Hospitals & Providers

Here are four critical considerations that are integral to successful implementation of a value-based payment model.

How can plans and providers turn the dial up on member engagement? We asked three experts to weigh in.

In today’s world of value-based care, having a high volume of inpatients means something is broken in the healthcare system. Here's how technology is helping fix it.

The healthcare industry may look back on 2015 as a "watershed year," during which the switch from volume to value solidified. But the transition isn't without its challenges.

Super clinically integrated networks can strengthen each of the independent members.

Here are five ways payers could help their members become more engaged in their health and provider-recommended treatment plan.

Payers are in the strongest-position to activate the transition to value-based management models, but they must improve collaboration with providers.

A survey of 2,398 physician leaders across the country indicates how physicians are changing their views on value-based care. View the survey findings.

These services can detect diseases earlier and prevent them altogether, but rates are lagging behind where they should be.

Clinically Integrated Networks (CINs) are evolving quickly across the country in response to changing reimbursement trends and the move to value-based payments.

A new report from ACAP details savings afforded Medicaid programs through managed care

The effort to secure provider status for pharmacists continues on a federal and state level, and it may be gaining more traction than ever.

At the Academy of Managed Care Pharmacy Nexus 2015, two presenters identified legislative and regulatory changes that could have a big impact on managed care.

A new PwC report finds that most health system executives support the move away from fee-for-service (FFS), but struggle with how much they should invest in payment alternatives.

How plans can achieve the right balance between cost and outcomes

On the heels of the Centers for Medicare & Medicaid Services release of the Medicare accountable care organizations (ACO) 2014 quality and financial performance results, tracking the ACO industry for market shifts might be a wise move, according to one industry expert.

The National Health Council recently released a state progress report of health insurance exchanges. View the key findings.

Quality, financial performance provides glimpse at long-term effects

The Centers for Medicare & Medicaid Services Office of Minority Health, unveiled the first CMS plan to address health equity in Medicare.There are six key priorities of the CMS Equity Plan for Medicare.

Five initiatives, five success stories

HealthSpot’s telebooths, which are currently in more than 20 Rite-Aid stores, are changing how patients interact with healthcare. Find out how it works.

An NIH-sponsored trial enrolled more than 9,300 participants ages 50 and older with high blood pressure. View the results.

Decades of research shows that brainstorming doesn’t work when attempting to solve difficult problems. Here's what healthcare leaders should do instead.

The inability to coordinate care for these seniors leads to more health problems, and higher costs.

A health kiosk-decision support system may be a novel and important approach to improve provider prescription patterns.

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.