time to Bring Clinical Light to Shadowed Women’s Health IssuesThe scientific community has the urgent opportunity to produce more research on the proven health benefits of testosterone and other hormones for women.
