Health Management

A new study highlights why vaccination costs should be a top consideration when evaluating benefit offerings.

Where do the capabilities of healthcare technology end and the need for the human hand begin to deliver top value for managed care executives?

Several recent studies explore how weight loss surgery impacts diabetes patient care.

The opioid crisis in the U.S. is a multidimensional problem requiring a multistakeholder solution.

Managed Healthcare Executive conducted its first-ever managed care pharmacy survey during the second quarter of 2016 in partnership with Access Market Intelligence. Here’s a look at some of the key findings, with experts weighing in on the results.

Rising drug costs are a big problem for all healthcare systems in the U.S. Here’s how three hospitals are addressing the problem.

CMS just released the first Comprehensive Care for Joint Replacement (CJR) data feed. Find out what the preliminary results show.

New NCCN guidelines include new technology as an option for patients’ annual screening.

What has you counting sheep at night? Answers from your peers may surprise you.

As ACOs continue to grow in the healthcare sector, it is imperative that a liaison is in place to act as an intermediary between ACO members and patients to help achieve desired outcomes.

As hospitals begin to search for key post-acute providers and implement new care pathways, providers should be aware of program waivers that afford greater flexibility in determining the most cost-effective care possible to ensure good outcomes for patients within the CJR model.

How one health system and one health plan are fighting the obesity epidemic

AHIP’s president and CEO Marilyn Tavenner discusses the association’s top priorities, challenges, and opportunities.

The standard of care for patients unable to drain their bladder is catheter use, but new alternatives reduce risk of antibiotic-resistant superbugs and costs to the healthcare system.

Health insurers and providers are looking for ways to grow outside of the United States. Here’s a look at some of the tactics that are picking up traction.

Obesity affects almost 38% of U.S. adults, according to the CDC’s National Health and Nutrition Examination Survey. Here’s how plans and providers can create positive change.

The Medicare Star Ratings program is one way regulators are trying to improve outcomes while reducing costs, but what is really at stake for health plans, and do consumers even care?

Losing weight requires dramatic behavioral and lifestyle changes. Here’s how physicians can get patients on board.

Over the next decade, health spending is expected to grow at an average rate of 5.8% per year.

Find out what drives patients to international destinations for treatments and what these destinations provide.

HHS is taking formal steps to address opioid addiction, a widely recognized national public health crisis. Find out the policy changes.

Health plans must find new and meaningful ways to connect with patients of diverse backgrounds.

Multiple factors are moving mental healthcare to a front burner issue in managed care.

Health plans have found that Affordable Care Act (ACA) exchange plans are plagued with loopholes, and that some consumers are taking advantage.

We recently asked experts to define the top challenges associated with diabetes health management, and how health plans can overcome them.

A new PwC Health Research Institute report notes that while strides are being made in population health, many organizations struggle to scale efforts.

Boosting patient engagement is critical as the industry shifts toward value-based payments. For payers and providers, higher engagement increases the likelihood of positive outcomes at lower costs.

How much does diabetes cost the healthcare system and what's driving cost increases? Find out.

Here’s how remote monitoring works to improve diabetic patient care, and a look at whether payers are paying for it.

There are four key components at the root of the changing dynamic between payers and providers. Here’s what they are, and what to do about them.