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Opinion: Trump’s executive order will have limited impact on insurance marketWhile many analyses of Section 1a of the executive order cite doom and gloom for health plans, four tenuous contingencies all must take place in order for this to occur.
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Five questions for payers to ask when deciding coverage of genomic testsGenetics and genomics are starting to have an impact on cardiovascular care. Here’s what payers should consider when deciding whether to cover a gene expression test.
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Top five strategies for managing post-acute carePlans must be able to deploy these five tactics, whether using internal resources or collaborating with a vendor.
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Managing through turbulence in healthcare: Tips for health execsThere are tried and true methods to manage through turbulent times, both at the business and personal level. We can apply these methods as healthcare leaders.
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Healthcare leaders must step up to fix the opioid epidemicHealthcare executives have a unique leadership role to play in addressing the opioid crisis. Here’s what you need to do now.
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Revenue Cycle’s New Priority: Helping Consumers Understand Their CoverageMany people don't understand their insurance benefits. Hospitals and other providers should proactively explain coverage and out-of-pocket expenses.
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Trends Relevant in Healthcare Before COVID-19 Will Remain So AfterThe coronavirus pandemic has been a seismic disturbance however in a post-COVID-19 environment transformational healthcare trends will be back with a vengeance.
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Opioid crisis legal ramifications: How to protect your healthcare organizationOverprescribing by just one practitioner can lead to an untoward outcome that may readily affect the entire healthcare facility.
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Some Consumers Over 65 Aren't Ready for Pickleball or MedicareTagged with the moniker "late retirees," this group of Medicare first-timers isn’t ready to call it quits. How can you help them? Find out below:
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Five key elements of successful local initiatives to combat the opioid crisisSuccessful community initiatives are creating systems of care that bridge multiple programs to provide coordinated services to individuals with substance use disorders. Here are five.
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Five key elements of successful local initiatives to combat the opioid crisisSuccessful community initiatives are creating systems of care that bridge multiple programs to provide coordinated services to individuals with substance use disorders. Here are five.
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Four reasons blockchain technology is not being adoptedThe adoption of blockchain in healthcare billings and payments can bring a number of benefits to both payers and providers.
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Four risks healthcare executives should monitor in 2018With the right preventions in place, hospitals and healthcare executives will be well positioned to respond to these four risks in 2018.
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Two ways to improve health by addressing whole person careBy recognizing and address the needs of the “whole person,” we have an opportunity to improve the health of people across the U.S. Here are two ways to do that.
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Two Lawsuits Allege Iowa Medicaid Failed to Provide Adequate Mental Health CareIowa's Department of Health and Human Services, which manages the two health insurers that delivered care to adults and children in the state’s Medicaid program last year, was alleged to provide inadequate mental and behavioral health care to children on Medicaid.
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Improve health plan member experiences: 3 tech tipsCreating a comprehensive customer experience doesn’t happen overnight, but the key to achieving it comes from taking a “bone deep” approach.
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Substantial Lymphoma Treatment Progress: What Health Execs Should KnowGwen Nichols, MD, chief medical officer of the Leukemia & Lymphoma Society, offers a quick overview of current developments as well as a look forward.
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The best-kept, value-based secret is in your hospital suppliesHow one $1.62 billion healthcare network uses global sourcing to simultaneously improve quality and wring costs out of its purchasing program and supply chain.
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Opinion: Providers must lead the price transparency pushWhile insurance companies and employers are deploying more pricing tools, healthcare providers are in a unique position to lead the price transparency revolution.
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How Hypertargeting Patient Communication Lowers Drug CostsWhy lowering drug costs can start with machine learning and better patient interaction.
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Five pharmacy regulations health execs must keep on their radars in 2017Here are five critical regulations that executives can begin to prepare for today.
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Five ways effective teams transform healthcareEffective teams transform patient and caregiver experience by building trust and meeting goals. Here are five ways how.
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Opinion: Captive insurance models foster high-value careCaptives can serve as focal points for the captive owners’ collective efforts to promote safer healthcare environments and improved patient outcomes.
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Interoperability remains huge hindrance to improved care qualityHigh customer satisfaction has been linked with stronger loyalty, sales, and profits. So why hasn’t the healthcare industry caught on?
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Regulators react to debate over narrow networksNew regulations will check the drive to narrow networks, just as the business case for forming them grows more compelling.
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What Does Simple and Affordable Healthcare Look Like?Patient experience should take a front seat at healthcare organizations, but what does that entail?
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Technology innovation drives better outcomes in pediatricsA look at some of the technology advances at one hospital, and across the country, that are changing the way pediatric cancer patients are treated.
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How social factors are driving precision medicinePrecision medicine isn’t just about genomics anymore. With the field moving forward as the next step in population health management, environmental, social and lifestyle factors that live outside the medical system are increasingly important to target treatments and engage patients. That means health plans also need innovative technology solutions to capture, store and integrate this crucial information.
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Opinion: 4 ways to improve ACA risk-adjustment modelThe ACA risk-adjustment model applies to plans sold in the individual and small group commercial market, including plans sold through exchange marketplaces. Here are four main limitations.
