Business Strategy

Convergence of Dental, Health Insurance Increases

July 02, 2020

Of the 87% of executives who see convergence already happening, 89% say it is accelerating—up from 21% who said the same in 2018.

Telehealth and Therapy: On the Couch. But Now It’s Your Own Sofa.

June 25, 2020

COVID-19 forced a shift to virtual behavioral health therapy. Some once-skeptical providers, however, are finding telehealth beneficial. Reimbursement and continued relaxation of regulations will determine whether it’s here to stay.

What to Expect from CMS’ response to COVID-19

June 19, 2020

As the pandemic enters its fourth month in the U.S., the Center for Medicare and Medicaid Innovation (the Innovation Center) has announced several changes that, on the whole, increase flexibility for program participants.

Healthcare Leaders Form Taskforce on Telehealth

June 18, 2020

Will produce recommendations for policymakers on crucial issues for future of remote care services.

Covid-19 Hit: Picking Up the Pieces of American Healthcare

June 18, 2020

Some hospitals were overwhelmed. But for many providers, COVID-19 has meant the absence of patients - and major drops in revenue. And now there is a possible economic downturn. COVID-19 has hit American healthcare and hit it hard.   

DataGen's John Kalamaras Discusses Changes in BPCI Advanced

June 17, 2020

John Kalamaras, business intelligence analytics manager of DataGen, chats with Managed Healthcare Executive's Briana Contreras, about the Centers for Medicare and Medicaid Services, or CMS’, recent announcement of the changes they’ve made for participants in their value-based programs, specifically those in bundled-care programs like BPCI Advanced, whose episodes were affected by COVID-19.

Factors Shaping the Post-COVID Payer Market

June 15, 2020

Understandably, there is a lot of nervousness around how COVID-19 is going to affect the healthcare industry-both in the near-term as well as the distant future. As the organizations that will have to take on a majority of the financial and operational burden of the COVID pandemic, providers will be hit the hardest in the short-term. As a result, a majority of relief, both at federal and local levels, can be expected to be centered around rescuing providers post-COVID.

The Post-Pandemic Challenge for Addiction Treatment Facilities

June 12, 2020

Despite everything we hear in the news lately, there is a silver lining to the Covid-19 cloud. For certain, the landscape of the Addiction Treatment Industry has changed and arguably, the old ways of doing business are no longer sustainable in this environment.

ACAP Encourages Americans to Learn about Their Coverage Options

June 12, 2020

Filling a void left by the Trump Administration, the Association for Community Affiliated Plans (ACAP) recently announced a campaign to remind Americans who need health insurance because of the COVID-19 that they may be eligible for coverage through

SCAN Health Plan Names Sachin Jain New CEO

June 12, 2020

Former CareMore Health CEO Sachin Jain, MD, MBA, perhaps best known for his effort to treat loneliness among seniors as a health issue, has been named CEO of the SCAN Group and the SCAN Health Plan, a not-for-profit that focuses on this growing population.