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Health Reform

The Personalized Medicine Market in 2015 [INFOGRAPHIC]

January 26, 2015 by David Avitabile

personalized medicine

As part of last week's State of the Union address, President Obama called for a national initiative focused on precision medicine. With that in mind, we decided to take a look at some of the numbers related to the growth of personalized medicine, and see what story they tell about the personalized medicine market in 2015.[read more]

Price Transparency in Healthcare Still Lacking

January 23, 2015 by Bill Crounse

price transparency

Despite “health insurance reform” and the supposed rise of “consumerism” in healthcare, the system is still far from transparent or market-driven when it comes to the price of almost anything. Why we as consumers continue to tolerate this is a mystery.[read more]

What Would Empathy-Based Healthcare Look Like?

January 23, 2015 by Stewart Gandolf, MBA

Dr. Paul Rosen

Dr. Paul Rosen thinks a lot about empathy in healthcare delivery. As the Clinical Director of Service and Operational Excellence at Nemours Children’s Health System, he asks the challenging question, “What would healthcare look like if it was based on empathy?”[read more]

Will It Be About Patients This Time?

January 22, 2015 by Tim Kilpatrick

We are beginning the third transformational wave of trying to improve health care outcomes and reduce costs. Will it be mostly about patients, their recovery and overall well-being? Will it require provider and health plan alignment to ensure excellent customer service, coordinated care and patient tailored outcomes?[read more]

Healthcare and Health IT in 2015: Seeking Simplicity

January 8, 2015 by Bill Crounse

healthcare in 2015

Technology should be making healthcare easier and less expensive, but is it? Healthcare policy should be doing the same. Instead, we seem to be getting ever more complicated rules, regulations and business practices that confound both consumers and providers alike.[read more]

Evolent CEO Frank Williams on Transforming Healthcare [TRANSCRIPT]

December 27, 2014 by David E Williams

Frank Williams, Evolent Health CEO

"One of the biggest issues with transforming healthcare is directly related to the incentive system. If you think about changing the way you care for patients...in some ways you are reducing revenues and adding cost to the system in a fee-for-service context," says Frank Williams, CEO of Evolent Health.[read more]

Paying More Because You Have Insurance: Is Cash Cheaper?

December 25, 2014 by Jeanne Pinder

Many of us are accustomed to thinking that we pay insurance premiums to get access to a lower cost for health care procedures. But increasingly we are hearing that insured people are paying more than uninsured people — not everywhere, and not all the time, but not infrequently.[read more]

Choosing the Right mHealth Tools for the Job

December 23, 2014 by Anne Weiler

John Brownstein

The third day of the M-Health conference coincided with the first day of the Global MHealth Forum, and the keynote presented the most aspirational view of the three conference keynotes. "We need to put the 'public' back into public health," said John Brownstein, a Director at Children's Hospital Boston.[read more]

New Proposed CMS Rule on Radiology Reimbursement Rates for 2015

December 22, 2014 by Andy Salmen

On July 3rd, the Centers for Medicare & Medicaid Services (CMS) announced the 2015 Physician Fee Schedule Proposed Rule (PFSP). Included are proposed payment system changes initiated by CMS to reflect government mandated reimbursement to medical practices. Radiology billing will be affected by these potential new regulations.[read more]

Hospital Readmissions Are Costing Us $26 Billion Annually

December 21, 2014 by Abby Norman

New reports show that readmissions are costing healthcare $26 billion dollars a year – and $17 billion of that comes from preventable readmissions. Te Robert Wood Johnson Foundation sought to get to the bottom of this issue by conducting a study they called The Revolving Door, which is a cheeky but apt title.[read more]

Healthcare 2014: A Retrospective

December 18, 2014 by Abby Norman

In 2014, as an industry, healthcare saw a continued move towards accountable care, shared decision making, value-based purchasing and patient satisfaction measures. Buzzwords abound, there was a lot for everyone – providers, patients and payers – to juggle this year. And it looks like the trend is apt to continue into 2015.[read more]

PQRS and the Benefits of Participating in 2015

December 18, 2014 by Andy Salmen

The Physician Quality Reporting System (PQRS) initially known as Physician Quality Reporting Initiative (PQRI) was created under the 2006 Act – Tax Relief and Health Care. The program was made permanent under Medicare Improvement for both Providers and Patients Act of 2008.[read more]