Jerry Gross


Shifting to an Endemic: How Tech Will Enable Greater Access to Affordable Healthcare

There are three key facets that must be considered in order to meet the demands of an endemic - the ongoing acceptance of a baseline of COVID-19 infection rates that will be maintained for the foreseeable future.

Mohammed S. Ahmed


The Economic Impact of ADPKD on Patients, Payers

While physical and mental effects of Autosomal Dominant Polycystic Kidney Disease are top of mind for those personally impacted, as well as for nephrologists, the financial implications associated with this condition are often overlooked despite the fact that research has confirmed the economic burden of the disease increases over time for both the patient and the healthcare system.

Jennifer Brigitte Green, MD


Fixed-Ratio Combinations for Type 2 Diabetes

Dr Jennifer Brigitte Green considers the patient selection for fixed-ratio combinations of basal insulin and GLP-1 receptor agonists among patients with type 2 diabetes and provides insight around Medicare patient access to insulin and injectable medications.

Gary Mangiofico, Ph.D.


Managed Care Executives Should Look Outside to Address Macro Healthcare Challenges

Outsourcing is not the end-all solution, but it is a critical ingredient for navigating transorganizational opportunities to improve the healthcare ecosystem, argues Gary Mangiofico, Ph.D., of the Pepperdine Graziadio Business School.

Tim Webb


Reinventing the Healthcare Workplace: Futurizing the Operating Model for Human Capital Management

Many leaders in healthcare would agree the healthcare sector has been operating in crisis mode for more than two straight years.

Quinn Dufurrena, D.D.S., J.D.


Artificial Intelligence and Dental Claims Review: A More Predictable Consumer Experience

Artificial Intelligence in dentistry and dental benefits will lead to a shared understanding between consumers, dentists and insurers.

Eric Bacon


3 Ways to Simplify Tech for Physicians

Some telemedicine software is so complex that it can lead to repetitive, mundane processes that are prone to frustration and mistakes.

Jon Wasson


Where Are We Really With Interoperability?

New interoperability rules could require significant changes for healthcare organizations, but everyone will benefit from these improvements.

Mary Tolan


Countless Americans Have Lost Employer Coverage. What Can Be Done?

In the four months between February and May, roughly 5.4 American workers lost their coverage.

Mark Menton


Health Plan Executives Like Transparency Benefits, but Say Compliance is Complex

Another component of the government’s Transparency in Coverage mandate and No Surprises Act legislation for health insurance plans will go into effect on January 1, 2023 for price transparency.

Robert Calandra


Men Are Reluctant Patients

Dated notions and lack of an early connection to healthcare keep men from seeking care.

Mark Simon, MD


Policymakers Must Take Action to Ensure Maternal Health Extends Beyond the Labor and Delivery Room

If we look for the silver linings among lessons learned in 2020, the brightest positive outcome may be a better coordinated and more robust investment in public health. Yet as we continue to fight COVID-19 in the U.S., it’s important not to lose sight of another incredibly important battle we face on the public health front: maternal health.

Cara Obradovitz, B.S., M.P.H


Staying Ahead of Employee Burn-out

Workplace stress is an inevitable part of business, but when stress gets out of hand, it’s bad for business and the people who do the work.

Paul Ceverha


7 Actions Every Health System CFO Needs to Consider

Health systems are struggling as a result of the reduced activity of elective procedures, the loss of health coverage for many employees, and the resultant drop in billings. According to this article, there are seven approaches recommended for immediate consideration to increase revenues and stanch losses.

Mark Halford


Pharma: Striding Towards the Digital-only Reality with AI

As industries across the board move towards a digital-only world, pharma companies must account for the different technologies that are transforming the R&D process.

Robbie Hughes


Telehealth – A Missed Opportunity?

The doctor’s office waiting room is an age-old concept. We have waiting rooms because patients need to arrive early to ensure that the clinic runs on time and at near-full capacity. But clinics rarely run to schedule, so we end up wasting lots of time queuing to see a scarce, expert resource - the doctor.

Trey Keller


A Health Plan’s “No Regret” Strategy to Open Enrollment

This year, health plans need to focus on the following smart, “no regret” investments in the enrollment process that have low risk, high reward, and ultimately deliver an exceptional member experience while simultaneously reducing costs and improving data quality.

Alana McGolrick, DNP RNC-OB, C-EFM


New Joint Commission Requirements Likely to Boost Maternal Patient Safety

The outlook for decreasing the maternal mortality rate in the country has recently improved as a result of a recent initiative by the Joint Commission, which has developed 13 new elements of performance (EOPs) to help evaluate hospitals.

Cindy Jordan


Defeating Loneliness

Health technology may help patients struggling with loneliness.

Victoria Johnson


Spinal Muscular Atrophy Drug Risdiplam Proves Success in Infants

Patients treated with risdiplam at 12 months demonstrated significant improvement in survival and developmental milestones, with 19 of 21 (90%) infants able to survive without permanent ventilation and 7 (41%) infants able to sit without support for at least 5 seconds.

Marlyce Hill Ali


Addressing the Mental Health Needs of Seniors with a Value-Based Care Team Approach

Caring for seniors means attending to both their physical and emotional health. Unfortunately, the mental health of older patients is rarely evaluated and treated. Multiple barriers to care exist, including availability and access to mental health practitioners, as well as the stigma associated with psychological conditions that may prevent patients from seeking help.

Mike Hennessy Sr.


Questions Linger Around COVID-19’s Origin

We may never know where the virus came from, but the development and rollout of the COVID-19 vaccines has been the medical miracle of our lifetime.

Don Creighton


Inflation Reduction Act and the Impact on Pharmaceutical Pricing and Investment Decisions

The reference to “maximum fair price” in the act bodes poorly for manufacturers and suggests more of a take-it-or-leave-it situation rather than a negotiation where clinical evidence would be the prevailing factor in determining price.

Salem Shunnarah


Medicaid Redetermination: 5 Reasons Why Texting is Essential for Reaching Members Before It’s Too Late

The average person checks their phone 58 times a day, so there is a good chance that a text message will be read.

John Sargent, M.D.


Using Predictive and Prescriptive Insights to Close Care Gaps

By using a combination of predictive and prescriptive next best action insights, providers can close the gap in care for individual patients by leveraging a combination of data sources — clinical data, patient surveys, SDOH data, and consumer and behavioral data sets — and applying artificial intelligence techniques to create those insights.

Nadeem Fazal


Paying it Forward: How Payers Can Accelerate the Transition to Value-based Care

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.

Richard Temple


Improving Operations Through CFO and CIO Collaboration

Finance departments have tended to view information system departments as budget breakers. But information system departments are contributors to other departments in an organization that drive profits.

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