Health Management

Thomas Malone, MD will become chief executive officer at Summa Health, and Karen Rohan will become president of Aetna, as of January 1, 2015.

Considering the challenges they faced during the first open enrollment period, Consumer Operated and Oriented Plans (CO-OPs) overall are doing very well, having signed up some 450,000 members across the nation, or 18% of all ACA exchange plan enrollees to date.

Americans in 2013 spent a little more on medical services from the prior year, but utilized them less, according to a new report by the Health Care Cost Institute (HCCI).

Healthcare organizations can implement operational changes to control spiraling healthcare costs, which will account for nearly 20% of the country's GDP by 2021.

A new Kaiser health tracking poll shows 90% of uninsured Americans are not aware of the Affordable Care Act’s (ACA’s) next open enrollment period.

Public-private partnerships are proving to be an effective structure for funding and governing patient registries.

America’s health care system is going through transformational changes. Price transparency – providing consumers cost information before services are received – is a significant force in today’s system.

Patients who saw a physician assistant (PA) in the past year give high marks to the interaction, according to a new Harris Poll.

The average cancer survivor with insurance incurs $712 in monthly bills for physician copayments, prescription drugs and other expenses related to treatment, according to a new study from Washington National’s Institute for Wellness Solutions.

Employers are attempting to mitigate rising costs resulting from the ACA by shifting them to employees, according to a new survey from the Darla Moore School of Business at the University of South Carolina.

All-encompassing change to the U.S.’s end-of-life care system is urgently needed.

Market readies for explosion of new technology, drugs

Better care coordination is needed

One in five elderly patients are readmitted to the hospital within 30 days of leaving, according to government data.

Approaches include the enlistment of care coordination programs and overhauling existing chronic care models

Focusing attention on these individuals can bring both short-term and long-term clinical and economic benefits

Industry updates in business and health management

Applying a value-based design to high-deductible plans would encourage chronically ill patients not to forgo necessary services

Patients treated by physicians in designated medical homes reduced overall medical costs by 21% in the first year

Preventable deaths with in the top 5 causes of death vary across states, and CDC notes an opportunity to improve

A dearth of informatics to confirm the intuitive benefits of wellness makes it difficult for a numbers-driven health insurance system to know how to invest its resources

The Jefferson School of Population Health founding dean David B. Nash, MD, MBA talks about the trends in population health.

Poor communication between care providers that leads to care gaps and medical errors is a serious problem within the healthcare system, but so is patient behavior outside the physician’s office

Payment changes will save an estimated $200 million annually.

Mammograms contribute 62% of the cost and the remaining 38% is attributed to follow-on diagnostics.

Stewardship includes influences of prescribing patterns through guidelines and incentives

Break down silos to improve access and affordability

Industry updates in business and health management

Evidence shows that the traditional approach is not effective.

Health management and business updates