emergency room

Opinion: Four reasons Texas Health Aetna joint venture is workingAs the industry moves to a value-based care model, here’s how one North Texas partnership is reinventing healthcare.
Five rules for payer success in oncologyPayers must reinvent efforts to reduce cancer cost and increase quality for a value-based care world. Here’s five rules to follow.
Seven things to know about Express Scripts’ plan to limit opioidsAs President Trump declares the opioid epidemic “a national emergency,” a new opioid management program from Express Scripts will limit the number and strength of opioid drugs to first-time patients.
Opinion: Who's to blame for surprise out-of-network bills?Across the country more states are taking steps to limit patients’ exposure to surprise out-of-network bills.
Four priorities your health plan must embrace to thrive in the future
Four priorities your health plan must embrace to thrive in the futureHealth plans of the future will focus on consumers: designing products, care and services to support improved health.
Paramedics fight to combat ED visits, readmissionsParamedics can do much more than transport patients to the ED or inpatient care. Payers and providers are increasingly using EMS services to reach out to patients in their homes to improve outcomes and reduce costs.
Do retail clinics decrease emergency room visits?Retail clinics emerge as a way to satisfy the growing demand for healthcare created by the newly insured under the ACA, but contrary to expectations, they do not appear to be leading to meaningful reductions in low-acuity ED visits.
Extended practice hours may reduce emergency room visits
Extended practice hours may reduce emergency room visitsKeeping primary care practices open for more hours, particularly on nights and weekends, reduces patient visits to emergency departments for non-life threatening issues, according to a recent study published in PLOS Medicine.
Insurer shut down causes stirHere’s what to expect from Blue Shield of California’s four-day closure over Obamacare losses.
How health plans can derail ER care costsThe ER Savings Initiative is designed to deliver care in a hybrid model that collaborates with health systems to eliminate the unnecessary use and costs of their ERs.