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Assess healthcare leadership's ability to handle a crisisIf a crisis were to suddenly arise for your organization, would your people be ready to handle it?
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Put drug development to work for diabetic patientsAlthough the diabetes pipeline is not large, we continue to have progress in meeting the unmet needs of patients with diabetes.
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Mend fragmented payer-provider relations: 4 tipsPayers and providers have traditionally operated on opposite sides of the tracks with limited collaboration, resulting in a disjointed and complicated experience for patients when accessing care.
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The potential effects of the proposed payer mergersA deeper dive into the proposed payer mergers reveals how they could impact market dynamics.
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What should healthcare price transparency look like?Health policy experts generally agree that properly tailored transparency tools can help to hold down prices. What is not settled at this point is what transparency should look like.
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Telehealth reimbursement under the microscopeIn this commentary, attorney Nathaniel Lacktman shares why, in the era of payment reform, it is critical for health plans to provide telemedicine reimbursement.
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Why study international healthcare?Those who are in decision-making roles must study how other countries address healthcare financing and delivery so as to bring the best initiatives of the studied country to the healthcare systems they oversee.
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What should healthcare price transparency look like?Health policy experts generally agree that properly tailored transparency tools can help to hold down prices. What is not settled at this point is what transparency should look like.
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Four reasons payers need to embrace the digital economyConsumer and provider expectations have changed as a result of the digital economy. Here are four reasons why payers need to start migrating their businesses in that direction.
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Three tools for successful risk-based pharma negotiationsBiopharmaceutical manufacturers’ at-risk day is coming. Here’s how to prepare.
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Commercial payers: Don't leave money on the tableTo put more risk-based dollars in the bank, payers need to master a new level of gathering and reporting on not just claims data, but clinical data as well.
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Meaningful Use final rule: 4 Tips for hospitalsHospitals and physicians must be diligent in the implementation of their meaningful use business or strategic plan.
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CMS' mandatory bundled payment model: How to prepareThe Comprehensive Care for Joint Replacement (CCJR), has organizations’ leadership wondering how they will be able to perform in such a model. Here are some tips.
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Five attributes of health plans poised to winToday’s value-focused economy was a primary discussion point at a recent roundtable of health plan CEOs. The discussion led to five essential attributes that organizations must embrace to thrive.
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Super clinically integrated networks: 8 components to considerClinically Integrated Networks (CINs) are evolving quickly across the country in response to changing reimbursement trends and the move to value-based payments.
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Super clinically integrated networks: 8 components to considerClinically Integrated Networks (CINs) are evolving quickly across the country in response to changing reimbursement trends and the move to value-based payments.
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Will biosimilars deliver on expectations?This might be the year when it becomes clear, perhaps painfully so, whether or not biosimilars can deliver on cost savings expectations.
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Mastering interviews: Tips for managed care executivesTips to help healthcare executives present their most authentic selves during remote interviews.
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Proposed healthcare payer mergers are under reviewFederal antitrust officials are determining how, and if, transactions will move forward. Here's a roadmap of what's ahead in 2016.
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High-cost patient populations: 3 areas to addressThe solution to succeeding in value-based reimbursement models is to start inside the hospital with high acuity patients and build the systems that support them.
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Four data analytics initiatives to implement nowInnovation will be necessary to compete for consumers in the new market environment. Using data effectively can help plans stand out.
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Risk sharing grows in the Medicaid spaceWhile forming risk-based entities among Medicaid providers could be an effective way to better manage the care of low-income populations, the risk of unintended consequences cannot be ignored. A key hedge against these consequences is better use of patient data.
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Four considerations when moving to value-based paymentHere are four critical considerations that are integral to successful implementation of a value-based payment model.
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Imaging programs reduce costsUnnecessary diagnostic tests are harmful to patients and costly for health plans.
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US healthcare costs accelerateSince posting its lowest annual growth rate in more than six years, the average cost of healthcare services accelerated in May and June.
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Patient visits should go back to the basicsSometimes in our technology-driven environment, we get into a fixed routine of the current standard of care for our patients. What would we see or hear if we saw our practice or facility through the eyes and ears of our patients?
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How FDA Plans to Encourage More Biosimilar UptakeThe hope is that more biosimilars will lead to more access and more affordable medications, but biosimilar uptake is lagging. Here’s why and how FDA hopes to fix it.
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The Hospital of the Future: Balancing Risk, Revenue in Post-Pandemic WorldHealthcare providers have increasingly entered into value-based contracts with payers in recent years because they offer the opportunity to increase revenue-the primary driver of change for any business.
