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

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

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

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

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

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

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

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

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