Operations
Insurers are increasingly getting into provider care as a way to reach members, integrate care, and lower costs.
A new KLAS report explores how pop health platforms are being used specifically for care management, and shows how various vendors' tools are able to support care managers' work.
Decentralization of decision-making and greater collaboration should be prioritized in digital transformation projects, says Handelsblatt Media Group Managing Director Gerrit Schumann.
The Senate Finance Committee's bill would cancel planned cuts to Medicaid disproportionate-share hospital payments for 2020 and 2021.
Non-profit hospitals on track for higher operating cash flow and continuing M&A activity, though demographic and policy risks remain
Before his interim appointment, Adams was Kaiser Permanente's executive vice president and group president.
Cigna detected and reported the alleged fraud, in which the former players allegedly submitted over $3.9 million in false claims.
The American Hospital Association is against an earlier proposal because disputes would be settled through lower reimbursement benchmark rates.
As the care delivery platform becomes more legitimate and accepted, governments, payers and providers are coping with the changes it will bring.
Intellectual property protections are needed for the ongoing discovery of drug treatments, PhRMA says.