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Improving Operations Through CFO and CIO CollaborationFinance departments have tended to view information system departments as budget breakers. But information system departments are contributors to other departments in an organization that drive profits.
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Fixing Prior Authorization: How to Improve Outcomes Using Episodic Care PathsAs the industry becomes oriented toward value-based care and its focus on high-value outcomes, utilization management must evolve to address the entire patient care journey, often across multiple episodes of care.
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Opportunity Uncovered: How COVID-19 Accelerated Healthcare TransformationBy embracing change, leveraging emerging trends and prioritizing patient-centered care, organizations and individuals can find opportunities for growth and innovation in the post-pandemic era.
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How Precision Medicine and Genetic Testing Will Drive Value-based CareThe shift to value-based care in the U.S. has been slow in coming, in large part because providers have continued to cling to the traditional “fee for service” healthcare model that historically has worked well for them.
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Health Plans Under Pressure | Predictions for 2025Michael Lutz, managing director of Avalere, shares his prediction for the year.
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GLP-1 Side Effects Have a Side Effect on Pharmacy Costs| AMCP Annual 2025Researchers say payers should take the added costs of drugs prescribed to deal with GLP-1 side effects into account when considering the financial impact of the popular class of drugs.
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What the Trump Presidency Will Mean for U.S. Healthcare and Managed CareThis webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.
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Reducing Clinician Burnout with Better Care Management ToolsFor many provider organizations, one way to address burnout begins with making clinicians’ lives easier by giving them the right technology to seamlessly access critical patient data at the point of care.
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DOJ Issues Important Updates to Evaluation of Corporate Compliance GuidanceA strong, up-to-date compliance program should be part of a healthcare company's risk management strategy.
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Can Medical Schools Help Improve Outcomes for Minorities Living with Diabetes?Professional development should take steps to incorporate outreach into medical school curriculums, say Rosemay Michel, D.P.M., and Gary M. Rothenberg, D.P.M. "Students must learn what motivates people to make healthy choices in their daily lives, including the influences of schools, faith-based groups, social media and extended family on personal decision-making," argue Michel and Rothenberg.
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Personal Emergency Response Systems Are More Than Just About Fall DetectionAmid a growing population of older people, many with chronic diseases, personal emergency response systems can be a way to reduce preventable hospitalizations.
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What the Trump Presidency Will Mean for U.S. Healthcare and Managed CareThis webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.
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Why Now is the Right Time to Double Down on Digital Workforce ManagementBy doubling down on digital investments that transform the workplace, organizations improve their workforce management through the end of the crisis and build up their digital capabilities for a promising future.
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FDA Approves GSK's BLA for 5-in-1 Meningococcal VaccineThe vaccine combines the antigenic components of its two meningococcal vaccines: Bexsero and Menveo. The action date is Feb. 14, 2025.
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For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial HelpCMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.
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For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial HelpCMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.
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Inflation Reduction Act: Reforms to Patient Cost-SharingLower out-of-pocket costs for patients might put upward pressure on drug prices, as manufacturers face less price sensitivity, note Matthew Majewski and Rhett Johnson of Charles River Associates. But they also note that upward pressure on price is likely to be limited to the inflation rate as any additional price increase would need to be paid back to CMS in the form of inflation rebates.
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3 Approaches to Creating a Connected Care FutureBy integrating capabilities and services, we can create health experiences that are much more than the sum of their parts
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Building a Culture of ResiliencyEmphasizing best practices and a healthy culture rather than focusing narrowly on compensation will help medical groups thrive.
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The Reaching Impact of Health Disparities: Why Closing the Gap Begins Before BirthManaged care organizations must ensure that all of their members—including their youngest—receive the most equitable start in life. Here’s how to get started.
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Health Equity: Why It’s Vital to Star Ratings PerformanceWith the introduction of the Health Equity Index (HEI) to Star Ratings methodology, health plans have yet another incentive to address health disparities.
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The Convergence of High Tech and HealthcareThe growth of digital twin technology — paired with the transition towards personalized medicine — has left many healthcare industry professionals evaluating the potential of a “patient twin.”
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How the Pandemic Has Shifted the Benefits ConversationThe benefits space is changing and there is currently a shift to “enviable benefits” - ones that go beyond traditional health and retirement coverage. Many companies, especially those still doing well during the economic downturn, have ramped up benefits communication about existing support programs such as telemedicine, financial well-being and childcare.
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The Future of Treatment Approaches for Pulmonary FibrosisAn expert discusses the key unmet needs in current treatment approaches for idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF).
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What’s Needed to Navigate America’s Mental Health Care CrisisDemand for mental health care is booming. With a shortage of psychiatrists, author of this opinion piece, Robert Krayn, asks how can we ensure providers are empowered to deliver the best care possible for their patients?
