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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.
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The countdown to King v. BurwellAny 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.
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Top ways to tap value from specialty drugs for chronic careThe next stage of chronic care management and value-based insurance design for the continuing onslaught of high-priced specialty drugs, including PCSK9 inhibitors.
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Hospital Health IT Budgets, Staff Changes: What Execs Should KnowA recent survey reveals how hospital technology budgets are changing. Find out if your organization is making similar changes.
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Stabilize dual eligible payAn ongoing challenge particular to plans serving duals is a gap between the plans’ reimbursement rates and the health status of the populations they serve.
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Four trends changing the health insurance marketSeveral changes, from new payment models to the "Cadillac Tax," are impacting the health insurance market.
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Four reasons MCOs should outsource administrative tasksBy working with service providers that are employing robotics and advanced analytics, organizations can leverage automation and innovation to address key challenges.
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How health policies are impacting diabetes diagnosesIn this blog, the vice president of medical affairs for Quest Diagnostics discusses how Medicaid expansion has impacted diabetes diagnoses.
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CMS okays new payments for chronic care managementThe Centers for Medicare and Medicaid Services recently instituted a billing code that finally reimburses providers separately for non-face-to-face services.
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Five ways hospitals can cut equipment maintenance costsStreamlining equipment maintenance and repair processes presents an enormous opportunity for healthcare facilities to reduce expenses associated with outside technicians.
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How precision medicine improves chronic disease managementIf we can accurately understand each patient’s risk for disease, we can create more nuanced preventive care plans and better invest our resources.
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Five ways hospitals are helping patients find health coverageTo survive, hospital executives must find new and creative ways to help uninsured and low-income patients secure health insurance.
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Four ways managed care executives can advance interoperabilityManaged healthcare executives can set the table for future economic expansion of interoperability capabilities by following a few simple, straightforward tips.
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How to Ramp Up Physician Engagement at Your Health SystemSuccessful health systems share their tips.
