Authors


Paul Ceverha

Latest:

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 O'Hara

Latest:

3 Cost of Care Strategies for Health Plans to Mitigate Revenue Losses From Medicaid Redetermination

Health plan leaders should act quickly to implement cost of care strategies to help offset future Medicaid-related revenue losses. Steps they can take include careful reviews of pricing and of medical management to make sure that the services are medically appropriate and necessary.


Mark Halford

Latest:

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

Latest:

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

Latest:

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

Latest:

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.


Nathan Cieply

Latest:

Pegozafermin for Nonalcoholic Steatohepatitis

The drug has been engineered using a proprietary glycopegylated technology that is designed to increase its overall half-life.


Jax DiEugenio

Latest:

Early Trial of Libtayo Combination Demonstrates Activity in Melanoma

Fianlimab plus Libtayo demonstrated persistent and significant clinical activity in patients with advanced melanoma.


Cindy Jordan

Latest:

Defeating Loneliness

Health technology may help patients struggling with loneliness.


Victoria Johnson

Latest:

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.


Isa Velarde

Latest:

Designing a Better Peer-Support Experience for Patients, Caregivers, and Survivors

The process of building digital peer support experiences requires taking in feedback from users and their caregivers to address risk concerns, add new features and continuously improve the user experience.


Barry Volin

Latest:

Unlocking Better Health: Why Health Literacy Needs a Digital Revolution

Artificial intelligence stands out as a particularly promising solution to the challenges of improving health literacy.


Marlyce Hill Ali

Latest:

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.

Latest:

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

Latest:

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.


Nancy Wise, M.P.H., MBA

Latest:

Common Challenges in Health Systems of Great Britain and the United States Offer Valuable Learning Opportunities

The National Health Service provides some lessons — both good and bad — around models of coverage expansion.


Salem Shunnarah

Latest:

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.

Latest:

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

Latest:

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

Latest:

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.


Matt A. Murphy

Latest:

Fixing Prior Authorization: How to Improve Outcomes Using Episodic Care Paths

As the industry becomes oriented toward value-based care and its focus on high-value outcomes, utilization management must evolve to address the entire patient care journey, often across multiple episodes of care.


Patrick Horine, M.H.A.

Latest:

Opportunity Uncovered: How COVID-19 Accelerated Healthcare Transformation

By embracing change, leveraging emerging trends and prioritizing patient-centered care, organizations and individuals can find opportunities for growth and innovation in the post-pandemic era.



Ron King

Latest:

How Precision Medicine and Genetic Testing Will Drive Value-based Care

The shift to value-based care in the U.S. has been slow in coming, in large part because providers have continued to cling to the traditional “fee for service” healthcare model that historically has worked well for them.


Michael Lutz

Latest:

Health Plans Under Pressure | Predictions for 2025

Michael Lutz, managing director of Avalere, shares his prediction for the year.


Silas Inman

Latest:

Expanding Access to Sight-Saving Care With Mobile Tech, AI | AAO 2024

A panel of speakers demonstrated different ways technology and artificial intelligence (AI) could greatly expand access to glaucoma care.

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