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Health Management

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.
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.
Better outcomes for CF patients in monitoring programStudy examines the effectiveness of the Walgreens Connected Care CF program compared to a matched sample of control patients.
P4P programs feasible in addiction settingsAlcohol and drug dependency treatment goals can tied to an insurer’s pay-for-performance incentive program. Here’s how.
Six ways precision medicine is improving care
Six ways precision medicine is improving careHere are some of the latest precision medicine approaches being used by managed care organizations, health systems and academic medical centers across the U.S.
AMA unveils tool to address ‘ever-widening gap’ in physician educationAs the industry moves toward value-based care, medical education must keep pace.
Advanced Analytics Improve Physician Engagement and Performance in ACOsHealth plans are using advanced analytics to improve physician engagement, performance and satisfaction in ACOs and risk-sharing contracts.
Independence Blue Cross president: Why we cover whole genome sequencingAfter carefully considering its promise and consulting with experts, Independence Blue Cross this year became the first major insurer to provide coverage for certain members who are seeking access to whole genome sequencing.