Category: Industry News

PR Newswire Article: Centene Announces Overwhelming Shareholder Approval Of Merger With Health Net

October 28, 2015 | By

The final results of a special Centene shareholder vote indicate that 99 percent of the shares voting at the special meeting voted in favor of the proposal, representing 85 percent of all outstanding shares.

Health IT Analytics Article: Population Health Management High Priority for Providers

October 28, 2015 | By

This study conducted by eHealth Initiative shows the diversity of health IT utilization in population health management. Because respondents showed high engagement with population health management and data analytics, researchers state that the importance of those concepts is evident. However, integration of data and its usefulness serve as serious inhibitors.

AJMC Article: Healthcare Integration May Increase Commercial Health Spend

October 28, 2015 | By

A new study in JAMA Internal Medicine has found that financial integration between physicians and hospitals has led to higher spending in outpatient care.

Consumer-friendly Medicare Advantage Plans Could be Creating the Blueprint for the Future of Health Insurance

June 12, 2019 | By

Driven by a seemingly ever-expanding list of potential and innovative benefits such as at-home meal delivery and home-air cleaning, Medicare Advantage plans are pointing the way to a more consumer-centric approach to health insurance that could become a blueprint for the rest of the industry. Learn more about how successful Medicare Advantage plans are focused (…)

Live at HIMSS 2019 with Lumeris – Harlow On Healthcare

June 3, 2019 | By

Listen to this podcast featuring Matt Cox, Chief Marketing Officer of Lumeris, discuss the importance of outcomes and how technology can enable a better healthcare system: Providers must take on risk—the industry is already moving to value Aggregating and cleansing clinical and financial data to deliver actionable insights is essential for successful population management An (…)

THCB Spotlights: Matt Cox CMO of Lumeris

April 26, 2019 | By

Watch a new video featuring Matt Cox, Chief Marketing Officer, discuss how Lumeris is helping providers make the move to value-based contracts to manage risk successfully and enabling collaborative payer models. To be successful, providers require new operational capabilities to align financial incentives, engage providers for value, drive patient-centered clinical programs, improve the patient-provider relationship, (…)

Peeling Back the Medicare Advantage Onion

April 24, 2019 | By

According to CMS, a record 22.4 million seniors will be covered by a Medicare Advantage (MA) plan in 2019, up 11.5 percent from 2018. One reason that MA plans are increasingly popular among consumers is because coverage typically includes a richer choice of benefits than traditional Medicare, often providing lower premiums and out-of-pocket costs. Read (…)

Hospitals See Improvement in Value Contracting with Commercial Plans

March 29, 2019 | By

Hospitals continue to have more difficulty establishing value-based payment (VBP) arrangements with commercial health plans compared with government payers Commercial-plan VBP caution may be thawing, especially around Medicare Advantage Hospitals are increasingly considering downside risk Hospitals continue to have more difficulty establishing value-based contracts with commercial health plans than with government payers, but that may (…)

How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment

March 29, 2019 | By , , and

Health systems considering a strategic move away from the traditional fee-for-service (FFS) payment model to value-based payment approach can benefit from modeling the risks and likely effects of such a move. Health systems across the country are struggling to maintain their overall profitability and operating margins. Organization leaders realize they must take a hard look (…)

How Medicare Advantage steers the Silver Tsunami into coordinated, value-based care

March 26, 2019 | By

CMS and other health insurers are using the program to deliver innovative and unique value to customers, both in terms of cost and quality. Today’s Medicare Advantage plans are flourishing and the Silver Tsunami is among the reasons. Click here to read the full article.

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