Finance1.3% of Enrollees Account for Nearly 20% of Spending in Larger Employer Health Plans
Enrollees with 'persistently high spending' over three years averaged almost $88,000 in health spending in 2017.
Clinical CareCMS Pilot Gives Clinicians Direct Access to Claims Data
Participanting clinicians can request a Medicare beneficiary's claims data from CMS to get a full history of care, including from...
InnovationDoctor Alexa Will See You Now: Is Amazon Primed To Come To Your Rescue?
Alexa could help doctors diagnose mental illness, autism, concussions and Parkinson's disease, or even detect when you're having a heart...
FinanceBCBSMA Chief: 'Controlling Costs and Simultaneously Improving Care is Possible'
Blue Cross Blue Shield of Massachusetts' alternative payment model slowed the rate of medical spending growth and improved patient care.
Clinical CareHave Readmissions Penalties Jumped the Shark?
New research suggests that CMS may no longer be able to squeeze any significant savings from its Hospital Readmissions Reduction...
StrategyBCBS Minnesota Buys Minority Stake in North Memorial Health Clinics
The ownership structure aims to lower care costs by up to 20% over five years, by focusing on value-based care.
StrategyTransforming Care Delivery to Improve Rural Health
In the face of barriers to financial solvency, some rural hospitals are taking the initiative to improve access to care...
StrategyWhy Some See Healthcare's Vertical Mergers as Good and Necessary
The meaningful factors driving vertical integration are largely market-based, not rooted in regulation, one professor told a Senate subcommittee.
NursingPediatric Home Care Nurse Shortage Causes Family Hardships
Insufficient pay and training are driving a national pediatric home care nurse shortage.
StrategyUCSF Medical Center Backs Off Plan To Deepen Ties With Dignity Health
The proposal sharply split faculty and the medical staff at UCSF, who aired their differences in heated public forums. Supporters...
Clinical CareBoost Treatment of Cardiovascular Disease During and After Pregnancy
Timely patient assessments and evaluation of symptoms are key care strategies to limit maternal mortality and morbidity.
Clinical Care'Decision Fatigue' Lowers Cancer Screening Rates
The decline in screenings is believed to be the result of the cumulative burden of screening discussions earlier in the...