Cooper and AmeriHealth opt for narrow-network
The provider and payer will develop a suite of health plans and an accountable care model with fully insured, self-insured, and Medicare productsread more
View ArticlePioneer ACOs collect critical patient data
The 32 Pioneers asked CMS to delay the move from to pay for performance in 2013read more
View ArticleInpatient hospital deaths on the decline
As hospitalizations rise, hospital deaths are on the decline.read more
View ArticleTriglyceride levels rise despite increase use of cholesterol-lowering meds
Regardless of gains made by medications to control some lipids, triglycerides, like obesity and diabetes, are on the rise, according to WellPoint's HealthCore. LDL levels alone aren't enough to knock...
View ArticleASCs putting the squeeze on acute-care hospitals
ASCs are gaining in popularity due to their convenience, but acute-care hospitals are losing patients and profits.read more
View ArticleFQHCs need more funding
Federally qualified health centers need $248 million to meet plan targets, much more than the proposed $100 million in the appropriations billread more
View ArticleHospitalist model work in progress
More than half of all hospitals use the hospitalist model to deliver inpatient careread more
View ArticleRisk-adjustment process calls for deep dive into data
Medicare Advantage plans are evaluating best practices in risk adjustment for the upcoming health exchanges and accountable care organizations.read more
View ArticlePartial integration has its benefits
Healthcare systems looking to innovate might do well to avoid completely open or closed models, according to research by the Innosight Institute, a not-for-profit think tank.read more
View ArticleFollow clinical evidence in cancer care
Aetna examines technology solutions to advance evidence-based careread more
View ArticleContract terms more nuanced
ACOs, bundled payment, shared savings require new capabilities and new cultureread more
View ArticleColonoscopy remains high value preventive care
Plan's data show 1.2% of screenings resulted in cancer diagnosisread more
View ArticleAcid reflux guidelines reduce overuse of testing services
Start with lifestyle modifications then determine need for testingread more
View ArticleIdentify those who need adherence help
Medication nonadherence drives $105 billion in annual costs.read more
View ArticleNew strategies strengthen primary care
Modernize delivery models and help PCPs do more now and in the futureread more
View Article3 conditions that drive Metabolic Syndrome
A combination of three conditions is telltale sign of high riskread more
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