Trend Toward Increasing Payer Deductions Continues
Payer deductions continue to increase, with government payers far exceeding private and managed care plans.
Crafting a Comprehensive MACRA Strategy
With regulations set forth by the Medicare Access and CHIP Reauthorization Act of 2015 in full swing, physician organizations should prepare for change.
The Fiscal Realities of a Single Payer Healthcare System
More Americans are in favor of a single-payer approach to health care, but the financial ramifications should be fully explored.
Calling Into Question the Nation’s Commitment to Value-Based Health Care
There is widespread agreement that the goal of transitioning the nation’s healthcare system to value-based payment is important, but there remain many impediments to accomplishing such a transition.
Ask the Experts: Payer Preference for Imaging Centers
Our hospital is beginning to feel the sting of payers steering their members from scheduled high-end imaging procedures at our facility to free-standing imaging centers. How are other hospitals and health systems responding to or reacting to this practice?
Understanding the Problem of Claim Processing Waste
Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.
United HealthCare ACO Contract Emphasizes Quality
The NexusACO health plan incentivizes patients to use top-performing physicians.
Cost: The Biggest Barrier to Precision Medicine
Joel Diamond explores the cost barriers of genetic testing to precision medicine.
Rethinking Health Care’s Triple Aim
Achieving health care’s Triple Aim has proved elusive, but it may be yet be achievable through a process of engaging rising-risk patients in their own care through daily self-reporting.
Creating Value in the Medicaid Expansion: A Strategic Framework for AMCs
Academic medical centers that work with states to find mutually beneficial Medicaid strategies may find themselves well positioned in an era of value.