Business Strategy

Everyone assumes the waste is caused by payers-think again! Administration might cost a few bucks, but it provides downstream benefits.

Smoking is the number-one preventable health risk, but quit rates have stalled

Changing times can mean strategic changes in executive leadership

EOBs must explain benefits to members and offer them ways to make smart decisions about their healthcare choices

Design policies carefully to attract members shopping around in the individual market. This growing segment is sure to boost enrollment figures in 2010.

Compared to other countries, U.S. patients are more likely to forgo care because of cost

Administrative spending supports care coordination, prevention and technology investment

If more patients are covered by Medicaid, hospitals stand to become unstable under reimbursement of 88 cents on the dollar

Dig into the minds of members and you'll find that they don't always make logical choices. Behavioral economics can shed light on their thought process

New plans are entering the market in spite of the uncertainty

Financial incentives and penalties are no longer permitted when genetic information is requested on health risk assessments

Sure, the integrated delivery model produces good outcomes and lower costs, but it's not applicable everywhere, in spite of what politicians think

State of the Industry survey results

State of the Industry survey results

State of the industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results

State of the Industry survey results