Health Management

How plans can achieve the right balance between cost and outcomes

On October 6, 2015, the Centers for Medicare & Medicaid Services and Office of the National Coordinator for Health Information Technology released Meaningful Use-Stage 2 modifications and Stage 3 final rules.

What managed care executives should know about rising drug prices, how they impact the healthcare system, and advice on what to do about it.

OptumRx program aims to ensure that optimal standards of quality are upheld by the pharmacies that produce and dispense them. Here's how the program works.

Researchers from the Department of Pharmaceutical Sciences at the State University of New York at Buffalo highlight efforts to promote safe and appropriate use of opioids.

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

Partner with community-based organizations to implement quality diabetes programs for the Hispanic population.

CMS recently released a proposed draft of its Medicare Reporting Requirements document for 2016 and, for the first time, the guidance includes reporting requirements for Medicare rewards and incentive programs. The new reporting requirement is slated to begin January 1. Are you ready?

Further research may determine whether changing sedentary behavior will reduce long-term outcomes.

Most managed care executives believe they will recoup their investments in population health management (PHM) within four years, but many don’t have a clear vision of the pathway to success

A coalition is opposing the Access to Quality Diabetes Education Act of 2015, saying it limits access to care. Here's why, and how the American Association of Diabetes Educators (AADE) is responding.

Canadian study shows certain ethnic groups face higher heart disease risk factors than they did a decade ago.

Despite the potential benefits PAs offer, significant challenges to fully integrating them remain.

Here are seven ways to attract more millennials to your business.

A medical group in New York is rapidly shifting toward “value-based” care from fee-for-service (FFS)-spurred on by a program to reduce variations in physician practice that began by focusing on patients with diabetes.

Historically, behavioral health data hasn’t been part of the clinical medical record, yet this information can help providers more accurately predict health behaviors.

Time to answer might seem like a small feature on a remote island of healthcare data systems, but it's a linchpin of software usability for daily patient encounters.

Spending on healthcare can be good, but in the case of diabetes, more spending likely means worsening outcomes.

Cindy Cooke, president of the American Association of Nurse Practitioners, shares 10 ways nurse practitioners reduce healthcare costs while improving quality.

Managing cardiovascular drug trend could prove challenging

Methodist Healthcare Ministries of South Texas, Inc. is relying on data to identify the most effective ways to proactively engage patients, and leveraging technology to share information between facilities and programs.

More Medicaid incentive programs are cropping up across the country. Here's a look at the programs, and some of the early results.