Authors
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Value-Based Decision-Making in Metastatic Breast CancerIn this Managed Healthcare Executive® KCast, Ian Krop, M.D., Ph.D., oncologist and associate professor of medicine at Dana-Farber Cancer Institute in Boston, and Debra Patt, M.D., Ph.D., MBA, executive vice president at Texas Oncology in Austin, provide key insights into the value-based care model for patients with HER2-positive metastatic breast cancer (mBC). This article summarizes the highlights of the discussion.
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Telemedicine and Reimbursements: Preparing for Virtual Care in a Post-Pandemic WorldCentralized technology that connects payers, providers and patients are needed to optimize telemedicine reimbursement, argues J.P. Morgan's Kerry Jessani.
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Economic Benefits of Aligning Employee Health Insurance Contributions to Controllable Lifestyle BehaviorsBecause lifestyle behaviors are both a choice the employee makes, as well as a clear determinant of total health insurance rates, it follows that the employee’s share of contribution should adjust either upwards or downwards based on their lifestyle behaviors.
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Out of Service: How a Missed Ride Can Impact Health OutcomesUsing predictive analytics to address social determinants of Health and transportation barriers.
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How Technology Can Revolutionize Outcomes-Based CareHospital room TVs have become interactive portals to a better patient experience.
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How One Health System Uses AI-based Technologies to Identify Patients’ Social Determinants of HealthNorth Shore – Edward-Elmhurst Health used natural language processing to make information about social determinants of health in the electronic health records of patients more actionable.
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Five Tips to Help Block Blue Light in an Increasingly Remote WorldThe use of digital devices has surged significantly as people spend more time at home, with Americans logging an average of 13 hours per day watching screens. That compares to between seven and 10 hours per day before the COVID-19 pandemic started, with the increase in screen time likely contributing to more exposure to blue light.
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Embracing an Agile Network: 5 Tips to Build Provider Networks with Speed, Data Quality and ComplianceProvider information such as provider specialty, languages spoken, or an organization's ability to see new patients directly affects consumer access to quality care. When these or other types of information are incorrect, there are cascading effects that can impact the patient and other entities, responsible for managing and regulating benefits across the insurance products they offer.
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How Health Agencies Can Navigate the Newly Proposed ACA Marketplace RulesThe Centers for Medicare and Medicaid Services and the Treasury Department recently proposed a new rule intending to expand access to health coverage for individuals currently in or interested in entering the Marketplace.
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Study Reveals Unique HIV Disparities in Patients with Intellectual and Developmental DisabilitiesDifferent levels of risk for HIV exist in the different subtypes of intellectual and developmental disabilities.
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As Home-Based Supplemental Benefits Explode, Health Plans Embrace Digital Tools to Improve Access to ServicesPayers face the logistical challenge of coordinating a network of new, non-medical services to ensure members are referred to the right provider at the right time.
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The Time Is Right to Revisit Value-Based CareAlthough alternative payment models have been around for a while, they have never been more necessary.
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Replenishing a Depleted Workforce: How to Support Healthcare Workers Through COVID-19With the COVID-19 pandemic ongoing and alarming levels of healthcare workers still experiencing stress, burnout, and other negative feelings surrounding their work, it's time to return the favors they've given countless others.
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The Importance of Nurse Manager Succession PlanningTwenty percent of nurse managers are considering leaving the profession, and amid unprecedented burnout and turnover among nurses at all levels, there’s increased urgency for healthcare organizations to develop a formal nurse manager succession plan
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Disengaged and Disconnected: Why Most Remote Monitoring Programs UnderperformMany healthcare organizations are learning that creating an effective, scalable remote monitoring program is not easy. Most engage only about half of eligible patients. When patients do engage, providers struggle to keep them connected, find actionable insights in the data, and achieve optimal reimbursement.
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How Today’s Hospitals Need to Financially Prepare for a New Normal as a Result of COVID-19Providers are under immense financial pressure because of COVID-19. More than ever, health systems, hospitals and physician practices are assuming the role of a bank, financing the cost of healthcare.
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The Opportunity in CMS’s Price Transparency RuleThe opportunity for health insurers is to implement a well-designed cost estimator tool that goes beyond compliance to the new CMS rule and meets member and health insurer market trends by integrating more quality and cost metrics with an easy-to-use member interface.
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Remote Monitoring is Working in the Fight Against COVID-19Specifically, continuous glucose monitoring has shown incredible promise in the fight against COVID-19 at Rush University Medical Center. At Rush, 34 patients who used glucose telemetry resulted in saving nearly 1,400 sets of personal protective equipment and about 43 nursing workdays by reducing the need for nursing staff to enter patient rooms for fingerstick glucose testing.
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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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Improving Outcomes for Alzheimer’s Disease Patients by Supporting Their Caregivers Via TelehealthThe number of aging Americans 65 years and older is projected to nearly double over the next 40 years, reaching 80 million in 2040. As the U.S. population ages, so too does the prevalence of medically complex patients with conditions that require ongoing medical attention, limit activities of daily living or both.
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Lab Testing Volume, Spend to RiseThe rise in the volume, variety and complexity of tests holds great promise for improving healthcare for patients, but also poses challenges for providers and health plans
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Top Three Reasons Why AI is Critical for Value-Based CareDriving healthcare innovation for payers, providers and patients
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The Future of Wellness: Digital Health and the Human ElementThe three guiding principles of digital tool design are plan around user experience; aim high with creative, strategic thinking; and ensure that digital transformation is supported with top-down commitment.
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Meeting the Goal of Remote Patient Monitoring: Leveraging Data to Improve Clinical Workflows and Patient OutcomesA recent study found 70% of patients believe remote patient monitoring enables better care management.
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Unexpected Consequences of the Cures Act for Health Plans — and How to PrepareNew interoperability rules will soon empower individuals to access healthcare data from their smartphone.
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Quality Lab Data: Why It Matters So MuchDuplication and other errors can turn population health into a guessing game and waste time and money.
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Improving Outcomes for Alzheimer’s Disease Patients by Supporting Their Caregivers Via TelehealthThe number of aging Americans 65 years and older is projected to nearly double over the next 40 years, reaching 80 million in 2040. As the U.S. population ages, so too does the prevalence of medically complex patients with conditions that require ongoing medical attention, limit activities of daily living or both.
Latest:
Economic Benefits of Aligning Employee Health Insurance Contributions to Controllable Lifestyle BehaviorsBecause lifestyle behaviors are both a choice the employee makes, as well as a clear determinant of total health insurance rates, it follows that the employee’s share of contribution should adjust either upwards or downwards based on their lifestyle behaviors.
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Maximizing Outcomes for Patients, Payers and Providers with Data Accuracy and EfficiencyEmphasizing data efficiencies and quality will benefit payers and providers — and patients.
