Mayo Clinic Guidelines Cut Opioid Prescriptions
WEA Trust, a Wisconsin-based not-for-profit insurer, does that by protecting patients prescribed opioids for the first time. Its pharmacy utilization management program limits initial opioid prescriptions to a seven-day supply. WEA Trust also collaborates with providers to ensure opioid prescriptions are evidence-based and medically appropriate. In just five months, opiate prescriptions dropped 27 percent, with 91,000 fewer pills dispensed.
CMS Prioritizes Patient-Centered Care over Paperwork
A new survey exams the attitudes, perspectives, and plans of healthcare leadership that are shaping telemedicine’s application, value, and potential. The research explored telehealth services adoption rates and drivers, budgets and ROI, the technology’s role in delivering care, and the factors important to executives when selecting a solution for their organization.
Study Finds Flaws in Physician Performance Metrics
Analyzing your revenue cycle from start to finish can lead to recouping significant revenue dollars for your organization. Knowing what are the most impactful metrics sets revenue cycle experts apart.
Health Plan Strategies For Member Retention
Healthcare is a labor-driven service that depends on the talent and skills of every staff member, from the C-suite to nurses. Finding and keeping this talent is paramount to running a cost-effective organization that provides exceptional care was an observation from an article by Mackenzie Bean by Becker Hospital Review. Growing turnover rates significantly impact profitability.
Impact of Short-Term Limited Duration Health Insurance Shortchanged
NCQA’s Health Insurance Plan Ratings 2017–2018 compare the quality and services of more than 1,000 health plans in the United States and provide consumers with a practical and meaningful guide to understanding their health care options and choosing the best health plans for themselves and their families. National Committee for Quality Assurance (NCQA) is releasing its 2017 Health Insurance Plan Ratings. These ratings provide consumers with a more accurate picture of how health insurance plans perform in the key quality areas of consumer satisfaction, prevention and treatment.
Population Health Management Update: Numerof Survey Report
Now in its third year, Numerof’s State of Population Health Management survey provides an in-depth, national look at the pace of change from fee-for-service. Conducted in collaboration with Dr. David Nash, Dean of the Jefferson College of Population Health, the study synthesizes survey responses from more than 400 executives and interviews with key decision makers across U.S. healthcare delivery
Top Cybersecurity Threat: 2018 Data Breach Investigations Report
Healthcare, warns Verizon’s 2018 Data Breach Cybersecurity Investigations Report (DBIR), is the only industry where insider threats are greater than threats from the outside. Human error remains a major contributor to healthcare risks. DBIR analysis also flags a shift in how social attacks, such as financial pretexting and phishing, are used.
Medicare Advantage Plans Grow With Star Ratings
The Medicare Advantage program continues to grow in popularity with both consumers and health plans.
At least one-third of seniors are estimated to be in an MA plan rather than fee-for-service Medicare. As baby boomers retire in large numbers, health plans are competing to capture the Medicare Advantage market.
What Insurers Need For ACA Market Plan Decisions
ACA Increases profitability for insurers, despite significant initial financial losses in the individual market after the key provisions of the Affordable Care Act (ACA) took effect. Health insurer profitability in the individual market rose due to substantial premium increases, government premium tax credits that pay for those premium increases, and the large, government-funded, Medicaid expansion.
Here are 10 instances which can help you better identify when its time to look for a partner.
Medicare Members Report Improvements in “Healthy Days” Report
In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.