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...
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.
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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...
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...
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...
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...
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...
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...
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...
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...
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...
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 –...
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...