Business Strategy

Hospitals who have deployed a smartphone-based communications platform, surveyed by Spyglass Consulting Group identified five forward-looking opportunities to expand their existing deployments.

Here are five strategies managed care organizations and healthcare providers can use to support chronic patients and improve the efficiency and effectiveness of chronic care.

A new CAQH CORE report has the inside information to streamline the exchange of value-based payment information.

How Humana is successfully improving care for members in two cities.

Here are three innovative structures in pricing models to address the high-cost of curative therapies.

HealthKonnect, a subsidiary of Chinese insurer Ping An Insurance Group developed a personal health-risk prediction model that has the ability to predict at individual patient level future healthcare risks measured by total medical costs. Here’s how.

A new Private Exchange Research Council study shows why decision support and educational tools are necessary to help employees navigate the choice in benefits.

In the shift to value care, value-based purchasing guidelines reward positive quality metrics with bonuses and levy fines and assessments on institutions that are unable to demonstrate quality of care. Often however, it’s not the care itself that’s at fault, but the reporting. Here’s an approach to capturing those crucial metrics.

Diabetes drug spending is on the rise, but there are ways to control it.

Capturing the power of big data is key to patient care strategies that reduce costs, improve outcomes and enhance patient experience.

A new study shows that ACA tobacco rating rules aren't enforced in employer plans.

A new study has surprising findings about how seniors feel about healthcare and technology.

Experts weigh in on a recent lawsuit against PBMs, whether similar lawsuits will crop up, and the likely outcomes.

A new Symantec survey has surprising findings about risk assessment as a driver in cybersecurity investments.

A revealing study shows what happens when urban Medicaid patients are offered complimentary rideshares to their primary care appointment.

A new study has eye-opening findings about home hospital care cost and patient experience.

Healthcare consumers want their digital customer experience to be similar to retail, according to revealing research findings from NTT DATA Services presented at HIMSS.

Eye-opening analysis from TransUnion Healthcare reveals patients continue to see rising costs.

UnitedHealthcare will pass on pharmacy discounts directly to some consumers, signaling the next wave of disruption in healthcare, say industry watchers.

Rideshare giants Uber and Lyft partner with providers to help get patients to their medical appointments, as well as improve the overall patient experience. Here’s five takeaways from industry watchers.

The Cigna-Express Scripts deal may signal a move to more vertical and horizontal healthcare deals. Here’s what else it means.

HHS Secretary Alex M. Azar II lays out top four HHS initiatives and calls on payers and providers to align.

This first article in our new leadership series explores how managed care executives can cultivate smart ideas and stay ahead of the competition.

Your net promoter score could be influencing your business. Here’s what it is and how to improve it.

Switzerland-based pharma company Roche’s $1.9 billion purchase of tech company Flatiron Health signifies Big Pharma’s need for data.

Eye-opening research by NTT DATA Services sheds light on healthcare consumer satisfaction with virtual versus human agents.

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.

A study from Human Rights Watch has eye-opening findings about antipsychotic drug prescribing in U.S. nursing homes.

Managed care organizations are looking for new skills in healthcare leaders (and in some cases hiring for completely new leadership roles). Here are four emerging trends to watch.

We asked the Managed Healthcare Executive board to share their favorite app-for work or for play. Here’s what they said.