Hospitals & Providers

Managed Healthcare Executive (MHE) recently spoke with Cigna’s Chief Medical Officer for Behavioral Health Doug Nemecek, MD, about Cigna’s efforts, outcomes, and how it plans to reach its goal

As the opioid epidemic rages, up-and-coming physicians are seen as part of the solution. Here’s how medical schools are changing their training programs.

How Phoenix Children’s improved access, value and outcomes through a dedicated focus on advanced practice providers.

As the nation debates the future of our healthcare system, one idea gaining attention is a “Medicare-for-all” single-payer national health insurance plan.

Analytics is an integral component of healthcare no matter what Congress decides, according to one expert. Here are 4 areas of data analytics that health plans can develop that will promote future cost savings.

Here’s what you need to know about medical marijuana laws, and what they mean for the healthcare system.

An eye-opening study by Precision for Value assesses cancer value frameworks.

Here are three ways HealthPartners’ health plan and care delivery system work together to save customers time and money and improve their experience.

Here’s a look at four changes in the second round of healthcare bill revisions that just weren’t enough to muster up enough votes.

Depression is one of the most common diagnosed disorders but providers still have trouble diagnosing and treating these patients.

Study highlights the need for services and research for this understudied population.

By using a patient-centered, physician-led model of care, Blue Cross Blue Shield (BCBS) of Michigan lowers recidivism and healthcare costs.

Here’s how successful strategy leaders look to industry benchmark data to map out where they want to take their service line, practice or institution.

Payers can facilitate action on the part of physicians to appreciate the growing awareness and financial responsibility of their patients and to better use a shared decision-making approach. Here’s three ways how.

Across the country more states are taking steps to limit patients’ exposure to surprise out-of-network bills.

A West survey has revealing findings about patient satisfaction.

National surveys from Public Agenda, supported by the Robert Wood Johnson Foundation, examine public perceptions of quality in diabetes care, joint replacement and maternity care.

Here are five key strategies to improve care and outcomes for members with advanced illness.

A new study evaluating Humana claims data reveals interesting findings about IVC filter use in managed care.

Professor in the School for the Science of Health Care Delivery Natalia Wilson, MD, MPH, discusses teaching population health to the next-generation of physicians, and how it will transform care.

Uncover the root causes of why patients become nonadherent and be better positioned to improve the lives of patients and reduce costs through improved health outcomes.

Views on the importance of population health differ depending on how you interact with patients, says the NEJM Care Redesign survey.

A survey from telemedicine provider Carena has interesting findings about virtual clinics.

In lines of care where improved outcomes aren’t paired with bonus payments, motivating providers and members to close gaps in care can be difficult.

Developing and carrying out a unified strategy for quality improvement can be difficult. CareSource is outlining its goals and supporting the front lines to initiate change.