Strategic Cost Containment

Strategies for balancing cost containment and quality care in healthcare. Explore methods executives can employ to optimize resources, enhance efficiency, and sustain financial stability while delivering exceptional patient outcomes.

Medicare and Medicaid Updates for 2026

On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule introducing significant policy and technical changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE) for Contract Year 2026.

From Policy to Practice

New regulations

Recent AI legislation suggests an increase in regulations on the horizon, particularly concerning high-risk applications like healthcare. Is your organization prepared to comply?

Tackling AI Hallucinations

Part 1 of 2 Analyze recent data on AI hallucination in healthcare, exploring its occurrence, implications, and strategies to mitigate associated risks.

AI Hallucination in Healthcare Use

An analysis of recent data on AI hallucination in healthcare, exploring its occurrence, implications, and strategies to mitigate associated risks.

Seasonal Surge

Explore why hospital admissions spike during the holidays and what healthcare providers can do to manage the surge. From delayed care to seasonal illnesses and mental health challenges, this article dives into the data and offers actionable tips to improve outcomes and ease the strain on healthcare systems during the busiest time of year.

Healthcare 2025

With the election of a new president who is signaling significant interest in overhauling healthcare policies, the stakes are high for providers, payers, and policymakers.

What lessons can be drawn from the past, and what predictions can we make about the road ahead?

Modern Data-Driven Strategies

The landscape of data-driven management in healthcare has transformed in ways that were both anticipated and unforeseen. Revisiting the predictions from that article provides a unique opportunity to evaluate what has changed, where expectations aligned with reality, and what new challenges have emerged.

Wearable Technology

wearable Technology

The integration of wearable technology in the healthcare sector has transformed the way health insurance payers assess risk, engage customers, and manage costs. Devices like fitness trackers, smartwatches, and biosensors provide real-time data that helps payers make informed decisions while enhancing customer engagement. Today, we’re exploring the impact of wearable technology on health insurance payers, supported by statistical data, case studies, and comparative analysis of predicted and actual developments.

Reducing Hospital Readmission Rates

Senior patient on wheelchair with medical staff

An exploration of evidence based strategies and policy implications that may reduce hospital readmission rates. Readmission rates, defined by the frequency with which patients return to the hospital within 30 days of discharge, are influenced by multiple factors ranging from socio-demographic attributes to the quality of post-discharge care.