States need to prepare for the onslaught of work related to Medicaid enrollment and redeterminations with continuous enrollment scheduled to end on March 31.
Risk adjustment is a central feature of value-based care, but it can be abused. Natural language processing can make the process efficient and steer it clear of fraud and other problems.
Medical professionals are often strapped for time and they experience immense pressure to stay on top of paperwork while simultaneously having to see and treat patients. Add late nights on call and long shifts to the equation, and one can begin to comprehend the high-stress nature of the job.
Strategies are needed that take most, if not, all of the burden away from the patient so that RPM enhances their experience with their care. Both telehealth and RPM have those elements needed to improve the patient experience, including good communication between doctors and patients and improved patient engagement.
Long-term data from the phase 3 DAYBREAK trial affirmed sustained efficacy of ozanimod for relapsing forms of multiple sclerosis, with a high amount of patients who were relapse-free at 6 years.
Hiring assistants that work virtually and outsourcing medical coding are two ways that providers can navigate through these times of increasing cost pressures and staffing shortages.
Ensuring that patients with serious conditions have access to LTACH care can help improve their outcomes. Discover the distinctions in patient conditions treated at LTACHs compared to SNFs
Lower limb amputations are devastating for people living with diabetes, particularly for Black Americans facing poor access to comprehensive care. A coordinated, data-driven national prevention strategy is the only way to curb this growing epidemic for all at-risk populations.
Findings from a retrospective cohort analysis revealed patients with alcohol-associated liver disease diagnosed with and prescribed at least one medication had a decreased risk of mortality.
Paul K. Paik, MD, considers the future of MET-directed therapies in non-small cell lung cancer.
Conversational artificial intelligence offers healthcare organizations a powerful tool to reconcile what their customers need with how the information is delivered.
Heart failure, renal failure, atrial fibrillation and death are among the events that can happen years after a myocardial infarction.
Embracing Eastern and Western medicine practices is crucial in delivering the best healthcare outcomes.
Lisa Rometty, CEO at Zerigo Health, discusses the challenges and opportunities for growth within the digital health landscape, as well as how Zerigo plans to collaborate with patients and payers to make sure digital health tools are accessible and affordable.
Healthcare executives look ahead to 2022 and the forces and events that will shape the American healthcare landscape.Amendola Communications compiled these comments from a variety of healthcare executives.
Lower out-of-pocket costs for patients might put upward pressure on drug prices, as manufacturers face less price sensitivity, note Matthew Majewski and Rhett Johnson of Charles River Associates. But they also note that upward pressure on price is likely to be limited to the inflation rate as any additional price increase would need to be paid back to CMS in the form of inflation rebates.
A look inside six trends that will shape and influence care, planning and performance over the next year for health plans.
If virtual care is achieve meaningful health outcomes in a primary care setting, it must be practiced within a bona fide hybrid approach.
In a poster presented at the 2024 American Pharmacists Association Annual Meeting and Exposition, researchers found that state-level PBM reform focused on more transparent drug pricing, better patient access to prescription drugs, and more stringent auditing and reporting requirements.
Improving customer experience strategies is a top priority to keep pace in the modern market.
Cyberattacks disproportionately affect healthcare organizations. In 2023, the average data breach cost to a healthcare company was $10.93 million, an 8% increase from the previous year.
The healthcare sector has always been one of constant change, regularly experiencing technological, policy, and practice transformation. But the level of uncertainty and complexity since the pandemic hit has put understanding how the business of healthcare has changed on life support.
Medicare and Medicaid programs that serve the most-vulnerable Americans facing SDOH barriers can be major facilitators of appropriate non-emergency transportation to non-medical sites. But how do we determine what is appropriate, and what do we know about transportation services to non-medical sites today?
The short answer is yes. Automation and data insights can help get COVID-19 vaccines into people’s arms faster. A fragmented healthcare system in the U.S. makes scaling up any system difficult.
The key to efficiency under value-based care models is a strategic approach to risk stratification.
Lack of health insurance has been sighted as one of the biggest social determinants of health — until now.
With healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago.
The pandemic revealed the fragility, vulnerabilities and unique dangers of working in the healthcare setting. Chief among these was the eroded ability to service patients when there were staff availability issues.
Job candidates need to be shown that the workplace is flexible and set up to accommodate their individual needs.