Find out what worked for this value-based physician and hospital network and Accountable Care Organization in Massachusetts.
While many analyses of Section 1a of the executive order cite doom and gloom for health plans, four tenuous contingencies all must take place in order for this to occur.
Genetics and genomics are starting to have an impact on cardiovascular care. Here’s what payers should consider when deciding whether to cover a gene expression test.
Plans must be able to deploy these five tactics, whether using internal resources or collaborating with a vendor.
There are tried and true methods to manage through turbulent times, both at the business and personal level. We can apply these methods as healthcare leaders.
Healthcare executives have a unique leadership role to play in addressing the opioid crisis. Here’s what you need to do now.
Many people don't understand their insurance benefits. Hospitals and other providers should proactively explain coverage and out-of-pocket expenses.
The coronavirus pandemic has been a seismic disturbance however in a post-COVID-19 environment transformational healthcare trends will be back with a vengeance.
Overprescribing by just one practitioner can lead to an untoward outcome that may readily affect the entire healthcare facility.
Tagged with the moniker "late retirees," this group of Medicare first-timers isn’t ready to call it quits. How can you help them? Find out below:
Successful community initiatives are creating systems of care that bridge multiple programs to provide coordinated services to individuals with substance use disorders. Here are five.
Successful community initiatives are creating systems of care that bridge multiple programs to provide coordinated services to individuals with substance use disorders. Here are five.
The adoption of blockchain in healthcare billings and payments can bring a number of benefits to both payers and providers.
With the right preventions in place, hospitals and healthcare executives will be well positioned to respond to these four risks in 2018.
By recognizing and address the needs of the “whole person,” we have an opportunity to improve the health of people across the U.S. Here are two ways to do that.
Iowa's Department of Health and Human Services, which manages the two health insurers that delivered care to adults and children in the state’s Medicaid program last year, was alleged to provide inadequate mental and behavioral health care to children on Medicaid.
Creating a comprehensive customer experience doesn’t happen overnight, but the key to achieving it comes from taking a “bone deep” approach.
Gwen Nichols, MD, chief medical officer of the Leukemia & Lymphoma Society, offers a quick overview of current developments as well as a look forward.
How one $1.62 billion healthcare network uses global sourcing to simultaneously improve quality and wring costs out of its purchasing program and supply chain.
While insurance companies and employers are deploying more pricing tools, healthcare providers are in a unique position to lead the price transparency revolution.
Why lowering drug costs can start with machine learning and better patient interaction.
Here are five critical regulations that executives can begin to prepare for today.
Effective teams transform patient and caregiver experience by building trust and meeting goals. Here are five ways how.
Captives can serve as focal points for the captive owners’ collective efforts to promote safer healthcare environments and improved patient outcomes.
High customer satisfaction has been linked with stronger loyalty, sales, and profits. So why hasn’t the healthcare industry caught on?
New regulations will check the drive to narrow networks, just as the business case for forming them grows more compelling.
Patient experience should take a front seat at healthcare organizations, but what does that entail?
A look at some of the technology advances at one hospital, and across the country, that are changing the way pediatric cancer patients are treated.
Precision medicine isn’t just about genomics anymore. With the field moving forward as the next step in population health management, environmental, social and lifestyle factors that live outside the medical system are increasingly important to target treatments and engage patients. That means health plans also need innovative technology solutions to capture, store and integrate this crucial information.