Business Strategy

A recent research paper recommends combining the various parts of Medicare as it now stands into plans that he calls "Unified Medicare" and "Unified Medicare +."

A recent survey by FAIR Health, an independent, not-for-profit dedicated to healthcare cost and insurance transparency, indicates the top factors that influence consumers' health plan selection.

A recent survey by KPMG identifies key challenges many organizations face in preparing for value-based reimbursement.

At the recent Midas+ Annual Symposium, C-level healthcare executives were asked about their perspective on population health management. Here's what they said.

To find how the consolidation will impact other payers and the industry, we asked several experts and consultants to weigh in. Here's what they said.

While recent attacks on Anthem, Community Health Systems, Premera and CareFirst helped focus awareness on the importance of cybersecurity, many healthcare payers and providers are still mired in outmoded or unfocused strategies and thus remain vulnerable.

An active population health management program is key to improving performance, and it needs big data engagement analytics if it’s going to succeed.

Clearly, healthcare organizations need to be prepared for a cyber breach. The question, then, is: What steps should we take now to prepare?

Healthcare organizations must better incorporate change management and cultural integration into their M&A strategy. Here's how.

Coverage decisions about new technologies, including access and cost considerations, are a major challenge for public and private payers.

How does your health system compare to others when it comes to new initiatives? Recent survey findings from HFMA might provide some answers.

How do we reverse the trend of super users and reduce costs for this small, unique pool of members? Here are some tips.

A large chunk of what insurers spend can be saved by improving medication adherence through medication therapy management done right.

If most patients are not going to exceed their deductible in a given year, they are now “consumers” and are looking for differentiators that offer fixed fee care.

Here are six steps experts say are necessary for success as an accountable care organization (ACO).

Organizations that want to achieve deal success should try to focus on three areas: planning, organizational change, and target management.

Waivers offer states an opportunity to expand programs beyond traditional services, giving them greater flexibility and innovation in care delivery and payment models.

More than 750 government and private ACOs are now in place, helping healthcare transition away from fee-for-service. Find out what's working and what's planned for the future.

As the number of people with diabetes in the U.S. continues to climb, plans and integrated health systems are employing personalized strategies to help manage the disease.

We asked healthcare experts and analysts how the move to value-based care will affect prior authorizations. Here's what they said.

Working in partnership with Doctor on Demand, Optum’s NowClinic and American Well, UnitedHealthcare is expanding its telemedicine reach to encompass 20 million enrollees.

Wellness programs are a strategy to control rising healthcare costs, but according to a recent survey, many wellness incentives are meaningless to participants.

The revocation of Blue Shield of California's tax-exempt status raises the question of whether for-profits have a competitive advantage.

The Supreme Court recently held that the North Carolina Dental Board was not insulated from federal antitrust liability under the so-called “state action” doctrine when it engaged in anticompetitive conduct to restrain non-dentists from performing teeth whitening services.