Business Strategy

As technology has evolved, the potential of population health management as a tool to improve quality and reduce costs has expanded.

Greg Scott, national leader of the health plans practice at Deloitte Consulting, LLP, shares how plans and providers may be able to better apply big data.

In this Q&A, a presenter at the upcoming ASH conference discusses new hematology payment models and the top challenges payers face in this area.

Managed Healthcare Executive's State of the Industry Survey findings reveal that most plans and providers are struggling with data analytics. Here are some tips.

The top 5 industry challenges facing managed care executives, according to the findings of Managed Healthcare Executive's State of the Industry Survey.

Insurers like Aetna are implementing payment models for hematologic conditions.

Here's how four plans are using the management strategy to improve quality, reduce costs.

Traveling to Orlando for ASH 2015? Make the most out of your trip by attending these presentations. View the top 10.

Here are five ways payers could help their members become more engaged in their health and provider-recommended treatment plan.

During the first half of 2016, UnitedHealth Group will determine to what extent it can to participate in the public exchange markets in 2017. Here's what this means for the industry.

Is your plan making full use of its population health management systems? To help you find out, we asked two experts to weigh in.

As health insurers become increasingly more proactive and personalized in their interactions with individuals, they increase their ability to improve the cost and quality of healthcare while building loyalty in a competitive market.

CMS recently released 2016 Star Rating data, and the news is not good for many Medicare plans, particularly for standalone Part D prescription drug plans.

Payers are in the strongest-position to activate the transition to value-based management models, but they must improve collaboration with providers.

Today’s consumers have high expectations when making a retail purchase. These same demands apply when purchasing health insurance and getting medical care.

Following the ICD-10 transition, real interplay between all stakeholders begins with the patient being the true focus.

Today’s value-focused economy was a primary discussion point at a recent roundtable of health plan CEOs. The discussion led to five essential attributes that organizations must embrace to thrive.

As healthcare consumerism gains momentum, health plans need to change their offerings to keep up with consumer demands.

How advanced use of data and analytics can solve your biggest Star Ratings challenges

Clinically Integrated Networks (CINs) are evolving quickly across the country in response to changing reimbursement trends and the move to value-based payments.

Make your messaging stand out

To put more risk-based dollars in the bank, payers need to master a new level of gathering and reporting on not just claims data, but clinical data as well.

Brad Fluegel, chief healthcare commercial market development officer at Walgreens, discusses what managed care organizations and healthcare executives can learn from the success of retail clinics.

The Comprehensive Care for Joint Replacement (CCJR), has organizations’ leadership wondering how they will be able to perform in such a model. Here are some tips.