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Prioritizing referral completion as much as referral generation will equip organizations to measure results and improve health outcomes.

Imaging has been associated with four of the five most prevalent low-value services among Medicare beneficiaries.

One of teledentistry's most valuable applications is triage — helping a patient understand whether a concern can wait for an appointment, requires prompt attention or warrants emergency medical care.

Behavior-informed care applies behavioral science principles to personalize support, including positive reinforcement and timely prompts.

Get the identity layer right, and every system in the health plan can answer the one question everything else depends on. Who is this person, and who are they connected to?

How the USPS financial crisis changes the conversation about healthcare communication and mailing.

The REAL Health Providers Act and the CMS National Provider Directory (NPD) initiative will to reshape how provider data is collected, maintained, and enforced.

Online drug platforms are expanding quickly, but lower sticker prices do not always mean lower total costs for employees or better coordination of care.

The real challenge for health plans isn’t simply deciding how to automate prior authorization but using this regulatory moment to build a far more durable cost-management strategy.

Consumers are reshaping healthcare faster than the industry can adapt.

Argentina's healthcare trade-offs are playing out in real time. U.S. leaders should be paying attention.

Most favored nation pricing may well deliver lower drug costs in the short term. But the real ledger, measured in research not pursued, diseases not prioritized, and markets left behind, will take years to fully calculate.

Improving outcomes in chronic conditions will require eliminating friction and creating a connected foundation that supports people continuously.

Healthcare leaders rank improving the patient experience ahead of digital transformation and cost reduction, and it can't be done without a trusted identity foundation.

Rather than considering prior authorization metrics separately, a Friction Index combines,

Addressing social determinants of health is now a strategic pillar of organizational planning, compliance, and long-term sustainability.

The healthcare industry succeeded in making behavioral healthcare more accessible, argues Machinify's Lisa Pincher. Now, it must build the infrastructure to support that care responsibly.

Healthcare leaders need to treat artificial intelligence (AI) adoption as an operating model question, not just a matter of IT staffing.

Without savings from the 340B Drug Pricing Program as a lifeline, hospitals face service reductions or even closure.

Women are disproportionately affected by migraine, and people with migraine can lose the ability to consistently participate in work, school and daily life.

As value-based care continues to evolve, models that embed physician input into decision-making, align incentives and maintain transparency are more likely to sustain improvement.