Strategic Planning
Premiums for benchmark plans are projected to increase by about 15% this year to next, and by about 7% per year between 2019 and 2028.
Those who saw a physical therapist early had a 28 percent lower probability of having any advanced imaging services.
Plans may be losing out on millions in missing the 20- to 40-percent of buyers who are not ready to sign up for Medicare at age 65.
Making such investments could reduce a hospital's readmissions rates and morbidity, and help to avoid financial penalties and poor ratings.
Patients have gotten used to certain conveniences and now it's time for healthcare providers to pay attention or risk becoming irrelevant.
Pharmacy benefit manager alignments will help control the big expense of prescription drugs, Cigna and Aetna executives said in latest round of earnings calls.
Finance execs at the big payers all say the Medicare Advantage market will only get bigger, and more lucrative, as baby boomers retire and CMS adjusts payment rules.
In order to change the way care is delivered, an individual outfit needs to have a sufficient percentage of its practice in a value-based world. That balance can be tricky but hospitals won't succeed without it.
Arrowhead Regional and Daviess Community Hospital both went from rock bottom to top of the class by optimizing EHRs, instituting accountability and banking on the human element.
Compensation is determined by measures that address healthcare-associated infection rates, care coordination, palliative care and more.