Authors


Jim Klein

Latest:

EAM software managed thousands of access points

Extranet access management allows precise control of which users can access which parts of a site


Robert A. Nozar

Latest:

The impact of EMRs can be felt right at the patient's bedside

Increased patient satisfaction, improved performance and revenue become apparent as paper trails dwindle


James M. Gabler

Latest:

How to evaluate the readiness of users to deliver IT value

Delaying a project is far less costly to user management than an ill-conceived attempt that fails


Al Lewis

Latest:

BLOG: Why we can't measure wellness outcomes

You will never be able to measure wellness and you actually don't want to


Julie Miller

Latest:

MA plans taking a hit

Network selection is one tool plans are using to overcome cost pressures


Mari Edlin

Latest:

How RA, Cancer, Hep C Drug Costs Will Change Over Next Five Years

Experts weigh in on the spending outlook for these high-cost conditions.


Ian R. Lazarus, FACHE

Latest:

State of the Industry 2005

Managed care organizations, hospitals and providers evolve, responding to market influences, but some key issues still command attention.


Bill Gillette

Latest:

For whom the NPI tolls: Deadline for HIPAA compliance closes in

The deadline draws near for the healthcare industry to comply with one of the final regulations mandated by the Health Insurance Portability and Accountability Act (HIPAA) in the ongoing industrywide effort to get all arms on the same electronic page.


John Jesitus

Latest:

Consumer resilience: Grace-Marie Turner advocates the free-market approach

Many organizations believe a free-market system is the best approach to healthcare, but the free market struggles against lagging public policy. Especially as consumers are demanding greater control, advocates point to other industries in which competition has driven down prices and inspired higher quality.


Peg Haennicke

Latest:

Integrated health and disability strategy helps maintain a healthier workforce

When employees can't work because of sickness or injury, both employers and employees suffer. By using a holistic approach to maintaining a healthy workforce, employees are more secure, productivity improves and the cost of running a business can dramatically decrease.


James Brady

Latest:

Case study: One medical center's experience with IT thresholds

Wherever you go, you can see technology's impact on our society. Household bills are paid online, satellites can locate your home from space, and cell phones have the ability to send and receive e-mail. Another area of society seeing a surge in technological advancement is the healthcare sector. From applying transactional data management for disaster recovery to implementing real-time analysis software to improving systems management, hospitals are adopting technology to ensure that their most important information-patient data is accessible and secure.


John Otrompke

Latest:

Plans begin ACO development in commercial markets

Large health plans across the country are diving into accountable care with some degree of success.


Perry Cohen

Latest:

Comparing the Responses to COVID-19 in Israel, Canada and Japan

International comparisons shed light on responses to pandemic and strategies for vaccination and reopening.


Benjamin Nagy

Latest:

Process upgrade solves consumer cash questions

Often when a patient walks into a provider's office, he or she might not have any idea about the total cost of the visit-except what the copay might be.


F. Randy Vogenberg, PhD, RPh

Latest:

Medical Jargon, Acronyms that Most Confuse Patients

How skipping industry acronyms and jargon and using simple terminology will eliminate confusion and misinterpretation.


Sherry Rohlfing

Latest:

Opinion: 5 Ways MCOs Can Address COVID-19 Transmission

Principals of DeltaSigma, LLC , Don Hall, M.P.H., and Sherry Rohlfing provide Managed Healthcare Executive an opinion piece on how managed care organizations can address COVID-19 transmission.


Donna Marbury

Latest:

Headed in the Right Direction: Cancer Mortality is Going Down

Public health policies and treatment advances have made a difference.


Maura L. Hughes

Latest:

Do pay-for-delay agreements buy antitrust uncertainty?

Agreements must be judged by antitrust’s rule of reason to determine true consequences.


Julie Malida

Latest:

BLOG: Look beyond pharmacy claims to detect fraud

Advanced analytic solutions are being used to detect improper payments in pharmacy claims.


Bob Pieper

Latest:

CMS eyes bundled payment pilot for specialist physicians

The initiative would expand Medicare’s present Bundled Payments for Care Improvement (BPCI) program


Perry Cohen, PharmD, FAMCP

Latest:

The Time is Now for Laboratory Benefit Management

As personalized medicine grows, so does the need for specialized management of laboratory testing.


Patrick Horine

Latest:

How Current Accreditation Approaches Impact Reduction of Hospital Readmissions

Hospitals are always looking for ways to reduce readmission rates. They may have an unusual ally in a quality control system originally developed in Europe for the manufacturing sector. Read more about it.


Eladio Alvarez

Latest:

Five Tech Predictions for Healthcare in 2018

In the year ahead, we can expect to see an insurgence in technology solutions that address patient engagement, data, and security throughout the healthcare system.


Scott McFarland

Latest:

Three Essentials Providers Need for Risk-Based Contracts

These core elements make up a collaborative “provider enablement” strategy to break down resistance to value-based care.


Janice W. Young

Latest:

Take a three-pronged approach to defined contribution

Consumer focus is an enterprisewide strategy


Alison Greco, PsyD

Latest:

Four Ways Health Plans can Guide Members to Wise Choices

For all health plans, increasing complexity requires rethinking the presentation of options to members. Choice design, stepped information reveal, high quality, and timely communication, are keys to providing members a helpful and trustworthy healthcare GPS.


Harish Pai

Latest:

Four Ways to Leverage Artificial Intelligence

Here's how artificial intelligence improves the healthcare ecosystem.



Mark Nathan

Latest:

Five Steps to Improve Healthcare Consumer Experience

To build trust, health insurers need to demonstrate their value to customers. That means offering a convenient, satisfying customer experience. Here’s how.


John Schieszer, MA

Latest:

News You Should Know: 3 Takeaways from Top Managed Care Articles June

Have two minutes? Listen to this quick podcast for critical takeaways from three of our top articles.

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