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 […]
When healthcare moves from a volume-based payment system to a value-based payment system, data is the gasoline in the tank. Without that data, we don’t have the ability consistently measure […]
I don’t know about you, but I am sure my physicians spend more time typing into their computer than talking with me, except for two that come to mind immediately—one […]
“In the past quarter century, the American medical system has stopped focusing on health or even science. Instead it attends more or less single-mindedly to its own profits.” So begins […]
Value-based Insurance Design (VBID) is an approach used by healthcare payers to promote a patient’s use of high-value services. Conversely, it can also be used to discourage the use of […]