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ACA’s future hangs in the balanceMany aspects of the ACA have been assimilated into the healthcare system. Will a Trump administration undo them?
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Opinion: 3 steps health plans can take to end the HIV epidemicWe have a path to ending the HIV epidemic in the United States, but it requires health plans and healthcare purchasers to take a more active role in getting us there.
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Ten ways Medicare Advantage plans improve risk adjustment successMedicare plans must understand the impact of CMS rule change to be prepared for risk adjustment in 2017. Here are 10 tips to better manage the risk adjustment process.
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How Technology Can Help Track Opioid Prescriptions, Slow Opioid CrisisCongress recently began hearings on proposals to combat opioid abuse. Our policy analyst weighs in.
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Two ways to prevent treatment overutilizationExplore how using support tools can prevent treatment overutilization.
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New funding mechanisms offer opportunity to improve access to diabetes educationTelephonic and personalized diabetes self-education programs which fit into patient’s busy lives will make a greater impact than in-person classes only.
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How hospitals are doing with the CJR program: CMS releases key dataWhile the second feed may not change providers’ actions in terms of the strategy they’re implementing for the Comprehensive Care for Joint Replacement program, the findings should change their expectations.
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Opinion: Hospital formularies can play key role in reducing opioid epidemicAdding non-opioid postsurgical options to hospital formularies should be a top consideration.
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How data analytics combats the opioid epidemicDeaths due to opioid abuse have risen sharply-and show no signs of leveling off. Here’s how data analytics can prevent abuse and diversion.
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Nine things healthcare executives should know about MACRAAlthough CMS released the final rule for MACRA in October, there is still quite a bit of confusion.
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Top managed care trends to watch in 2017Here’s what managed healthcare executives should keep an eye on moving into the new year.
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Five ways to close gaps in care and build a successful quality improvement programBy 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.
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Top managed care trends to watch in 2017Here’s what managed healthcare executives should keep an eye on moving into the new year.
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Top managed care trends to watch in 2017Here’s what managed healthcare executives should keep an eye on moving into the new year.
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5 lessons from the medical imaging industryBecause 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.
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Post-implementation ICD-10 challengesBeyond 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.
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ONC finalizes roadmap for interoperabilityA 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.
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The convergence of healthcare banking and technologyConsumer-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.
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Diabetes: The Quiet Epidemic That Is Not Going AwayAmericans have been diagnosed with diabetes, mostly with the type 2 variety linked with being overweight or obese.
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Top Healthcare Changes Associated with Urban GrowthU.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.
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Post-implementation ICD-10 challengesBeyond 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.
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HHS partners with CVS Health to promote Healthfinder.govCVS Health is integrating HHS' Healthfinder.gov app into its web space under the name myHealthFinder.
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Post-implementation ICD-10 challengesBeyond 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.
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SCOTUS Ruling on False Claims Act has big implicationsThe 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.
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The risks and rewards of medical loss ratio come to managed careExecutives 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.
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The risks and rewards of medical loss ratio come to managed careExecutives 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.
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Three Emerging Leader Qualities That Guarantee SuccessThere is no one way a leader may develop, but there are three qualities that effective leaders possess.
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The risks and rewards of medical loss ratio come to managed careExecutives 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.
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Opinion: Top 2 takeaways from UBS Global Healthcare ConferenceThe conference raised important points about unregulated growth opportunities and new pharmacy arena players.
