Health plans that build identity verification into a systematic fraud prevention approach can stop enrollment fraud before it has an impact.
Wasteful and abusive behavior isn't always intentional, and payers who recognize this can help stem the losses.
Data tools, high-performing networks and a new way of thinking about episodes of care are good for patients and payers.
Lasting change relies on effective motivation but can't happen without adequate time, systems and a plan for inevitable relapse, Dr. Kyra Bobinet says
Everyone has a health care story; Burt Rosen created a way for people to tell those stories.
The rising incidence of diabetes is placing new importance on patient education.
Health care consumers expect simplicity and personalization. Here's how payers and providers can deliver.
Interoperability and data challenges mean clinicians may lack critical information when treating patients.
Hospitals with multiple distinct image archiving systems need a way to link those systems for safer, more efficient care.
In the age of value-based care, pharmacy benefits embrace new thinking to balance sustainable costs with patient outcomes.
The most effective payer programs for fighting FWA are tailored to each organization and integrate end-to-end capabilities.
The Internet of Things holds great promise for helping medical technology companies transform health care.
The rising cost of veterinary school, high interest rates and low starting salaries mean new veterinarians are burdened by debt for years.
Health insurance industry executives gathered ahead of Institute 2015, the annual meeting of America’s Health Insurance Plans, to talk through and develop solutions to some of the biggest challenges in health care today at the AHIP and Nashville Health Ca
Is it possible for a single innovation to address many of the cost, quality and data gaps in our fragmented medical system, providing real-time, evidence-based answers at the point of care based on everything that is known about a patient?
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