HOSPITAL & PROVIDER STRATEGY Aggressive price growth pushes healthcare spending up November 25, 2016 By Tracey Walker Rise in use of outpatient care and professional services contributed to quicker growth in spending for the privately insured over previous years. Five things to know: CMS’ plan to up PCP payments by millions November 20, 2016 By Tracey Walker CMS announced changes to how Medicare pays for primary care. Here’s 5 things to consider. Make it personal: Three ways to connect with healthcare consumers November 19, 2016 By Stan Nowak : Remembering to engage in healthy behavior can often slip to the bottom of our list of priorities. In a world where we need to be reminded and motivated to be the healthiest version of ourselves, the right nudges at the right time can help us get there. One insurer proves that value-based reimbursement works in practice November 18, 2016 By Tracey Walker Humana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members. Three data-driven practices that boost adherence November 17, 2016 By Neil Smiley Here’s a three-pronged approach to improve adherence program efficiency that leverages predictive data analytics, hospital on-site pharmacies and post discharge follow-up evaluation to achieve real, measurable results. Remote Patient Monitoring is a Wise Investment for Payers The results of Geneia’s year-long study – a savings of $8,375 per patient and a slowing of disease progression – demonstrate that remote patient monitoring is a wise investment for payers. Exchange plans are missing out on millions of dollars November 13, 2016 By Tracey Walker A new Express Scripts report highlights risk reporting gaps and offers advice for plans looking to close those gaps to ensure accurate risk payments Republicans face difficult post-election healthcare decisions November 11, 2016 By Tracey Walker ACA repeal/replace was a Congressional Republican cornerstone, so there will be lots of pressure to move quickly. But that may be easier said than done. Non-physician providers play critical role in optimizing care November 05, 2016 By Tracey Walker PwC report finds most primary care teams not designed to optimize care. Here’s how to mobilize non-physicians to create a care dream team. P4P programs feasible in addiction settings November 04, 2016 By Tracey Walker Alcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.