Health Management

The path to bundled payment success can be daunting. Here’s three universal concepts that will promote success under the various CMS models.

Retail clinics emerge as a way to satisfy the growing demand for healthcare created by the newly insured under the ACA, but contrary to expectations, they do not appear to be leading to meaningful reductions in low-acuity ED visits.

: Remembering to engage in healthy behavior can often slip to the bottom of our list of priorities. In a world where we need to be reminded and motivated to be the healthiest version of ourselves, the right nudges at the right time can help us get there.

Humana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members.

The results of Geneia’s year-long study – a savings of $8,375 per patient and a slowing of disease progression – demonstrate that remote patient monitoring is a wise investment for payers.

Study examines the effectiveness of the Walgreens Connected Care CF program compared to a matched sample of control patients.

Alcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.

Here are some of the latest precision medicine approaches being used by managed care organizations, health systems and academic medical centers across the U.S.

As the industry moves toward value-based care, medical education must keep pace.

After carefully considering its promise and consulting with experts, Independence Blue Cross this year became the first major insurer to provide coverage for certain members who are seeking access to whole genome sequencing.

Health plans are using advanced analytics to improve physician engagement,performance and satisfaction in ACOs and risk-sharing contracts.

The Cancer MoonShot 2020 program brings together stakeholders from pharma, community and academic oncology, as well as government and scientific communities in an effort to accelerate the potential of combination immunotherapy as the next-generation standard of care in cancer patients.

Drugs will be provided to health plan members on clinical trials free of charge.

Cancer care has made great strides in the U.S., but effective care is still too expensive and inaccessible for many Americans. Now, payers and providers at Highmark, Allegheny Health Network and Johns Hopkins are launching a new model that could change cancer collaboration.

The precision medicine effort could dramatically change patient care, but will it be effective?

A new cancer database, the Genomic Data Commons, aims to make research more accessible

We asked executives how they feel about the future of healthcare. Here’s what they said.

Payers have a direct interest in preserving independent physician practices andhelping all physicians regain the Joy of Medicine.

The advantages of using an advanced clinical decision support system fall into four general “reducing” categories. Here they are.

It’s time for stakeholders to cooperate in order to limit the wasted spending on prescription medications and chart a path to collectively improving value derivation.

Faced with a proliferation of oncology treatments, payers have started using oncology pathways. But what do these programs look like, and are they really working?

Two reports highlight areas of elderly care that healthcare systems and health plans should avoid.

An independent study considers the global adoption of value-based healthcare across 25 countries.

Five key areas of healthcare, the candidates’ proposals for them, and analysis from experts.

The use of advanced analytics by payers can improve administrative and medicalcosts, provider satisfaction and member health.

Humana and UCS study shows prevalence of ageism in film and the power of embracing a healthy mindset for healthy aging

Expert offers specific actions for managed care execs to take

In today’s increasingly consumer-driven environment, personalization is not only expected, but a demanded part of the user experience.

A new study shows that many adults with depression don’t receive treatment, whereas others receive treatments that do not match their level of illness severity.

Patient engagement is central to improving health outcomes and reducing the cost of care. Yet, there continues to be a huge disconnect between patients, payers, and physicians.