By Jim Dumond – CRISPR is a gene-editing technology that enables scientists to chemically snip out and rearrange genetic sequences to alter DNA, often with the goal of eliminating hereditary diseases. The technology holds enormous implications for our ability to…
Read More
By David Burda – Like I mentioned in a previous blog post, I didn’t know jack about ESG until someone asked me about it, and I looked it up to appear like I knew what I was talking about. If you read that post, you’d know ESG stands for environmental, social and governance.
Latest news being reported on payers and the health insurance industry including news from Sesame, Angle Health, United Healthcare, Blue Cross Blue Shield Association, CVS Health, Humana, AHIP, Oscar Health, and more.
By BJ Schaknowski – As widely reported and acutely felt, in 2022 health systems are broadly on track to post their worst financial results in decades. That fact is all the reminder we need that healthcare organizations are businesses with exposure to macro-economic headwinds and tailwinds, like any other.
By Matt Fisher – Remote patient monitoring (the very impersonal nature of that phrase will not be discussed right now) has risen to the forefront in many discussions about how virtual care positively impacts the delivery of healthcare.
By Dr. Jay Anders – In a Forbes Technology Council article earlier this year, my colleague Medicomp CEO Dave Lareau discussed how the industry was abuzz with talk about how providers and health plans can “optimize” risk-adjusted payments for Medicare Advantage, and the associated “upcoding” to qualify for higher risk scores.
Latest news being reported on payers and the health insurance industry including news from Cohere Health, Humana, Cedar, CareSource, AHIP, UnitedHealthcare, Independence Blue Cross, CVS Health, Humana, Medica, Cigna, and more.
By Ram Krishnan – Today, behavioral health providers want to deliver effective treatment that brings hope and healing to patients. They also want to be reimbursed well and quickly so they can invest in the best resources and personnel. Value-based care can help providers achieve both.
By Tammy Hawes – Administrative waste, the excess overhead that occurs primarily due to the complexities between providers and payers including time devoted to billing and reporting, is the largest area of waste and accounts for $266 billion a year.