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The Evolution and Promise of Preventive Screenings at HomeHome-based testing could be a less expensive way to improve preventive care.
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Closing Gaps in Care: Improving Patient Outcomes and Revenue RecoveryHospitals can't go back to their old ways. They need high-tech, high-touch strategies to engage patients.
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Hospitals Aren’t Investing Enough in the Supply Chain and They’re Paying the PriceA look at the challenges hospitals face due to an insufficient supply chain—and how to address them.
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The Future of Employer Sponsored Healthcare Plans Is Cost ManagementAdding 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.
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How Health Insurers Can Ease the Mental and Emotional Toll of Caregiving for MembersInsurers 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.
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How to Put Some Science Behind the Art of Physician ReferralsMedicine 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.
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Encouraging Evidence-Based Healthcare with Pre-Payment IntegrityIncreasing 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.
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Three Ways to Alleviate Hospital Staffing Challenges through TechnologyTechnology can help cut back on unnecessary administrative tasks, improve task efficiency and better preserve staff resources.
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Best Practices for Communicating OBGYN Services During COVID-19At 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.
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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."
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Relaxation of Telemedicine Rules Post-COVID-19 Opens Door to FraudFor 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.
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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.
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Why COVID-19 Has Put Records Management in the Spotlight for Healthcare InsurersAlthough 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.
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OSHA's COVID-19 Emergency Temporary Standard: What Healthcare Employers Need to KnowOSHA 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.
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Time to Bring Clinical Light to Shadowed Women’s Health IssuesThe scientific community has the urgent opportunity to produce more research on the proven health benefits of testosterone and other hormones for women.
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How Innovation in Healthcare Technology Can Help Improve Nursing CultureAmid the nursing shortage, hospitals can create better working conditions through these three technology solutions.
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The Opportunity in CMS’s Price Transparency RuleThe 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.
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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.
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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.
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Let’s Stop Talking About Interoperability and Just Make it WorkInteroperability 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?
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To Drive Value-Based Healthcare, We Must First Redefine ItThe healthcare industry needs to better align with consumers around this notion and their broader perception of what constitutes value.
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What Shifting U.S. Demographics Mean for Health PlansThe 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.
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Reproductive Privacy Rights: Changes Coming for Healthcare OrganizationsThe Office of Civil Rights published a proposed rule that could have healthcare organizations evaluating their practices surrounding, and interactions with, reproductive healthcare information.
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Profits of Publicly Traded Health Plans Surge Amid Requests for Higher RatesAmid 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.
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Dismantling Stigmas: How to Stop the Blame Game and Get Patients the Care they NeedThere 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.
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Name Change Needed for Vaccine Adverse Event Reporting System to Reduce Misinformation, says Penn’s Annenberg CenterThe 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.
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Healthcare Trends to Watch in 2023Healthcare 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.
