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Payer-Provider Integration

Health insurance companies and a healthcare provider may greatly benefit from systems integration. Healthcare payer and provider organizations have different goals but need to work together to generate efficiencies. How can we bridge the gap between the two parties?

Resolving the Payer-Employer Disconnect with Health Plans Panel Clip Still

New Marketplace

Resolving the Payer-Employer Disconnect

Payers need to break out of their insular way of thinking.

Big Data in Healthcare Applications--Diagnostics, Prevention, Precision Med, Research, Reduced Costs

Care Redesign

Healthcare Big Data and the Promise of Value-Based Care

Big Data is essential to every significant healthcare undertaking. Read about the challenges, applications, and potential brilliant future for healthcare big data.

Value-Based Payment Models Payer-Provider Contracts Value-Based Arrangements

New Marketplace

Economic Investment and the Journey to Health Care Value — Part II: Health Care Payers

Payers’ broad scale of investment in value-based arrangements makes a compelling case for the importance of sustained efforts to identify effective value-based payment models.

New Marketplace

The Big Tent of Value-Based Care Has Room for Big Pharma

Drug companies must join providers, payers, and patients in seeing themselves as stakeholders.

Principles for Regional Health Plans Committed to Their Communities

Leadership

The Committed Perspective — Policy Principles for Regional Health Plans

When we say “committed,” we mean “in it for the long haul.”

Untapped Business Opportunities for Entrepreneurs in Delivery System Reform

New Marketplace

Opportunities for Private-Sector Entrepreneurship in Health Care Transformation

Two veterans of public service say that government can do only so much — which creates attractive business opportunities for entrepreneurs.

Leadership

Rethinking the Challenges of Health Care: Time to Cultivate More Tri-Sector Leaders

Health care in the United States is facing several historic challenges — controlling costs, improving quality, reducing inequities — that require solutions with unprecedented collaborations across the public, private, and nonprofit sectors. To meet these complex challenges, we need to cultivate “tri-sector leaders” with diverse perspectives and skill sets who can readily engage across all three sectors.

Patient Engagement

Walking with Our Patients in the Community

Mobile integrated health, a disruptive home-based delivery model, repurposes existing resources and addresses critical care gaps for high-risk, high-cost populations.

New Marketplace

What U.S. Hospitals Can Still Learn from India’s Private Heart Hospitals

Cost-cutting lessons are clear, so what stands in our way?

Sachin Jain 04 talk still: How CareMore Embraced Medicaid

New Marketplace

How CareMore Embraced Medicaid

There isn’t a population of patients who needs a culture of caring more than those on Medicaid.

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