Authors


Karen Appold

Latest:

Top Healthcare Changes Associated with Urban Growth

U.S. cities are home to 62.7% of the American population, according to the U.S. Census Bureau. This number is expected to grow to 87.4% by 2050. Here's how healthcare can keep up.


Bethany J. Hills

Latest:

Post-implementation ICD-10 challenges

Beyond the obvious training and work flow challenges associated with the ICD-10 transition, a whole host of challenges will arise as ICD-10 becomes the new reality.


Evan Ross

Latest:

HHS partners with CVS Health to promote Healthfinder.gov

CVS Health is integrating HHS' Healthfinder.gov app into its web space under the name myHealthFinder.


George B. Breen

Latest:

Post-implementation ICD-10 challenges

Beyond the obvious training and work flow challenges associated with the ICD-10 transition, a whole host of challenges will arise as ICD-10 becomes the new reality.


George Breen

Latest:

SCOTUS Ruling on False Claims Act has big implications

The industry is awaiting the Supreme Court’s ruling on Universal Health Services v. Escobar. This case concerns the viability of the “implied certification” theory of legal falsity under the False Claims Act.


Tim McCormack

Latest:

The risks and rewards of medical loss ratio come to managed care

Executives of Medicare managed plans can benefit from knowing the challenges of the Medical Loss Ratio, a key cost control tool that went into effect last year.


Jessica T. Moore

Latest:

The risks and rewards of medical loss ratio come to managed care

Executives of Medicare managed plans can benefit from knowing the challenges of the Medical Loss Ratio, a key cost control tool that went into effect last year.



Mark Boxer

Latest:

Three Emerging Leader Qualities That Guarantee Success

There is no one way a leader may develop, but there are three qualities that effective leaders possess.


Mary A. Inman

Latest:

The risks and rewards of medical loss ratio come to managed care

Executives of Medicare managed plans can benefit from knowing the challenges of the Medical Loss Ratio, a key cost control tool that went into effect last year.


Marc O'Connor

Latest:

Opinion: Top 2 takeaways from UBS Global Healthcare Conference

The conference raised important points about unregulated growth opportunities and new pharmacy arena players.


Stuart M. Gerson

Latest:

The countdown to King v. Burwell

Any day now, the Supreme Court will decide the highly anticipated King v. Burwell, which will determine the viability of a central mechanism of the Affordable Care Act.


Patrick Dunham

Latest:

Top ways to tap value from specialty drugs for chronic care

The next stage of chronic care management and value-based insurance design for the continuing onslaught of high-priced specialty drugs, including PCSK9 inhibitors.


Aubrey Westgate

Latest:

Hospital Health IT Budgets, Staff Changes: What Execs Should Know

A recent survey reveals how hospital technology budgets are changing. Find out if your organization is making similar changes.


Maya Altman

Latest:

Stabilize dual eligible pay

An ongoing challenge particular to plans serving duals is a gap between the plans’ reimbursement rates and the health status of the populations they serve.


Adam Medlin

Latest:

Four trends changing the health insurance market

Several changes, from new payment models to the "Cadillac Tax," are impacting the health insurance market.


Sean Allen

Latest:

Four reasons MCOs should outsource administrative tasks

By working with service providers that are employing robotics and advanced analytics, organizations can leverage automation and innovation to address key challenges.


Sukumar Nagendran, MD

Latest:

How health policies are impacting diabetes diagnoses

In this blog, the vice president of medical affairs for Quest Diagnostics discusses how Medicaid expansion has impacted diabetes diagnoses.


Scott Edelstein

Latest:

CMS okays new payments for chronic care management

The Centers for Medicare and Medicaid Services recently instituted a billing code that finally reimburses providers separately for non-face-to-face services.


Larry Ngyuen

Latest:

Five ways hospitals can cut equipment maintenance costs

Streamlining equipment maintenance and repair processes presents an enormous opportunity for healthcare facilities to reduce expenses associated with outside technicians.


Hossein Fakhrai-Rad, PhD

Latest:

How precision medicine improves chronic disease management

If we can accurately understand each patient’s risk for disease, we can create more nuanced preventive care plans and better invest our resources.


Ryan McCostlin

Latest:

Five ways hospitals are helping patients find health coverage

To survive, hospital executives must find new and creative ways to help uninsured and low-income patients secure health insurance.


Mark Byers

Latest:

Four ways managed care executives can advance interoperability

Managed healthcare executives can set the table for future economic expansion of interoperability capabilities by following a few simple, straightforward tips.


Aine Cryts

Latest:

How to Ramp Up Physician Engagement at Your Health System

Successful health systems share their tips.


David Calabrese, RPh, MHP

Latest:

Opinion: The Future of Pharmacy Care Services, Post-Pandemic

Senior Vice President and Chief Pharmacy Officer for Optum Rx and member of the Managed Healthcare Executive® Editorial Advisory Board, David Calabrese, provides his commentary on the future of pharmacy care services after the coronavirus pandemic.


David E. Kopans

Latest:

CMS okays new payments for chronic care management

The Centers for Medicare and Medicaid Services recently instituted a billing code that finally reimburses providers separately for non-face-to-face services.


Charles Settles

Latest:

Four ways to engage physicians in health IT initiatives

Creating buy-in among hospital physicians when embarking on a new technology initiative can be difficult. Here are some tips.


John Smithwick

Latest:

Five ways your physicians should use mobile devices

Mobile devices are becoming a very real part of the healthcare journey. Are your physicians making the most of their capabilities?


Michael O'Toole

Latest:

Overcoming a key barrier to highly satisfied patients

Here are four ways to help your organization overcome key hurdles to effective patient communication.


Rick Krieger

Latest:

How retail medicine lost its way

If most patients are not going to exceed their deductible in a given year, they are now “consumers” and are looking for differentiators that offer fixed fee care.

© 2024 MJH Life Sciences

All rights reserved.