One of the “truisms” of value-based programs is that these programs align the incentives of the health care delivery system and the insurer, such that better care results in better […]
This case study explores the relationship between Blue Cross and Blue Shield of Louisiana (Blue Cross) and The Baton Rouge Clinic (A Medical Corporation) (BRC), including the supporting structure and […]
Population health. The name pretty much says it all, right? Through the Triple Aim initiative, we are striving to improve the health of our overall population and make an impact […]
Sometimes science upends what we think of as common sense. We might believe that a degenerative tear in the meniscus (cartilage in the knee) ought to be fixed. Then some […]
The prevention and management of chronic health conditions will have the greatest impact on reducing healthcare costs, improving quality of life and reducing mortality. A 2017 RAND study estimates that […]
In a representative survey of 300 hospitals and health systems, the Deloitte Center for Health Solutions discovered that: “80 percent of hospital respondents reported that leadership is committed to establishing […]
This article from Richard Averill, MS and Norbert Goldfield, MD describes the future of payment reform in health care.
With the unrelenting pressure to reduce unnecessary costs in healthcare delivery and despite (or maybe because of) the lack of clear direction from the federal government, Medicaid plans across the […]
In this article, Steve Delaronde describes the current state of value-based insurance design and the future of pilot programs.
If I told you that Dustin Pedroia, the second baseman for the Boston Red Sox, currently had a batting average of .303 this season, could you predict what he’s going […]
How can user experience designers who don’t have clinical backgrounds work to create better experiences for healthcare providers, payers and patients? Design is about understanding the emotions of the user, […]
Profitability for a health plan used to be a factor of actuarial skill and efficient operations. Insurers tended to invest in technology to increase the efficiency of call centers, contract […]