4 strategies for improved Medicare Advantage plan performance
Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.
Testing a model for better coordination of care in the community
Providers are using analytics to drive partnerships with community service organizations to address social determinants of health.
Some hospital-employed physicians will qualify for new primary care models
Certain physicians employed by hospitals and health systems will be allowed to participate in new Medicare primary care models that aim to enroll one-quarter of primary care providers.
3 Best Practices to Reduce the Cost of Healthcare Miscommunication
Will O’Connor discusses the top causes of miscommunication among medical staff and ways to avoid them to ensure patient safety and fewer malpractice claims.
The Plain Community: Meeting a Unique Consumer Healthcare Challenge
Jeff Goldsmith, John Porter, and Maria Royce describe one health system’s effective solution for addressing the healthcare needs of a religious community whose belief systems prevent them from accessing care via common, mainstream approaches.
Congress Weighs Actions to Curb Hospital M&A
Congress is discussing a variety of ways to reduce mergers and acquisitions (M&A) among providers, including allowing more enforcement against not-for-profit entities, increasing funding of enforcement agencies, and eliminating payment incentives.
What Healthcare Innovations Are Drawing Investors?
Two major investment funds are increasing their funding of healthcare initiatives—with important caveats.
Health Care Finding Success, Challenges in Consumerism
Providers and health plans have found some success—and identified new challenges—in their efforts to better engage patients as consumers who are willing to choose care based on price and quality.
Data Shows Executives’ Main Concern Is New Entrants Disrupting Healthcare Status Quo
What patient pain points are driving them to alternative providers.
Moving to the Next Generation of SDOH Initiatives
Efforts to address social factors that affect health are moving from the experimental phase to the operational phase in Medicaid, according to a former federal leader of the program.