Features

Value-Based Reimbursement Grows as Providers Take on More Risk

RevCycleIntelligence Over half of healthcare payments last year were made through value-based reimbursement models, with most of those payments tied to some degree of financial risk, according to the latest data from the Health Care Payment & Learning...

How Data Informs Patient-Centered Medication Adherence Work

PatientEngagementHIT For Armando Hinojosa, MD, the data used to flag medication adherence isn’t the end-all, be-all. Indeed, medication trackers are important tools for making sure his patients at the Laredo, Texas-based SeniorMed get the treatments...

Exploring Digital Transformations in Life Sciences, Biomedical Affairs

LifeSciencesIntelligence The life sciences and biomedical sector is undergoing a profound transformation driven by digital technology. In recent years, integrating digital tools, data analytics, and artificial intelligence (AI) has ushered in a new era of...

4 Key Strategies to Promote Effective Payer, Provider Alignment

HealthPayerIntelligence Strong payer-provider alignment makes life easier for all healthcare stakeholders. While providers administer services to individuals, payers are responsible for reimbursing providers and ensuring members have coverage for their care....

How Case Western is Prioritizing Epic EHR Training for Medical Students

EHRIntelligence EHR use has become closely intertwined with the practice of medicine, with a staggering 96 percent of hospitals leveraging the technology. However, hands-on EHR training remains rare in early medical student education. While some medical...

How Connected Health Tech Bolsters Chronic Care, Behavioral Health

mHealthIntelligence Connected healthcare technologies are transforming care delivery, patient outcomes, and provider workflows, particularly in the chronic disease management and behavioral healthcare arenas. The adoption and use of these technologies,...

Exploring Business Development Strategies for Pharma Startups

PharmaNewsIntelligence Pharmaceutical startups face significant challenges in the ever-evolving healthcare industry. A 2020 Drug Discovery Today article emphasized that these challenges often result from unclear business models, the absence of a go-to-market...

Analyzing 2023 Technology Trends in the Life Sciences Industry

LifeSciencesIntelligence The healthcare industry has been thrust into the digital transformation era as new technologies invade nearly every healthcare sector. From streamlining workflows for healthcare providers to advancing the development of new drugs or...

What Cigna’s FCA Settlement Means for Other Medicare Advantage Plans

HealthPayerIntelligence Cigna’s recent brush with False Claims Act violations serves as a reminder that Medicare Advantage organizations should be routinely assessing their risk and compliance activities. The Department of Justice (DOJ) announced in...

Evaluating the Breast Cancer Therapeutics Market

PharmaNewsIntelligence As breast cancer awareness month continues, gathering a comprehensive understanding of the breast cancer therapeutics market is critical, including current trends and market players, gaps, and predictions for the coming year. Understanding...

Connected Healthcare Strategies to Boost Rural Access, Digital Equity

mHealthIntelligence In the post-public health emergency (PHE) landscape, healthcare provider organizations are increasingly focused on incorporating and expanding hybrid, omnichannel, and connected models of care. These models leverage digital tools to enhance...

Exploring the Role of Healthcare Providers in Continuous Glucose Monitoring Coaching, Education

HealthCareExecIntelligence Continuous glucose monitors (CGMs) offer a more holistic perspective on the needs of patients with diabetes. But these tools are only useful if providers are familiar with them and know how to coach patients to use them appropriately....

Exploring the Role of Healthcare Providers in CGM Coaching, Education

LifeSciencesIntelligence Continuous glucose monitoring (CGM) has emerged as an essential tool in diabetes management, revolutionizing how healthcare professionals and patients approach the disease.   On an episode of Healthcare Strategies, Tina Platania,...

Demystifying Medicaid Managed Care, Its Role in the Future of VBC

HealthPayerIntelligence As the US healthcare system slowly transitions to value-based care, Medicaid managed care organizations are joining the movement by promoting capitated payment models and quality-based assessments. California was the first state to test out...

How Prior Authorization Impacts Patient Access to Care

PatientEngagementHIT Prior authorization is a well-known headache for healthcare providers and clinicians, but for patients, it can mean something worse: poor patient access to care. A common utilization management strategy for payers, prior authorization has...

Generative AI’s Potential Shines on Revenue Cycle Management

RevCycleIntelligence Healthcare has its eyes on generative artificial intelligence (AI). The technology, including the popular ChatGPT tool, has passed medical exams, diagnosed complex cases, and designed new ways to combat COVID-19. However, its most promising...

The Clinical Promise and Ethical Pitfalls of Electronic Phenotyping

HealthITAnalytics As information technology (IT) methods for disease surveillance, predictive analytics, and clinical decision support become more advanced, big data mining will be crucial to ensure tools use large, high-quality datasets. Data mining can...

Kaiser Permanente Strike Ends, HC3 Warns of NoEscape Ransomware

HealthCareExecIntelligence Kaiser Permanente and a group of unions have reached a tentative deal to end the largest US healthcare labor dispute. The new contract addresses understaffing concerns by offering wage increases, establishing a minimum wage for healthcare...

3 Ways That Large Employers Influence Health Insurance Costs, Coverage

HealthPayerIntelligence Traditionally, health insurance companies have been the face of the payer industry, for better or for worse. But companies have incredible sway in the health insurance world, particularly large employers. Employers offer and manage...