Travis Rush


The Evolution and Promise of Preventive Screenings at Home

Home-based testing could be a less expensive way to improve preventive care.

Jaci Haack, vice president of client strategy, Welltok


Closing Gaps in Care: Improving Patient Outcomes and Revenue Recovery

Hospitals can't go back to their old ways. They need high-tech, high-touch strategies to engage patients.

Betty Jo Rocchio


Hospitals Aren’t Investing Enough in the Supply Chain and They’re Paying the Price

A look at the challenges hospitals face due to an insufficient supply chain—and how to address them.

Christine Cooper


The Future of Employer Sponsored Healthcare Plans Is Cost Management

Adding tax-preferred savings, perhaps with an employer match, can prompt employees to accumulate assets so they are prepared to shoulder out-of-pocket costs. Using reference-based pricing can establish benchmark fees and put a ceiling on payments across a network.

K. Andrew Crighton, M.D.


How Health Insurers Can Ease the Mental and Emotional Toll of Caregiving for Members

Insurers can assist with navigating the complexities of the healthcare system so caregivers can focus on what matters most — spending quality time with a loved one.

Matt Cheatham


How to Put Some Science Behind the Art of Physician Referrals

Medicine is both an art and a science. Some physicians would contend that science—specifically data science—has overtaken medicine and limited their ability to make decisions based on informed intuition and personal experience.

Gary Call


Encouraging Evidence-Based Healthcare with Pre-Payment Integrity

Increasing the practice of evidence-based care is vital to improving the quality and efficiency of care in the U.S. To push more providers to adopt evidence-based medicine, we must reward high-quality patient outcomes - not high volumes.

Heather Bassett, M.D.


Three Ways to Alleviate Hospital Staffing Challenges through Technology

Technology can help cut back on unnecessary administrative tasks, improve task efficiency and better preserve staff resources.

Stephanie Sabel


Best Practices for Communicating OBGYN Services During COVID-19

At a time like this, it is important for providers and health systems to establish an OBGYN communication strategy to ensure existing and prospective patients are aware of the precautions their obstetricians are taking to safely deliver babies and conduct routine appointments for those who are, or plan to become, pregnant.

Peter Wehrwein, Managing Editor


UnitedHealth Ditches Controversial Prior Authorization for GI Procedures for ‘Advance Notification Process’

The head of a gastroenterologist group criticizes the company for having a "slapdash approach."

Thomas E. Fraysse


Relaxation of Telemedicine Rules Post-COVID-19 Opens Door to Fraud

For opportunistic fraudsters and medical predators, the relaxation, suspension or outright elimination of restrictions on the use of telehealth technology presents a plethora of opportunities previously unseen.

Maria Turner


How Much Will Telehealth Go “Back to the Future” Following the Pandemic?

Prior to the COVID-19 pandemic, telehealth was more of a stretch goal than a reality for most providers despite the seeming prevalence of video conferencing.

Jennifer Fuller


Why COVID-19 Has Put Records Management in the Spotlight for Healthcare Insurers

Although the importance of comprehensive records management programs is not a new phenomenon, over the last few months events surrounding COVID-19 have brought records management into increased focus.

Megan R. Heiden


OSHA's COVID-19 Emergency Temporary Standard: What Healthcare Employers Need to Know

OSHA issued new "emergency temporary standards" for healthcare employers that create new rules for personal protective equipment (PPE), isolation in case of contact and other measures designed to protect workers and patients from COVID-19.

Terry S. Weber


Time to Bring Clinical Light to Shadowed Women’s Health Issues

The scientific community has the urgent opportunity to produce more research on the proven health benefits of testosterone and other hormones for women.

Cindy Koppen


How Innovation in Healthcare Technology Can Help Improve Nursing Culture

Amid the nursing shortage, hospitals can create better working conditions through these three technology solutions.

Hannah Bowlin


The Opportunity in CMS’s Price Transparency Rule

The opportunity for health insurers is to implement a well-designed cost estimator tool that goes beyond compliance to the new CMS rule and meets member and health insurer market trends by integrating more quality and cost metrics with an easy-to-use member interface.

Leonard Feld, M.D., Ph.D., M.M.M.


Could the Pandemic Put an End to Medical Overtreatment?

COVID-19 pandemic may present an opportunity to hit a reset button on American healthcare that could winnow out unnecessary, wasteful services and prescriptions.

Meleah Bridgeford


How Will the End of the CMS Submission Deadline Extension Affect Your Risk Adjustment Program?

With the Centers for Medicare & Medicaid Services extension on claims submissions coming to an end in 2024, health plans must separate fact from fiction around proactive risk adjustment to confidently submit claims for accurate reimbursement.

Joe Ganley


Let’s Stop Talking About Interoperability and Just Make it Work

Interoperability was theme at the Healthcare Information and Management Systems Society (HIMSS) meeting last week in Chicago. How can all that talk and aspiration be turned into action?

Adam Grossman


To Drive Value-Based Healthcare, We Must First Redefine It

The healthcare industry needs to better align with consumers around this notion and their broader perception of what constitutes value.

Gerard Vitti


What Shifting U.S. Demographics Mean for Health Plans

The country is becoming more diverse. Health plans need to adapt by making their provider networks as diverse as possible and committing to diversity in their management ranks.

Alisa L. Chestler


Reproductive Privacy Rights: Changes Coming for Healthcare Organizations

The Office of Civil Rights published a proposed rule that could have healthcare organizations evaluating their practices surrounding, and interactions with, reproductive healthcare information.

Leah Dillard, B.A.


Profits of Publicly Traded Health Plans Surge Amid Requests for Higher Rates

Amid struggling providers, furloughs of essential workers, years of premium increases and record high earnings, for-profit health plans should consider options for directly helping their networks.

David Caraway


Dismantling Stigmas: How to Stop the Blame Game and Get Patients the Care they Need

There is a bias in this country against people whose medical condition is perceived to be “their fault”– in other words, the result of their own lifestyle choices. To combat stigma and its harmful effects, there needs to be broader understanding, even among medical professionals.

Don Sapatkin


Name Change Needed for Vaccine Adverse Event Reporting System to Reduce Misinformation, says Penn’s Annenberg Center

The purpose of the federal vaccine safety reporting system often is misunderstood, and its data can be easily used to spread false information about vaccination. A new report from the Annenberg Public Policy Center at the University of Pennsylvania looks at how it was manipulated to raise doubts about COVID-19 vaccines and suggests remedies.

Rahul Sharma


Healthcare Trends to Watch in 2023

Healthcare will continue its evolution toward value-based reimbursement models in 2023 as provider organizations, commercial payers and government programs seek more ways to improve health outcomes while reducing costs.

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