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Business Strategy

Humana Targets Social Determinants of Health, Improves Outcomes in 2 CitiesHow Humana is successfully improving care for members in two cities.
Three Pricing Models That Address the High-Cost Gene, Cell Therapies
Three Pricing Models That Address the High-Cost Gene, Cell TherapiesHere are three innovative structures in pricing models to address the high-cost of curative therapies.
How Predictive Modeling, Big Data Analytics Curb Health Costs in China
How Predictive Modeling, Big Data Analytics Curb Health Costs in ChinaHealthKonnect, a subsidiary of Chinese insurer Ping An Insurance Group developed a personal health-risk prediction model that has the ability to predict at individual patient level future healthcare risks measured by total medical costs. Here’s how.
Three Things to Know about Health Insurance Buying Patterns
Three Things to Know about Health Insurance Buying PatternsA new Private Exchange Research Council study shows why decision support and educational tools are necessary to help employees navigate the choice in benefits.
Three Proactive Approaches to Improve Value Based Purchase Reporting
Three Proactive Approaches to Improve Value Based Purchase ReportingIn the shift to value care, value-based purchasing guidelines reward positive quality metrics with bonuses and levy fines and assessments on institutions that are unable to demonstrate quality of care. Often however, it’s not the care itself that’s at fault, but the reporting. Here’s an approach to capturing those crucial metrics.
Payers Seize Opportunities to Control Diabetes Drug Costs
Payers Seize Opportunities to Control Diabetes Drug CostsDiabetes drug spending is on the rise, but there are ways to control it.
Experts Share How to Apply Big Data to Patient Care
Experts Share How to Apply Big Data to Patient CareCapturing the power of big data is key to patient care strategies that reduce costs, improve outcomes and enhance patient experience.
Smokers Pay Extra, But Employee Health Plans Aren’t Helping Them QuitA new study shows that ACA tobacco rating rules aren't enforced in employer plans.
What Senior Patients Want from EHRs: Surprising Survey Findings
What Senior Patients Want from EHRs: Surprising Survey FindingsA new study has surprising findings about how seniors feel about healthcare and technology.
Will PBMs Be the Next Target of Opioid Lawsuits?Experts weigh in on a recent lawsuit against PBMs, whether similar lawsuits will crop up, and the likely outcomes.