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Change Management Strategies for Healthcare Providers

The changes taking place in today’s healthcare ecosystem do not allow providers the luxury of continuing business as usual. The scope and…

What to Know About CMS’ Proposed Changes to Prior Authorization Rules

The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…

Bolstering Health Equity Through the Right Data: Welcome to HEDIS 2023

When the National Committee for Quality Assurance (NCQA) launched HEDIS measures in 1991, the project was titled the “HMO Employer Data and…

Healthcare Providers and the Pursuit of Cost-Saving Measures

In a recent article titled “What to expect in US healthcare in 2023 and beyond,” McKinsey & Company discussed providers’ ongoing pursuit…

Effective Utilization Management Helps Payers Deliver Financial Health and Value

In healthcare payers’ never-ending quest to reduce costs while ensuring that members receive the care they need, the importance of effective utilization…

Chronic Disease Management: Key Trends and Strategies for Providers

We frequently talk about care management, which, as defined by the Agency for Healthcare Research and Quality (AHRQ), is based on “appropriate…

Key Issues for Health Insurers in 2023: Insights from J.P. Morgan Healthcare Conference

The year kicked off with a bang at the J.P. Morgan Healthcare Conference, which its sponsor touts as “the largest and most…

Provider Takeaways from CES and JPM: Integration as Healthcare Innovation in 2023

In the healthcare industry, the new year begins with two meetings that together convene inventors and investors, marketers and buyers of technology:…

5 Focus Areas for Healthcare Innovation

Medicine and technology have come a long way. In the last 20 years, new treatments, medications and technology have paved the way…

In Search of Value: The Context for Healthcare in 2023

Hospitals in the U.S. continue to face thinning financial margins, higher labor expenses and clinician burnout at the end of 2022, still…