Healthcare Strategies

Challenges, Opportunities for Telehealth Growth Post-Coronavirus

by Kelsey Waddill

Telehealth growth could continue to improve access to care after the coronavirus pandemic, but policymakers and the healthcare industry will have to address certain barriers to telehealth to make that...

How Payers Can Keep the Big Vision of Interoperability in Sight

by Kelsey Waddill

As payers prepare to comply with specific CMS interoperability deadlines, it is critical that they keep in mind the overarching goals of interoperability, not just the compliance details. Listen to...

How Payers Can Integrate Interoperability into Overall Strategy

by Kelsey Waddill

As the healthcare industry moves toward interoperability, payers are juggling numerous factors to both meet CMS requirements and further the aims of interoperability. The industrywide movement toward...

Isolation Posed Biggest Barrier for Senior Care During COVID-19

by Kelsey Waddill

While senior care providers faced various challenges during the pandemic, for many the biggest challenge was seniors’ isolation from family and loved ones, according to survey participants in...

Why Separating Prescription Drug Benefits Does Not Reduce Costs

by Emily Sokol, MPH

Integrating pharmacy and medical benefits drives down costs for employer groups, Highmark Inc. verified through three separate studies. And Sarah Marche, senior vice president of pharmacy services at...

Patient Experience Unites Industry around Value-Based Care

by Kelsey Waddill

The meaning of value-based care has not always been cohesive, but the healthcare industry may be moving toward a clearer understanding of what value is and how to develop care coordination across...

How Payers Can Enable Behavioral, Physical Care Integration

by Kelsey Waddill

Brett Hart, chief behavioral health officer at Centene, and Indira Paharia, chief operating officer for behavioral health at Centene, are very familiar with the need for behavioral and physical...

How Payer COVID Waivers Model Value-Based Healthcare Spending

by Kelsey Waddill

The healthcare system is currently at a juncture: as the coronavirus pandemic becomes more manageable, will the industry revolutionize its approach to value-based healthcare spending or will it fall...

How Telehealth Expands Collaborative Care in Private Practices

by Kelsey Waddill

For Sudhir Rao, MD, medical director at Pain and Spine Specialists of Maryland, coronavirus-era telehealth services opened up a new avenue for collaborative care and effective follow-up. When the...

How Population Health Data Drives Primary Care Cost Savings

by Emily Sokol, MPH

Primary care lies at the center of care delivery. For Proactive MD, the advanced primary care model extends beyond traditional primary care, leveraging population health data analytics to drive cost...

Developing Care Quality Metrics to Benefit Providers, Patients

by Jessica Kent

With the healthcare system increasingly moving toward value-based care, care quality metrics are becoming an essential part of effective care delivery. However, some health systems may struggle to...

Reducing Rural Care Disparities With Evidence-Based Programs

by Emily Sokol, MPH

Rural Americans are at higher risk of a slew of adverse health outcomes. The country’s leading causes of death – heart disease, cancer, and chronic respiratory disease –...

Incorporating Social Determinants of Health Into Effective Care

by Kyle Murphy, PhD

Providers and payers have come to the realization that effecting system change requires a more comprehensive understanding of the patient beyond the clinical encounter. Social determinants of health...

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