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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
article
How an automated exception-based approach can make UM more efficient and effective.

Value-Based Care is Bending the Cost Curve, Report Finds

June 18, 2018  |  Rajiv Leventhal
news
Value-based care is bending the healthcare cost curve, reducing unnecessary medical costs by nearly 6 percent on average while also improving care quality and patient engagement, according to new research from Nashville-based Change Healthcare.

Researchers Find a Bundle of Complications Around Bundled Payment Outcomes

June 14, 2018  |  Mark Hagland
commentary
An article published in the current issue of Health Affairs uncovers some of the complexities of mandatory and voluntary bundled payment programs, and some of the implications for their policy and payment future

The Strategic and Strategic-IT Challenges Around Risk: Premier Execs Share Their Thoughts

June 11, 2018  |  Mark Hagland
article
Joe Damore, Shawn Griffin, M.D., and Mark Hiller, senior executives at Premier Inc., share their perspectives on the strategic-organizational and strategic-IT challenges involved, as patient care organizations begin to move into risk-based contracting

Editor's Notes: When Will We Be Able to Nail the “Golden Spike” in the Foundation of the New Healthcare?

June 8, 2018  |  Mark Hagland
commentary
Some of the challenges of the present moment in U.S. healthcare, as our healthcare system struggles forward in its journey into value-based care delivery and payment, brought to my mind the construction of the First Transcontinental Railroad in the 19th Century.

Up-and-Comers 2018: Aledade and Arcadia

June 5, 2018  |  David Raths
article
Each year, to accompany our Healthcare Informatics 100 list, we profile fast-growing companies that could very well make the list in the future. Inside are write-ups of the first two companies that made this year’s Up-and-Comers rendition.

The Push Towards Value-Based Care Is Forcing the HIT Vendor Market Forward

June 4, 2018  |  Heather Landi
article
For a Market Scan report in our Second Quarter issue, we look at how the policy and payment landscape is impacting the healthcare technology vendor market. Are technology companies meeting providers’ needs to be successful in a value-based care world?

CMS Hits MIPS Participation Goal for Year One

June 4, 2018  |  Rajiv Leventhal
news
According to CMS Administrator Seema Verma, 91 percent of all Merit-based Incentive Payment System (MIPS)-eligible clinicians participated in the first year of the Quality Payment Program (QPP), exceeding the agency’s internal goal.

Value-Based Care’s Landscape Tilt

May 31, 2018  |  Mark Hagland
article
As the healthcare landscape shifts, U.S. healthcare leaders are learning valuable lessons in how to prepare broadly to take on financial risk in contracts with the public and private purchasers and payers of healthcare, and how to engage and align physicians.

In the New Healthcare, Payers and Providers Look to Redefine Quality

May 30, 2018  |  Rajiv Leventhal
article
The pressure is mounting on providers to deliver better outcomes. But moving forward, federal leaders must strike a balance between being able to measure outcomes while not overburdening patient caregivers even more.

Karen DeSalvo Joins MedPAC as New Member

May 30, 2018  |  Rajiv Leventhal
news
Five new members have been added to the Medicare Payment Advisory Commission (MedPAC), including former National Coordinator for Health IT, Karen DeSalvo, M.D., the Government Accountability Office (GAO) announced.

A Cloudy HIT Policy Picture is Beginning to Clear Up

May 29, 2018  |  Rajiv Leventhal
article
At this time last year, healthcare stakeholders were filled with uncertainty, as the future of healthcare policy remained very much in limbo. But in the past several months, an air of stability has presented itself.

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