Prior authorization has been a flashpoint for providers, and, while insurers have taken steps to ease these utilization management protocols, they still play a key role as the industry shifts to value ...

BJC executives key questions reveal how the health system aligns clinical, financial and operational teams for value-based care success.

Policy makers and health plans seek value-based management of specialty drugs. This study examines real-world factors that favor some approaches over others and their potential impact. Objectives: ...

Precision Value Based Management owns the technology that grades and ranks physicians for payers, hospital systems, and ACOs, with over 21 million patients that are being tracked. “They know exactly ...

As healthcare leaders look to the year ahead, many predict that this will be the year the training wheels come off value-based care. This is not a new priority, but the move from value-based theory to ...

In the healthcare world, everyone wants to achieve better outcomes at lower costs. But this is much easier said than done, pointed out Dr. Patrick Runnels, chief medical officer at Cleveland-based ...

Even before COVID-19, health systems were experiencing reduced fee-for-service margins. In 2019, median Medicare margin nationally decreased 2.2 percent while hospital costs rose 2.5 percent per year.

Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a ...

Attend any healthcare conference and you’ll quickly discover that it’s become downright fashionable for healthcare leaders to talk about their unwavering commitment to “value-based care.” The ...

This article was originally published on Apparelist. Money left on the table doesn’t pay bills. Every day, print shops across the country calculate their costs, add a markup, and hand over quotes that ...

Business students need only three well taught courses: How to Value a Business, How to Think About Market Prices, and How to Manage a Business.—Inspired by Warren E. Buffett 2 A great deal has been ...

COVID-19 necessitated widespread loosening of state and federal restrictions on and rapid expansion of telehealth. Now, as policy makers consider telehealth in the post-pandemic period, they must make ...