Health Management

Administrative costs are a huge burden in healthcare, but there are several process changes that can result in huge savings.

The concepts that power cognitive computing and AI have grown to include substantial healthcare advancements.

Today there are nearly 67,000 genetic tests. With so many tests available, it can be difficult for MCOs to determine what to cover.

As President Trump declares the opioid epidemic “a national emergency,” a new opioid management program from Express Scripts will limit the number and strength of opioid drugs to first-time patients.

As legislative discussions begin regarding the reauthorization of CHIP, it is imperative to keep in mind how proposed cuts could be detrimental to the health and future of our nation’s children.

A National Business Group on Health survey finds that with costs continuing to rise, employers are shifting control efforts to how healthcare is delivered and paid for.

A new report by the Blue Cross Blue Shield Association has eye-opening findings about diabetes prevalence, severity and cost.

Managed Healthcare Executive (MHE) recently spoke with Cigna’s Chief Medical Officer for Behavioral Health Doug Nemecek, MD, about Cigna’s efforts, outcomes, and how it plans to reach its goal

As the opioid epidemic rages, up-and-coming physicians are seen as part of the solution. Here’s how medical schools are changing their training programs.

An eye-opening study by Precision for Value assesses cancer value frameworks.

Here are three ways HealthPartners’ health plan and care delivery system work together to save customers time and money and improve their experience.

The medication’s ability to reduce inflammation sited as one possible explanation.

Depression is one of the most common diagnosed disorders but providers still have trouble diagnosing and treating these patients.

Study highlights the need for services and research for this understudied population.

An initiative that aims to expand the use of population health strategies has received funding to be used in 500 U.S. cities.

By using a patient-centered, physician-led model of care, Blue Cross Blue Shield (BCBS) of Michigan lowers recidivism and healthcare costs.

Payers can facilitate action on the part of physicians to appreciate the growing awareness and financial responsibility of their patients and to better use a shared decision-making approach. Here’s three ways how.

Here are five key strategies to improve care and outcomes for members with advanced illness.

A new study evaluating Humana claims data reveals interesting findings about IVC filter use in managed care.

Professor in the School for the Science of Health Care Delivery Natalia Wilson, MD, MPH, discusses teaching population health to the next-generation of physicians, and how it will transform care.

Uncover the root causes of why patients become nonadherent and be better positioned to improve the lives of patients and reduce costs through improved health outcomes.

Views on the importance of population health differ depending on how you interact with patients, says the NEJM Care Redesign survey.

Study shows Clovis Oncology’s rucaparib shows clinically meaningful impact in delaying disease recurrence in ovarian cancer.

Understanding genetic variations and tumor differences in black women with breast cancer could lead to personalized diagnosis and treatment.

Developing and carrying out a unified strategy for quality improvement can be difficult. CareSource is outlining its goals and supporting the front lines to initiate change.

Low CAHPS scores are a problem for health plans, but they don’t give much information in terms of how plans can improve. Drill down surveys might be the answer.

Data is key to helping providers increase member compliance, and technology has made this delivery simpler and more effective.

Services for the Underserved uses healthcare technology tools to reduce costs, increase quality.

A real-world study of type 2 diabetes patients by Milliman has surprising findings on glycemic control and diabetes medication adherence.

Oscar Health, a health-insurance startup, will work with the Cleveland Clinic to offer individual health insurance plans to consumers in northeast Ohio.