SPOTLIGHT -
April 14th 2024
CEO John Baackes is stepping down at the end of this year.
February 12th 2024
The National Health Service provides some lessons — both good and bad — around models of coverage expansion.
January 22nd 2024
Experts from Harvard, Georgetown and Johns Hopkins debate the wisdom of cost sharing in today's JAMA Internal Medicine.
January 17th 2024
States can use federal money that would otherwise support ACA marketplace premium tax credits to set up programs that offer health insurance to low-income people whose incomes are too high to make them eligible for Medicaid.
Payer risk adjustment strategies: Getting paid sooner
Medicare Advantage plans that are slow to submit risk adjustment data are at a big disadvantage.
Read More
Applying telemedicine in diabetes care management
Telemedicine could improve diabetic patient outcomes, expand access, and provide better economic value for patients. Find out how.
Undiagnosed diabetes: A high cost for the health system
Consequences range from cardiovascular disease to renal disease
Innovative diabetes cost-reduction strategies
Here are some of the innovative approaches payers and providers are taking to quell the diabetes epidemic, and curb the costs associated with it.
Analytics puts power in the hands of patients, payers, physicians
There is so much data available at all levels of healthcare, and technology and public support is on the cusp of a breakthrough in using this information for widespread improvements.
Medicare to implement national diabetes prevention program
A successful YMCA diabetes program has prompted the Obama administration to expand Medicare to cover programs to prevent diabetes among those at high risk of developing the disease.
Diabetes drug spending on the rise
The sheer volume of diabetes patients has made it a big driver of medication spending. Here are some important formulary considerations.
Five reasons diabetic patients don’t adhere
… and solutions from experts
Measuring payer, provider progress in the move to value
In the move to value-based care, there have been surprises and disruptions for payers and providers alike. In this Q&A, an expert shares where we are now.
Critical mistakes to avoid in value-based payment models
As alternative payment models gain traction, payers and providers must take the appropriate steps to thrive.
Create a scalable, successful value-based payment model
Ensuring the appropriate internal investment, addressing key friction points, and taking several steps to increase the likelihood of long-term success is key.
Alternative payment models: Top 4 trends to watch
The 2016 Alternative Payment Models in Healthcare Conference 2016 is shedding light on which healthcare payment and delivery changes are evolving into large-scale, long-lasting solutions.
Dementia costs surpass those of all other diseases
Shared resources, specialized drugs key to curbing costs
Strategies to reduce diabetes health management costs
Rob Danoff, DO, of Aria Health System, explains what should be done to reduce health management costs, while improving care of diabetic patients.
Seven risk-sharing mistakes to avoid in healthcare
Considering entering into a risk-sharing agreement with another payer or provider? Avoid these top mistakes.
How new tech, treatments impact diabetes costs
In this Q&A, experts discuss how emerging treatments and technologies are affecting diabetes costs.
‘Human-centered’ approach to healthcare innovation
Making the healthcare experience more convenient, effective, and less expensive.
Have CMS, AHIP cured quality measure fatigue?
CMS and AHIP, together with physician groups and other stakeholders, announce alignment and simplification of quality measures.
Mend fragmented payer-provider relations: 4 tips
Payers and providers have traditionally operated on opposite sides of the tracks with limited collaboration, resulting in a disjointed and complicated experience for patients when accessing care.
Using predictive modeling to prevent diabetes
Humana is using past evidence to reach patients at risk for diabetes.
In the pipeline: diabetes care improvements
As 2016 gets underway, improvements in diabetes health management are expected to progress. Here are some of the noteworthy trends to watch.
ICD-10 impact on reimbursement, payers, and providers
How did the ICD-10 transition impact health systems and health plans? Here, those in the field, weigh in.
Five ways technology can increase patient compliance
As technology advances, it is transforming healthcare in ways never thought possible
Effective population health management involves more than just data
A common question facing healthcare executives is how to get started with population health management. Here are steps and strategies critical to success.
Study: Impact of pay-for-performance incentives in ACOs
A new study of a pediatric ACO serving approximately 300,000 Medicaid-eligible children in Ohio evaluated whether financial incentives influence physician behavior.
Nine ways MCOs can cut administrative costs
For decades, administrative costs for health plans have stalled. Today’s healthcare market is full of opportunities to trim the fat.
Health execs predict top 2016 challenges
We asked the Managed Healthcare Executive editorial advisory board to predict the biggest challenge healthcare executives will face this year. Here's what they said.
2015: A year of improvements in diabetes management
While diabetes, particularly type 2, remains an epidemic, the number of new diagnoses has begun to slow. Here are some developments contributing to the decrease.
Three ways to get the most mileage from mobile apps
New research: Hospitals risk millions from failure to provide consumer-friendly mobile apps. How to achieve exceptional consumer experience.
Lessons learned in the global fight against diabetes
Broader exchange of ideas for diabetes health management and related programs may result in more efficient community-based programs with a wider impact.