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Legal Considerations for Healthcare Organizations Exploring Value-Based ModelsComing up with the benchmarks for measuring and rewarding quality and efficiency and finding the right provider partner are only part of the battle. Don’t forget about compliance with state and federal requirements.
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Online Provider Reviews: 4 Things Health Execs Need to KnowHere are ways healthcare providers could improve online ratings and better connect with their customers.
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Top Medicaid Trends in 2019As we look to the next year we can expect to see a few of these challenges settle, while others will continue to make headlines. Here are three things healthcare executives should watch.
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Four Ways Healthcare Executives Can Reduce Patient LeakageFour things healthcare executives need to know about patient leakage, and four ways they can fix it.
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Top Six Healthcare Executive Challenges in 2019To help ensure your healthcare organization doesn’t get left behind, we’ve assembled the top six challenges the industry will face in 2019.
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How Analytics Can Help Avoid Member Engagement MisfiresLearn how analytics can be leveraged to hyper-target members for health reminders.
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Eight Ways Healthcare Orgs Can Improve CommunicationPrivacy laws, technology speed bumps, and regulatory red tape all add to the problem that is communication in healthcare. Find out how you can advance your communication game at every level.
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Top 5 Ways Leading Health Systems Will Step Up Patient Experience in 2019Next year will bring many changes to healthcare. Here’s how leading hospitals will stay ahead of the curve when it comes to increasing patient engagement.
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Five Provider Data Challenges for GroupsMaintaining provider data has been a longstanding challenge within the healthcare industry. CAQH identified five challenges among health plans and groups and a new solution.
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Behavioral Healthcare Needs a NASA-Like ModelThe behavioral healthcare delivery system is broken. Fixing it requires rapid, radical innovation that is supported and facilitated on a national level and includes both public and private innovation.
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Behavioral Healthcare Needs a NASA-Like ModelThe behavioral healthcare delivery system is broken. Fixing it requires rapid, radical innovation that is supported and facilitated on a national level and includes both public and private innovation.
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How to Successfully Transition to Value-Based CareImplementing a value-based model requires much more than simply changing the payment methodology.
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Four Facts Healthcare Execs Should Know About the Drug CrisisHere are certain facts that every executive responsible for managing populations at risk for prescription drug misuse should know as they make policy decisions affecting patient care and financial management.
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Three Ways Health Execs Can Increase Star RatingsThe Five-Star Quality Rating System isn’t just a mechanism to improve the patient experience; it has also changed the industry from an insurer’s perspective. Here are three ways to buy into the CMS rating system as a means to continuous improvement.
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Five Ways Digitization Will Impact Healthcare in 2019As the industry continues to look for strength in scale and strategic push toward ever-increasing verticalization, large-scale industry mergers and acquisitions will continue to be the norm during 2019-this and other 2019 predictions based on the digitization of healthcare.
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Why Provider Data Is Key to Effective Managed Care Coordination and GrowthManaged care organizations need to look at how they can better manage their provider data-or risk getting left behind in a pile of spreadsheets.
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What You Need to Know About Cholesterol TreatmentsThe present and bright future of cholesterol treatments.
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Four Ways Hospitals Can Deal with Rising Drug CostsEach hospital and health system-and insurer-has unique circumstances, but there are several common approaches that are likely to help curb the growth in drug costs.
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Opinion: Bending the Pharmacy Cost Curve with Population Health ManagementRunaway drug costs call for a new approach to care management, such as a different way of thinking about managing the health of the employee population.
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Loneliness is the New Smoking: How Payers and Providers Should Address ItLoneliness leads to more healthcare utilization and decreases the likelihood of a positive health outcome post-hospital discharge-but it is underappreciated and rarely well addressed by the healthcare community.
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Opinion: Pharmacy and Medical Data: A Vital Resource in Fighting the Opioid EpidemicAccess to broad snapshot of the patient’s pharmacy and medical data can help spot and address drug misuse.
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How Tech Giants Should Be Involved in HealthcareThe next best moves for Amazon, Apple, and Google in the transformation of healthcare.
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How Providers Reduce Emergency Department UseNoticing that ED use was rising, 250 PCPs set out to drive down inappropriate visits.
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How Technology, Well-Curated Community Networks Are Connecting Healthcare and Social CareWhen addressing social determinants of health, healthcare execs are focusing on two critical factors that can benefit those social determinants: well-curated networks and technology.
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Opinion: Why the Healthcare Supply Chain Buckled Under COVID-19Despite heroic efforts by hospitals across the country, the healthcare supply chain has struggled in the fight against COVID-19.
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Why Chronic Care Management Isn’t Gaining Traction: Health Execs Identify 3 BarriersHealthcare leaders reveal their top challenges to managing chronic care.
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3 Steps for BPCI Advanced SuccessCMS’ most popular episode-based payment initiative requires careful internal analysis of costs and competencies, and recognition of improvement levers.
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3 Steps for BPCI Advanced SuccessCMS’ most popular episode-based payment initiative requires careful internal analysis of costs and competencies, and recognition of improvement levers.
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How Pharmacies Can Help Drive Health EquityPharmacists can administer vaccines and other types of acute care, such as prescribing antibiotics for strep throat, but they can do more. They can advocate for patients by asking targeted questions to direct them to appropriate resources and supply reliable information about Medicare and Medicaid plans and other coverage options.
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Three Things to Know About HIPAA ComplianceMost organizations aren’t HIPAA compliant and don’t understand rules and don’t understand protected health information requirements. Here are three ways to change that.
