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Reinventing Utilization Management to Bring Value to the Point of Care

February 21, 2018  |  Nilo Mehrabian Vice President, Product Management, Decision Support, Change Healthcare
How an automated exception-based approach can make UM more efficient and effective.

Blue Cross NC, Five Health Systems Announce Major Shift to Value-Based Care

January 16, 2019  |  Heather Landi, Associate Editor
Blue Cross and Blue Shield of North Carolina (Blue Cross NC), one of the state’s largest insurers, and five of the state’s major health systems in North Carolina have announced a new value-based care program that encompasses hundreds of thousands of healthcare...

Manifest MedEx CEO on the Path Forward for HIEs, and Connecting Healthcare in California

January 14, 2019  |  Heather Landi, Associate Editor
Claudia Williams, CEO of California HIE Manifest MedEx and former White House technology senior advisor, discusses the organization’s strategy to provide value to network participants and the path forward for HIEs.

Are New APMs from CMMI Coming Soon? Industry Stakeholders Forecast Bold Moves from the CMS Innovation Center in 2019

January 11, 2019  |  Heather Landi, Associate Editor
What might be in the works over at the Centers for Medicare and Medicaid Innovation? Industry stakeholders, and federal lawmakers, are eager to know what the relatively opaque agency has in store.

Federal Legislators Call for More Transparency from CMMI

January 10, 2019  | 
Two Congressional leaders are calling for greater transparency from the Center for Medicare and Medicaid Innovation (CMMI) as it develops new delivery and payment models, and are urging agency leaders to reform their processes to enable more input from industry...

Report: Value-Based Care and Quality Program Participation on the Rise

January 9, 2019  |  Rajiv Leventhal, Managing Editor
A new report signals continued growth in value-based care and other quality initiatives, including an estimated 4-percent annual increase in value-based payments and an estimated 7-percent average annual increase in participation in major clinical registry...

One Thought-Leader’s Look at the New Social Contract in Medicine and Healthcare

January 7, 2019  |  Mark Hagland, Editor-in-Chief
Healthcare thought-leader Michael Millenson shares his perspectives on the emerging new social contract around medical care and healthcare—in a time of accelerating technology disruption

Healthcare Informatics’ Top 10 Stories of 2018

December 27, 2018  |  Rajiv Leventhal, Managing Editor
Another year in health IT has come and gone, and just like most years before it, there was no shortage of industry developments that made 2018 a fascinating one.

BREAKING: CMS Finalizes Overhaul of Medicare ACO Program, Accelerating the Move to Two-Sided Risk

December 21, 2018  |  Heather Landi, Associate Editor
CMS on Friday morning published a final rule that makes sweeping changes to the Medicare ACO program, with the goal to push ACOs more quickly into two-sided risk models.

Cigna Closes $67B Acquisition of Express Scripts

December 20, 2018  |  Heather Landi, Associate Editor
Cigna, the fifth largest health insurer in the U.S., finalized its $67 billion acquisition of pharmacy benefit manager Express Scripts on Thursday, the company announced, and pledged the combined company would deliver improved affordability and choice.

For One California Medical Group, Digital Medicine May Hold the Key to Improving Medication Adherence

December 20, 2018  |  Heather Landi, Associate Editor
Desert Oasis Healthcare, a medical group in Southern California, is collaborating with a digital medicine company to move the needle on medication adherence among chronic disease patients.

Survey: Physician Sentiment Mixed on Benefits of Data, Analytics Tools

December 19, 2018  |  Heather Landi, Associate Editor
A new research report reveals physicians’ continuing dissatisfaction with electronic health records (EHRs) and this frustration with EHRs may slow physicians’ immediate acceptance of new data and analytics tools.
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