Business Strategy

Here's how more than 600 healthcare executives responded to questions related to reimbursement, pharmaceuticals, consumerism, consolidation, technology, and more.

From changing leadership to new payment models, find out what to expect and how to succeed in 2016.

The role of insurance chief operating officer role has expanded greatly in recent years, with responsibilities becoming more strategic and aligned with those of the CEO.

Humana’s Medicare Advantage members show better quality, healthier outcomes and lower costs through value-based models.

As the healthcare system’s historical transformation continues in 2016, managed care organizations should brace for change.

What Managed Healthcare Executive content was most popular this year? Find out here.

We asked the Managed Healthcare Executive editorial advisory board to identify the top healthcare challenge in 2015. Here's what they said.

Federal antitrust officials are determining how, and if, transactions will move forward. Here's a roadmap of what's ahead in 2016.

How can plans and providers turn the dial up on member engagement? We asked three experts to weigh in.

Population health management, one of the most pressing priorities for executives today, requires careful planning and strategy. Here are some tips.

As technology has evolved, the potential of population health management as a tool to improve quality and reduce costs has expanded.

Greg Scott, national leader of the health plans practice at Deloitte Consulting, LLP, shares how plans and providers may be able to better apply big data.

In this Q&A, a presenter at the upcoming ASH conference discusses new hematology payment models and the top challenges payers face in this area.

Managed Healthcare Executive's State of the Industry Survey findings reveal that most plans and providers are struggling with data analytics. Here are some tips.

The top 5 industry challenges facing managed care executives, according to the findings of Managed Healthcare Executive's State of the Industry Survey.

Insurers like Aetna are implementing payment models for hematologic conditions.

Here's how four plans are using the management strategy to improve quality, reduce costs.

Traveling to Orlando for ASH 2015? Make the most out of your trip by attending these presentations. View the top 10.

Here are five ways payers could help their members become more engaged in their health and provider-recommended treatment plan.

During the first half of 2016, UnitedHealth Group will determine to what extent it can to participate in the public exchange markets in 2017. Here's what this means for the industry.

Is your plan making full use of its population health management systems? To help you find out, we asked two experts to weigh in.

As health insurers become increasingly more proactive and personalized in their interactions with individuals, they increase their ability to improve the cost and quality of healthcare while building loyalty in a competitive market.

CMS recently released 2016 Star Rating data, and the news is not good for many Medicare plans, particularly for standalone Part D prescription drug plans.

Payers are in the strongest-position to activate the transition to value-based management models, but they must improve collaboration with providers.

Today’s consumers have high expectations when making a retail purchase. These same demands apply when purchasing health insurance and getting medical care.

Following the ICD-10 transition, real interplay between all stakeholders begins with the patient being the true focus.

Today’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.

As healthcare consumerism gains momentum, health plans need to change their offerings to keep up with consumer demands.

How advanced use of data and analytics can solve your biggest Star Ratings challenges

Clinically Integrated Networks (CINs) are evolving quickly across the country in response to changing reimbursement trends and the move to value-based payments.