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Business Strategy

Insurer's foundation heart initiative addresses cardiovascular disparitiesThe Independence Blue Cross Foundation Healthy Hearts Initiative aims to improve survival rates for sudden cardiac arrest, increase CPR preparedness.
Three concepts to consider for bundled payment successThe path to bundled payment success can be daunting. Here’s three universal concepts that will promote success under the various CMS models.
Aggressive price growth pushes healthcare spending upRise in use of outpatient care and professional services contributed to quicker growth in spending for the privately insured over previous years.
Do retail clinics decrease emergency room visits?Retail clinics emerge as a way to satisfy the growing demand for healthcare created by the newly insured under the ACA, but contrary to expectations, they do not appear to be leading to meaningful reductions in low-acuity ED visits.
Make it personal: Three ways to connect with healthcare consumers: 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 practiceHumana’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 adherenceHere’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 PayersThe 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.
Five things physicians don’t know about biosimilarsAwareness of biosimilars is high, but there are some gaps to be filled, according to a Biosimilars Forum study.
Exchange plans are missing out on millions of dollarsA new Express Scripts report highlights risk reporting gaps and offers advice for plans looking to close those gaps to ensure accurate risk payments