Health Management

The call for antimicrobial stewardship is growing. Enact these steps to prevent a return to the pre-antibiotic era.

Blue Cross Blue Shield of Illinois partners with gastroenterology group to focus on Crohn’s disease patients.

With a growing need for services, nearly nine in 10 employers cite behavioral health as an important priority in Willis Towers Watson survey.

Two studies, one from Prime Therapeutics and Stanford, reveal an alarming increase in overdose with concurrent use of opioids and benzodiazepines. Here’s how managed care can help.

The healthcare industry continues to focus efforts on treatments that work better, and ideally are less expensive and less invasive for patients.

The healthcare industry continues to focus efforts on treatments that work better, and ideally are less expensive and less invasive for patients.

Chief experience officers improve the patient experience-and the experience of caregivers.

Just last year, the FDA approved Exondys 51 (eteplirsen) for DMD, over the recommendations of FDA scientists and an external scientific advisory committee. Read more.

Oncology is a complex and rapidly-evolving management challenge for payers.

Patient risk can improve value-based cancer care. Find out how.

A study from Walgreens provides a benchmark of basal insulin treatment persistence across different payers in the United States.

Here are four of the top benefits of incorporating behavioral health management into care management plans for members with chronic conditions.

Here are four ways that health plans can improve their internal processes for collecting provider data.

With ACA repeal and replace on the horizon, digital healthcare solutions will surely be affected.

A West survey finds that an overwhelming number of chronic care patients say they need help managing their disease.

Innovation in healthcare wearables continues to drive market growth.

Industry leaders share their go-to strategies.

Health plans of the future will focus on consumers: designing products, care and services to support improved health.

CMS launched the Comprehensive Care for Joint Replacement Model (CJR) in 2016.

Biomarker testing for harmful genetic mutations provides the opportunity to identify at-risk individuals who might benefit from risk modification strategies and/or enhanced disease screening.

Stephen Rioseco, of Horizon BCBSNJ, tells Managed Healthcare Executive how his health plan fully capitalizes on the power of social media for customer service.

Paramedics can do much more than transport patients to the ED or inpatient care. Payers and providers are increasingly using EMS services to reach out to patients in their homes to improve outcomes and reduce costs.

Genetic testing holds great promise, but there are some critical drawbacks to consider.

Investment in resources that support clinicians and patients closer to the point of care may be the cure for what ails managed care executives.

A Precision for Value survey highlights what can be done in order to encourage payers to ease coverage policies for these drugs in the next wave of HCV treatment.

Allegheny Health Network (AHN) in Pittsburgh, Pennsylvania, has achieved what few health systems have been able to do-offer same-day specialty appointments across its hospital network.

Here’s what a Vizient’s hospital leader survey says about the future of the Affordable Care Act (ACA) and other healthcare policies under the new Administration.

A new report highlights the top states most affected by repeal of the ACA. Is your state among the top 10?

Experts share updates on new diabetes medications, and provide an overview of what’s coming.

As we begin the New Year, healthcare payers have an immediate opportunity to boost member satisfaction.