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Health Management

Four priorities your health plan must embrace to thrive in the future
Four priorities your health plan must embrace to thrive in the futureHealth plans of the future will focus on consumers: designing products, care and services to support improved health.
CMS' new bundled payment program: 3 things to knowCMS launched the Comprehensive Care for Joint Replacement Model (CJR) in 2016.
Six diseases reap benefits of biomarkers, genetic tests
Six diseases reap benefits of biomarkers, genetic testsBiomarker testing for harmful genetic mutations provides the opportunity to identify at-risk individuals who might benefit from risk modification strategies and/or enhanced disease screening.
Step up your social media: Learn from one health plan’s successStephen Rioseco, of Horizon BCBSNJ, tells Managed Healthcare Executive how his health plan fully capitalizes on the power of social media for customer service.
Paramedics fight to combat ED visits, readmissionsParamedics can do much more than transport patients to the ED or inpatient care. Payers and providers are increasingly using EMS services to reach out to patients in their homes to improve outcomes and reduce costs.
Genetic testing: Two downsides to considerGenetic testing holds great promise, but there are some critical drawbacks to consider.
Clinical team alignment top priority for payersInvestment in resources that support clinicians and patients closer to the point of care may be the cure for what ails managed care executives.
Payers to pharma: Here’s what we’re missing in hep C drugsA Precision for Value survey highlights what can be done in order to encourage payers to ease coverage policies for these drugs in the next wave of HCV treatment.
Five things to know: How one health system offers same-day specialty appointmentsAllegheny Health Network (AHN) in Pittsburgh, Pennsylvania, has achieved what few health systems have been able to do—offer same-day specialty appointments across its hospital network.
Health policy changes could affect reimbursement: What to knowHere’s what a Vizient’s hospital leader survey says about the future of the Affordable Care Act (ACA) and other healthcare policies under the new Administration.