Health Management

As number of procedures has decreased, patient profile has shifted.

Twenty percent of seven in-network elective surgeries for a large national insurer resulted in a “surprise” out-of-network bill; averaging at $2,011.

Here’s a look at what payers and providers can expect to occur, why each change is occurring, and how payers and providers can prepare for each change.

Managed Healthcare Executive surveyed hundreds of healthcare leaders and professionals to collect information on how their organizations are affected by technology. This year’s survey displays data focusing on healthcare organizations’ current status, patient access, data collection, communication, and future with technology.

Healthcare professionals share the investments’ health organizations are making and why.

More consumers are purchasing short-term limited duration insurance plans-which will likely have long-lasting effects to consumers and the insurance market as a whole.

Employer-sponsored insurance keeps many working.

How cancer patients can better organize around their cancer care plans in a more redesigned system.

A new study on a controversial drug shows the scientists who first found a conection with heart attacks and death were possibly right.

The top technologies for 2020 aren’t new, but they are on the cusp of moving into broader use in healthcare.

A new class of drugs for high cholesterol and a novel peanut allergy treatment lead expected approvals.

Although commenting on the Proposed Rule is closed, if finalized, the Proposed Rule would have a significant impact on the way hospitals and physicians structure future compensation arrangements.

Script.AI, healthcare IT solution, is bringing transparency to the prescription drug market and finding 46% savings opportunities for payers.

Cleveland Clinic and GYANT partner to digitally transform the post-discharge process through engagement which helps patients stay in touch with their providers and offering a more efficient patient and caregiver experience.

Some of the biggest trends this year that will affect the healthcare workforce.

Scientific Founder of Akelos Inc., Peter Goldstein, was recently awarded the two-year grant from the National Institutes of Health to develop a non-opioid alternative meant to improve treatments for chronic pain, curb the rates of opioid use disorder and overdose, and achieve long-term recovery from opioid addiction. 

Data shows certain vascular diseases not only develop earlier but progress quickly, which can set women up for late-life heart problems that tend to present differently, not simply later than those in men. 

Nine in 10 believe in-home visits would provide the same or better quality of care.

Innovaccer uncovers insights from more than 3,000 healthcare executives to devise future strategies that providers need to succeed in the value-based care ecosystem.

Healthy.io launches digital wound management solution offering new options for millions suffering from chronic wounds.

Research appearing in the ninth annual health information technology issue of The American Journal of Managed Care shows health systems can predict which patients will use the most healthcare just by collecting their age, gender, race, and address.

Achieving success under the expanding influence of value-based care models.

Feeding America food bank conducted a study hsowcasing the important role food banks play in the food security and health of high-risk populations. 

A pilot program created by Clemson University and the Medical University of South Carolina will be serving residents in rural communities of South Carolina by offering healthcare services.

Pivot's initiative to stop people from smoking cigarettes has expanded into programs through a Carrot Inc. and Pivot partnership to help reduce the use of vaping.

Company delivers first real-time ride coordination platform to improve access to care and patients' ride experience.

An innovative post-overdose clinical intervention program offers insights into how to close one critical gap in care for this patient population.

Recent Cigna study found negative oral health wellness impacts a person’s self-esteem, especially when faced with obstacles maintaining oral care.

A new study highlights the effects of virtual reality on group therapy for young oncology patients.

Health professionals are humanizing and transforming the health care system from a fee-for-service industry to a more holistic, outcome-based approach.