Authors


Andy Aroditis

Latest:

Accounting for the Social Determinants of Health During the COVID-19 Pandemic

COVID-19 has revealed the importance of the social determinants of health.


Steve McNew

Latest:

How Blockchain Can Transform Preventative Care

The technology can offer a secure, automated, and transparent system to streamline processes and promote activities that aid in preventative diagnostics.


Shyam Manoj

Latest:

Five Ways to Win at HEDIS Compliance

As the shift to value-based payment accelerates, successful health organizations can take steps to build an effective quality management program that will improve HEDIS scores and deliver care quality and cost savings.


Mary Jane Konstantin, RN

Latest:

4 Ways to Overcome Compliance Barriers

Healthcare treatment compliance can be difficult for patients facing other issues like unaddressed SDOH problems or mental health diseases. Here are four ways to engage those members.


Jessica Schiller, RN, BSN, MAS

Latest:

Why Consumer Engagement Must Be a Whole-Person Solution

Offering multiple, segmented approaches to health can confuse consumers-and reduce engagement. Instead, focus efforts on comprehensive solutions.


Ila Sarkar

Latest:

Analytics Help Payers Take a More Surgical Approach to Reimbursement

Surgery shouldn’t be the first step when considering treatment. Analytics can help the determine the best path that leaves patients healthier and payers with fewer costs.


Dan Danielson MS, RPh

Latest:

Show Me The Data: Why Payers Need to See RWE Used in New Indication Approvals

Is real-world evidence up to the task of gaining new indications?



Kelly S. Backes, FSA, MAAA

Latest:

Medicare Advantage Enrollment: Growth Expectations for Start-Ups

Enrollment impacts an MAO’s revenue and profitability and is a key driver to becoming successful. Here are ways to better understand enrollment potential for new organizations.


Julia M. Friedman, FSA, MAAA

Latest:

Medicare Advantage Enrollment: Growth Expectations for Start-Ups

Enrollment impacts an MAO’s revenue and profitability and is a key driver to becoming successful. Here are ways to better understand enrollment potential for new organizations.


Clay Holderman

Latest:

Stand Firm: Lean Into Bias Training

Battling racial bias in the workplace. How implementing an inclusion, diversity, equity and accessibility training initiative can lead to better results in racial disparities within healthcare and beyond.


Jean Drouin

Latest:

How Social, Behavioral Determinants of Health Can Enable Next-Gen Risk Stratification

While generally used at a population level, addressing SBDoH factors can and should be personalized to individuals.


Michelle Chiu

Latest:

How Social, Behavioral Determinants of Health Can Enable Next-Gen Risk Stratification

While generally used at a population level, addressing SBDoH factors can and should be personalized to individuals.


Dan Brillman

Latest:

How Technology Infrastructure Will Help Social Care Providers Transition to Value-Based Payment

The technologies bridging the gap between social care providers and medical care providers.


Dr. Jeffrey Scott

Latest:

Value-Based Care Tackles Oncology Costs

Oncologists are under intense pressure to come up with cost savings-and many are turning to value-based care structures.


Ash Malik

Latest:

Value-Based Care Tackles Oncology Costs

Oncologists are under intense pressure to come up with cost savings-and many are turning to value-based care structures.


Paul W. Mourning

Latest:

New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney General

Due, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.


Stephanie Marcantonio

Latest:

New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney General

Due, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.


Michael G. DiFiore

Latest:

New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney General

Due, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.


Carla Balch

Latest:

We Need a Better Clinical Trial Recruitment Process

Clinical trials hold great promise for advancing healthcare-but only if the right patients are found.


Kelly Munson

Latest:

Delivering Value with Medicaid Managed Care

How MCOs are delivering value to Medicaid populations.


David E. Dahlquist

Latest:

Healthcare Price Transparency: Reality or Mirage?

What are some of the implications of executive order on transparency in healthcare?


Adrianne K. Rosenbluth

Latest:

Healthcare Price Transparency: Reality or Mirage?

What are some of the implications of executive order on transparency in healthcare?


Marina Brown

Latest:

Opinion: Applying Lessons of Great Coaches to Motivate Members in Healthcare

How health professionals who use a coach’s mentality and ability to care for a patient can better impact their lives in the long-run.


Dr. Andrew Schneider

Latest:

Opinion: Lower Patient Costs Don’t Have to Mean Lower Profits

How oncology practices can help reduce spending on cancer drugs-without compromising on patient care.


Kevin Keck, MD

Latest:

Nine Ways Regional Health Plans Can Reduce Costs

Regional health plans can quickly reduce their costs by 4% to 5% while increasing member satisfaction.


Tara Vail

Latest:

Electronic Health Record Adoption is Essential for Outpatient Surgery

To remain relevant in managed care, adoption of EHRs are crucial for outpatient surgery. Included are four reasons it's essential for surgery centers to adopt.


Nate Brogan

Latest:

Baby Boomers and Millennials Want More Frequent Communication

Millennials and Baby Boomers aren't so different after all. 


LouAnn Bala, MSN, RN

Latest:

Eliminate Manual Communication Procedures to Achieve High Reliability

How pen and paper can create risks for patient, providers, and visitors.


Bill Warshauer

Latest:

How Medicare and Medicaid Providers Can Offer Powerful Incentives

Partnering with the right rewards provider can encourage plan members to take proactive steps toward improving their health.

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