Authors


T.J. Gan, MD

Latest:

Opinion: Hospital formularies can play key role in reducing opioid epidemic

Adding non-opioid postsurgical options to hospital formularies should be a top consideration.


Rena Bielinski, PharmD

Latest:

How data analytics combats the opioid epidemic

Deaths due to opioid abuse have risen sharply-and show no signs of leveling off. Here’s how data analytics can prevent abuse and diversion.


Pranjali Joshi

Latest:

Nine things healthcare executives should know about MACRA

Although CMS released the final rule for MACRA in October, there is still quite a bit of confusion.


James R. Smith, FACHE

Latest:

Top managed care trends to watch in 2017

Here’s what managed healthcare executives should keep an eye on moving into the new year.


Philip Finocchiaro, MD, FACP

Latest:

Five ways to close gaps in care and build a successful quality improvement program

By deploying a proactive, year-round strategy that aligns data analytics with a focused approach for addressing gaps in care, your organization can turn routine quality measurement and reporting activities into a true strategic advantage by ensuring that quality measurably improves across key metrics.


David DiLoreto, MD

Latest:

Top managed care trends to watch in 2017

Here’s what managed healthcare executives should keep an eye on moving into the new year.


William Ringwood

Latest:

Top managed care trends to watch in 2017

Here’s what managed healthcare executives should keep an eye on moving into the new year.


Steve Tolle

Latest:

5 lessons from the medical imaging industry

Because the imaging industry has been under a microscope for years, it's had to do more with less. There are many ways in which imaging can serve as a blueprint for other stakeholders as healthcare moves toward value-based care delivery models.


Jackie Selby

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.


Cassie M. Chew

Latest:

ONC finalizes roadmap for interoperability

A nationwide interoperability roadmap released by the U.S. Department of Health and Human Services in January outlines a set of critical actions healthcare players need to take between now and 2024 to get to a fax machine-free future.


Carlos Hernandez

Latest:

The convergence of healthcare banking and technology

Consumer-driven healthcare has transformed from media buzzword to meaningful action, but it’s the economics behind the healthcare universe that have finally turned the consumer-driven concept into a reality for benefits administrators, employers and consumers alike.


Don Hall, MPH

Latest:

Diabetes: The Quiet Epidemic That Is Not Going Away

Americans have been diagnosed with diabetes, mostly with the type 2 variety linked with being overweight or obese.


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.

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