CMS’ Quality Payment Program launched in 2016 as part of MACRA. Here’s what’s in store for Year 2.
Will President-elect Donald Trump affect the outcome of the Anthem-Cigna and Aetna-Humana mergers?
Here are the top three reasons for medication adherence failure and how to overcome them.
Creating a comprehensive customer experience doesn’t happen overnight, but the key to achieving it comes from taking a “bone deep” approach.
By addressing the root problem of obesity with structured programs, providers can help patients lose weight and very possibly avoid expensive chronic illnesses as a result. Employers and payers should incentivize healthy weight by paying for obesity care and treatment, potentially reaping substantial savings in the long term.
Following the GOP’s success on Election Day, the nation is quickly tuning in to what this all means for healthcare coverage.
The path to bundled payment success can be daunting. Here’s three universal concepts that will promote success under the various CMS models.
Many aspects of the ACA have been assimilated into the healthcare system. Will a Trump administration undo them?
We have a path to ending the HIV epidemic in the United States, but it requires health plans and healthcare purchasers to take a more active role in getting us there.
Medicare plans must understand the impact of CMS rule change to be prepared for risk adjustment in 2017. Here are 10 tips to better manage the risk adjustment process.
Congress recently began hearings on proposals to combat opioid abuse. Our policy analyst weighs in.
Explore how using support tools can prevent treatment overutilization.
Telephonic and personalized diabetes self-education programs which fit into patient’s busy lives will make a greater impact than in-person classes only.
While the second feed may not change providers’ actions in terms of the strategy they’re implementing for the Comprehensive Care for Joint Replacement program, the findings should change their expectations.
Adding non-opioid postsurgical options to hospital formularies should be a top consideration.
Deaths due to opioid abuse have risen sharply-and show no signs of leveling off. Here’s how data analytics can prevent abuse and diversion.
Although CMS released the final rule for MACRA in October, there is still quite a bit of confusion.
Here’s what managed healthcare executives should keep an eye on moving into the new year.
By deploying a proactive, year-round strategy that aligns data analytics with a focused approach for addressing gaps in care, your organization can turn routine quality measurement and reporting activities into a true strategic advantage by ensuring that quality measurably improves across key metrics.
Here’s what managed healthcare executives should keep an eye on moving into the new year.
Here’s what managed healthcare executives should keep an eye on moving into the new year.
Because the imaging industry has been under a microscope for years, it's had to do more with less. There are many ways in which imaging can serve as a blueprint for other stakeholders as healthcare moves toward value-based care delivery models.
Beyond the obvious training and work flow challenges associated with the ICD-10 transition, a whole host of challenges will arise as ICD-10 becomes the new reality.
A nationwide interoperability roadmap released by the U.S. Department of Health and Human Services in January outlines a set of critical actions healthcare players need to take between now and 2024 to get to a fax machine-free future.
Consumer-driven healthcare has transformed from media buzzword to meaningful action, but it’s the economics behind the healthcare universe that have finally turned the consumer-driven concept into a reality for benefits administrators, employers and consumers alike.
Americans have been diagnosed with diabetes, mostly with the type 2 variety linked with being overweight or obese.
U.S. cities are home to 62.7% of the American population, according to the U.S. Census Bureau. This number is expected to grow to 87.4% by 2050. Here's how healthcare can keep up.
Beyond the obvious training and work flow challenges associated with the ICD-10 transition, a whole host of challenges will arise as ICD-10 becomes the new reality.
CVS Health is integrating HHS' Healthfinder.gov app into its web space under the name myHealthFinder.
Beyond the obvious training and work flow challenges associated with the ICD-10 transition, a whole host of challenges will arise as ICD-10 becomes the new reality.