Practice Management

AHIP pilot program aims to improve doc directories

April 21, 2016

An accurate account of your provider roster is essential to driving value-based care, according to one expert.

Four ways to a better patient healthcare experience

January 05, 2016

Coordination is key in improving adherence and outcomes in patients with chronic conditions. Here’s how.

Social media: ROI for health plans?

January 22, 2015

According to the research firm Gartner, Inc., information technology is subject to a five-phase acceptance cycle: a Technology Trigger, Peak of Inflated Expectations, Trough of Disillusionment, Slope of Enlightenment, and Plateau of Productivity. Even zealous advocates of social media marketing (SMM) admit their craft is currently stuck in the disillusionment phase.

Value-based formularies take hold

January 21, 2015

Unlike a traditional formulary, the value-based formulary emphasizes the clinical effectiveness of a drug rather than cost so that if a drug is very effective but expensive, it might still fall on tier one.

M & A deals reach record high under reform

January 21, 2015

From Blue Shield of California's recently-announced purchase of a Medicaid plan to Partners HealthCare's hard-fought effort to fold more hospitals into its Massachusetts health system, the volume of mergers and acquisitions in the healthcare sector has steadily climbed and now exceeds M & A activities in all other U.S. industries. The surge is being fueled by payers and providers seeking new business opportunities in the post-ACA healthcare market, and 2015 is on track to be another record-breaking year.

Ebola's lessons

January 21, 2015

Envisioning a public health threat, managed care recently notched up its readiness for an Ebola outbreak in the United States. Valuable lessons emerged from the latest effort, adding to the knowledge gleaned from other epidemics, such as the HIV/AIDS and SARS viruses and the bird flu.

Strategies for lowering C-section rates

January 21, 2015

Nearly a year after two medical societies released a national consensus statement on the safe prevention of certain C-sections, broad consensus seems to boil down to this: Steps must be taken to lower C-section rates in the U.S., and strong outreach to ob/gyns is critical for success.

Shared decisions save costs

March 01, 2013

More than $23 per member per month saved when coaches offer remote assistance