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As risks in healthcare get more significant and complex, vigilant monitoring must be a highly deliberate process requiring oversight by a cross-functional team within a hospital.
With enrollment at an all-time high and only increasing, state Medicaid programs and the health plans they contract with need to prioritize a few key areas of the beneficiary experience.
With the latest NCQA rankings come fresh marketing material and customer satisfaction bona fides, although that doesn't always inoculate them from having to explain coverage controversies in the media.
In terms of enrollment, which two states have the least successful health insurance exchanges? The ones where the largest insurer is setting out a key segment of the new market.
Since the recession began, credit rating agencies have generally held a negative outlook on not-for-profit healthcare providers in the U.S. The squeeze on hospital and health system margins shows no sign of letting up.
Restricting access to prestigious, long-available providers can sometimes cost insurers long-held contracts and be competitive gains for others.
A program that combines a mobile app, analytics and direct intervention is showing promise in reducing the costs associated with hospitals' most expensive patients -- the so-called "super-utilizers."
The U.S. Department of Health and Human Services will sponsor the advanced development of a next-generation portable ventilator to help fill the need for portable, low-cost, user-friendly and flexible ventilators in a pandemic or other public health emergency.
For U.S. community health centers, the recent announcement of $295 million in Affordable Care Act funding was welcome news. But the five-year period of mandatory ACA funding expires next September, meaning CHCs face a reduction of up to 70 percent in grant funding.
Rather than waiting for innovation, one health system is looking to nurture its own clinical and technology advances, tapping into Amazon alums and a billionaire surgeon with a big, disruptive vision.