Health Management

As the destiny of Obamacare takes center stage, two researchers have proposed the next-generation of HSAs-HDHPs, a new way to design health insurance plans that could win bipartisan support.

The proposed megamerger has been shot down. Find out what it means for healthcare execs.

Here are 3 reasons why overcoming the “fingerstick” barrier will improve patient outcomes and contribute to reductions in healthcare costs.

Cancer drug costs remain the most critical challenge in care, among other things.

HHS secretary nominee Tom Price has voiced opposition to bundled payments. One expert talks about mandatory and the possibility of voluntary bundled payments.

One study shows that the way Medicare is paying for joint replacements is saving millions of dollars annually and keeping patients satisfied, too.

By deploying a proactive, year-round strategy that aligns data analytics with a focused approach for addressing gaps in care, your organization can turn routine quality measurement and reporting activities into a true strategic advantage by ensuring that quality measurably improves across key metrics.

Connected devices and apps eliminating the need for manual tracking drive better long-term engagement in healthy activities, a study from Walgreens and Scripps Translational Science, shows.

Find out about the latest treatment and drug pipeline developments

Some health plans are finding success with a new program that rewards patients for seeking out cheaper care.

Deaths due to opioid abuse have risen sharply-and show no signs of leveling off. Here’s how data analytics can prevent abuse and diversion.

Find out how healthcare executives feel about the industry moving into 2017.

Mental health advocate Patrick J. Kennedy talks to Managed Healthcare Executive about reform, mental health equity, and how payers can help integrate care in mental health.

A Trump administration is expected to have far-reaching impacts on healthcare. Here are nine changes to keep on your radar.

Medicare plans must understand the impact of CMS rule change to be prepared for risk adjustment in 2017. Here are 10 tips to better manage the risk adjustment process.

Study: ACOs can be part of the structure to improve outcomes in children with medical complexity.

Humana and Oak Street Health share the challenges and opportunities of moving away from the fee-for-service model to value-based care.

The 21st Century Cures Act, a landmark medical research bill, offers healthcare executives a promising future.

Results from Managed Healthcare Executive’s annual State of the Industry Survey reveal which issues will hit managed healthcare hardest in 2017.

We have a path to ending the HIV epidemic in the United States, but it requires health plans and healthcare purchasers to take a more active role in getting us there.

President-elect Trump named Tom Price and Seema Verma to lead HHS and CMS, respectively. Here’s what you should know about them.

Inherited susceptibilities to leukemias are becoming better understood and have important implications for screening, prevention, genetic counseling, and treatment.

Plans and PBMs are finding new ways to rein in pharmacy costs.

In this Q&A, a physician and lymphoma expert discusses treatment advances and promising signs for the future.

Novel immunotherapy treatments are showing promise for patients with acute lymphoblastic leukemia (ALL), but they can trigger cytokine release syndrome.

Joint ventures are gaining steam as health plans and providers look for new ways to work together.

Two experts discuss top-of-mind women’s healthcare issues in managed care.

From “all-in-one” healthcare appointments to coordinating women’s care for convenience, here’s how providers and researchers say plans and providers can prioritize

The Independence Blue Cross Foundation Healthy Hearts Initiative aims to improve survival rates for sudden cardiac arrest, increase CPR preparedness.

As fee-for-service rapidly transforms into value-based care, the industry must improve member engagement and outcomes by using targeted care management interventions that help deliver bottom-line results across a broader spectrum of the population.