How health plans can achieve next-level cost efficiencies using artificial intelligence and analytics
Health plans can transform their cost structures by implementing predictive analytics and artificial-intelligence processes.
Analysis: Controlling access to control costs
Health-plan-based primary care offerings may be challenging conventional wisdom related to population health.
Analysis: Why physician practice acquisition by health systems is a growing trend
HFMA’s Chad Mulvany discusses why more physicians are selling their practices and what health systems need for these acquisitions to be financially viable in the long term.
Analysis: Kaine, Bennet public option health plan
HFMA’s Chad Mulvany reviews some possible short- and long-term outcomes of the public option health plan proposal by Senators Tim Kaine and Michael Bennet last week.
Analysis: What nonprofit hospitals should do to compete with healthcare industry disruptors
Health systems can effectively respond to nontraditional healthcare competitors in this review of findings from a Fitch Report of nonprofit hospital ratings.
How healthcare organizations can advance beyond common analytics traps
One health system has developed a robust analytics platform while avoiding obstacles that commonly trip up organizations seeking to make optimal use of data.
Analysis: The pros and cons of large statewide ACOs
Experts say because of their sheer size, “super-ACOs” can bring stability to benchmarks but be difficult to manage.
Analysis: Why the U.S. healthcare system will ultimately move to population-based primary care models
Moving to alternative payment models and other preventative measures could help the U.S. address alarming chronic disease projections.
How data provides vital insight into the social determinants of health
Analytics programs that identify patients with social determinants of health can have clinical as well as financial benefits for healthcare providers.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.