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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.
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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.
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Who should own healthcare apps?There are more than 165,000 health- and wellness-related apps for iOS, but overall engagement remains low outside the top 10. To best benefit users, who should be responsible for health and wellness apps-employers, healthcare insurers or individual consumers? It depends.
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Three changes that could help exchange plans thriveMaking these three changes to health insurance exchange plan offerings could attract more consumers and increase the likelihood of success.
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Integrating IoT devices into healthcareIntegrating IoT devices within healthcare systems allows professionals and individuals to have access to new health-related data used for informed, personalized healthcare applications and situations.
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Opinion: Leading change through value-based careTandigm Health’s first-year results highlight meaningful outcomes.
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Nine best practices in healthcare IT project managementHealthcare organizations must have sound IT project management practices in place to sensibly manage both human and financial resources. Here are nine best practices to follow.
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How Technology Helps Healthcare Organizations be Successful in Value-Based CareMeasuring success in the value-based care era requires establishing a baseline and implementing new technology tools.
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Leveraging data integration to manage chronic conditionsIs digital health integration the missing link in understanding chronic diseases and what should physicians be asking to ensure the data they want to receive is captured effectively?
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Launching a provider-sponsored health plan: 5 things to knowAs health systems and physician groups marshal resources to launch their own plans, they must consider whether they have the necessary building blocks to successfully make the leap, how integrated a model they will pursue and whether they will build, buy or partner strategy.
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Launching a provider-sponsored health plan: 5 things to knowAs health systems and physician groups marshal resources to launch their own plans, they must consider whether they have the necessary building blocks to successfully make the leap, how integrated a model they will pursue and whether they will build, buy or partner strategy.
Latest:
Who should own healthcare apps?There are more than 165,000 health- and wellness-related apps for iOS, but overall engagement remains low outside the top 10. To best benefit users, who should be responsible for health and wellness apps-employers, healthcare insurers or individual consumers? It depends.
Latest:
Who should own healthcare apps?There are more than 165,000 health- and wellness-related apps for iOS, but overall engagement remains low outside the top 10. To best benefit users, who should be responsible for health and wellness apps-employers, healthcare insurers or individual consumers? It depends.
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High Hopes for Inclisiran. Will the Third Time be the Charm for PCSK9 Inhibition?The two PCSK9 inhibitors have fallen far short of expectations. Inclisiran, which works by RNA inference, only needs to be injected twice a year.
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Health execs, IT leaders, docs differ on telehealth driversDespite different drivers among healthcare leaders, telehealth is gaining momentum. Still, key barriers need to be addressed.
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Three Reasons AI is ‘Wildly Different’ than Other Healthcare TechnologiesArtificial intelligence is about to do what we hoped to see technology do in the last decade for the health industry: Empower organizations and clinicians to improve the health, outcomes, and experience of care for more people in less time and at lower cost.
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How to Engage Different Generations with Their Healthcare BenefitsFive generations make up the nation’s current workforce and differences exist in each one. Here’s a multi-faceted approach employers can take to engage a multi-generational workforce in their healthcare benefits.
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The Latest in the Hepatitis B Drug PipelineWhy cost and treatment length are some of the biggest concerns for drug manufacturers.
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What Healthcare Executives Can Do to Curtail Rising COPD CostsHealthcare organizations should focus on these things to improve health management of COPD patients and reduce costs.
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CMS quality payment program year 2 proposal: 8 things to knowCMS’ Quality Payment Program launched in 2016 as part of MACRA. Here’s what’s in store for Year 2.
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How Trump’s victory will change healthcare consolidationWill President-elect Donald Trump affect the outcome of the Anthem-Cigna and Aetna-Humana mergers?
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Top 3 roadblocks to medication adherence and how to avoid themHere are the top three reasons for medication adherence failure and how to overcome them.
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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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How providers, payers, employers should be fighting obesityBy addressing the root problem of obesity with structured programs, providers can help patients lose weight and very possibly avoid expensive chronic illnesses as a result. Employers and payers should incentivize healthy weight by paying for obesity care and treatment, potentially reaping substantial savings in the long term.
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Top 3 healthcare policy changes Trump’s victory could bringFollowing the GOP’s success on Election Day, the nation is quickly tuning in to what this all means for healthcare coverage.
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Three concepts to consider for bundled payment successThe path to bundled payment success can be daunting. Here’s three universal concepts that will promote success under the various CMS models.
