Business Strategy

Industry insiders believe that the Anthem lawsuit against Express Scripts over drug pricing may provide some clues into this complex situation.

… and solutions from experts

While value-based reimbursement presents opportunities for payers and providers, succeeding in such a reimbursement model can be challenging. Here are four things to strive for that could increase the likelihood of success in a value-based reimbursement model.

While the high cost of specialty pharmacy is no surprise in the healthcare industry, infusibles have additional challenges. Here are the challenges that top the list, and what to do about them.

In the move to value-based care, there have been surprises and disruptions for payers and providers alike. In this Q&A, an expert shares where we are now.

With the tremendous amount of innovation occurring in all aspects of the healthcare industry, the opportunity to transition innovations into successful, impactful products that improve patient care and member experience has never been greater. Here are six tips.

As alternative payment models gain traction, payers and providers must take the appropriate steps to thrive.

A diverse group of healthcare stakeholders recently met for CBI's Alternative Payment Models in Healthcare Conference 2016 in Orlando, Florida. Here are five key takeaways from the conference chairman.

Ensuring the appropriate internal investment, addressing key friction points, and taking several steps to increase the likelihood of long-term success is key.

The Managed Healthcare Executive Editorial Advisory Board says these skills are critical to be a successful healthcare executive today. Do you have what it takes?

During the keynote session at the Advanced Payment Models in Healthcare Conference 2016, PwC experts shared how MACRA legislation will affect reimbursement.

New Health Care Cost Institute analysis examines the value that can be derived from providing cost and quality information for non-emergency healthcare services.

We asked industry insiders to detail and analyze each component of Trump’s healthcare plan.

Agency hits 30% value-based target goal 11 months ahead of schedule.

Surprising way a group of surveyed physicians are saying what they think is the best way to control costs.

Effective teams transform patient and caregiver experience by building trust and meeting goals. Here are five ways how.

Learning to use mobile health or mhealth is a critical advantage to providing the highest return on investment for plans and providers.

While insurance companies and employers are deploying more pricing tools, healthcare providers are in a unique position to lead the price transparency revolution.

Health insurance plans will soon receive ratings based on how many doctors and hospitals they include in their networks.

Prior authorizations are here to stay. Are yours working against you? Find out.

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.

Considering entering into a risk-sharing agreement with another payer or provider? Avoid these top mistakes.

A quick progress report on efforts to improve price transparency in the United States, as well as some state-by-state information.

Before it hits you, take time to consider effective benefit strategies

In the fee-for-service world, physicians need to squeeze in more visits into less time. Here’s how value-based reimbursement is changing the model.

Launching a successful accountable care organization is not easy. Here are some tips from David Swieskowski, MD, MBA, president and chief accountable care officer at Mercy ACO.

One of the biggest current areas of research is precision medicine, which will transform patient care for generations to come. Here's how one hospital is applying it.

Patients with chronic diseases who received a home visit in HealthPartners’ pilot MTM program reduced readmissions within the first year. Find out how.

It’s tough for managed care executives to keep up with clinical research, evidence, and studies on an ongoing basis. Here are some tips.

Twenty American corporations join to improve the way employee healthcare benefits will be purchased in an effort to create better outcomes.