managed care

Five ways to increase physician engagementOne expert says incentive programs to motivate physicians miss the mark. Here’s what he recommends instead.
Program uses provider, patient incentives to fight opioid epidemicProviders are coming up short when it comes to HEDIS measures related to substance abuse. Here’s how one health plan is changing that.
Top strategy plans, providers can use to motivate member behavior changesAs the healthcare system shifts from a focus on employee-based plans to consumer-based plans, insurers have to find new ways to engage and motivate members.
Top factors that predict 30-day COPD readmissionsRecent study findings reveal which patients are more likely to be readmitted for COPD problems, and which readmission reduction strategies might work best.
Health plan addresses urban vs. rural healthcare disparitiesThe access problems many rural health plan members face cannot be rectified overnight, but resources, creativity and time can bring these populations up to par with their more urban counterparts.
Health insurers' top plans for 2018Payers’ biggest concerns for 2018, health insurance exchange participation plans, and how offerings could change.
Top ways payers, providers use tech to improve careHow payers, providers are improving work flows, patient care, and cutting costs.
Six policy topics every healthcare executive needs to understandNew healthcare terms and topics constantly crop up. Here are six to keep an eye on right now.
Four ways pop health management will change over the next 12 monthsExperts weigh in on the top population health management changes managed care executives should be watching.
MCOs share lessons learned from Harvey: 5 things to knowEven before Hurricane Harvey made landfall in Texas, health insurers were prepared for the worst. Here, they discuss what steps they took before the storm hit.