How Humana is successfully improving care for members in two cities.
Here are three innovative structures in pricing models to address the high-cost of curative therapies.
HealthKonnect, a subsidiary of Chinese insurer Ping An Insurance Group developed a personal health-risk prediction model that has the ability to predict at individual patient level future healthcare risks measured by total medical costs. Here’s how.
A new Private Exchange Research Council study shows why decision support and educational tools are necessary to help employees navigate the choice in benefits.
In the shift to value care, value-based purchasing guidelines reward positive quality metrics with bonuses and levy fines and assessments on institutions that are unable to demonstrate quality of care. Often however, it’s not the care itself that’s at fault, but the reporting. Here’s an approach to capturing those crucial metrics.
Diabetes drug spending is on the rise, but there are ways to control it.
Capturing the power of big data is key to patient care strategies that reduce costs, improve outcomes and enhance patient experience.
A new study shows that ACA tobacco rating rules aren't enforced in employer plans.
A new study has surprising findings about how seniors feel about healthcare and technology.
Experts weigh in on a recent lawsuit against PBMs, whether similar lawsuits will crop up, and the likely outcomes.