Business Strategy

A University of Massachusetts clinical consulting pharmacist shows how assessing budget implications can be accomplished.

Pre-drug-approval forecasting and budgeting is increasingly important for payers. Is a safe harbor for manufacturers necessary?

One expert says incentive programs to motivate physicians miss the mark. Here’s what he recommends instead.

As the healthcare system shifts from a focus on employee-based plans to consumer-based plans, insurers have to find new ways to engage and motivate members.

Providers are coming up short when it comes to HEDIS measures related to substance abuse. Here’s how one health plan is changing that.

Avalere Health analysis has intriguing results about beneficiaries enrolled in diabetes-focused chronic condition special needs plans.

Trump takes two steps to dissolve the ACA. Find out what the experts think about these two important actions.

Here’s a quick guide to the meaning behind Trump’s executive order and decision to stop cost-sharing reduction payments.

Here’s how to take consumer-centricity more seriously as expectations increase.

As the industry moves to a value-based care model, here’s how one North Texas partnership is reinventing healthcare.

Recently, FDA Commissioner Scott Gottlieb announced the FDA will move to close loopholes in the Orphan Drug Program. Here’s what you need to know.

Consider these five opportunities to help curb one of the biggest public health issues of the year.

San Diego-area healthcare organizations experience promising results after using population health strategies to improve hypertension treatment across the region.

The access problems many rural health plan members face cannot be rectified overnight, but resources, creativity and time can bring these populations up to par with their more urban counterparts.

Avalere conducted an analysis to assess the effect of MIPS. Here are the surprising results.

How payers, providers are improving work flows, patient care, and cutting costs.

Finding ways to communicate directly with and provide tailored services to LGBT individuals has been a challenge for managed care organizations, but experts say breaking barriers is imperative.

New physician-administered therapies on the horizon may help rein in the opioid epidemic.

Between 1990 and 2013, the maternal mortality ratio more than doubled in the United States. Find out what experts say can resolve the issue.

Now that the Graham-Cassidy bill has failed, here’s what healthcare executives should do to plan for 2018.

In the wake of the failure of the Graham-Cassidy bill, experts share what’s ahead for health policy.

A new HealthMine survey sheds light on how payers can better connect Medicare members to their health plan.

A survey from HealthScape Advisors and the Health Plan Alliance has revealing findings about value-based payment models.

Payers must reinvent efforts to reduce cancer cost and increase quality for a value-based care world. Here’s five rules to follow.

Here are the top 10 states with the highest uninsured rate, according to personal-finance website WalletHub.