By the end of this week, CMS will ship refreshed baseline data to all participants in the Bundled Payments for Care Improvement Advanced (BPCI-A) program. The decisions that Hospital and Physician Group Practice (PGP) participants must make by mid-December have broad implications, especially as mandatory bundles from CMS become more [...]
This week, October 11-17, is National Case Management Week 2020 (NCMW2020). To all the amazing case managers: your hard work and dedication to patients deserve to be formally recognized. Thank you for your contributions and tiresome work assessing, planning, facilitating, care coordinating, evaluating, and advocating on behalf of patients [...]
With Q3 seemingly speeding to a close and rebates due at the end of September, MLR targets are top of mind for many health plans. While many plans did not meet their minimum medical loss ratio for 2020, in three steps, payers can better position themselves to meet these [...]
Healthcare is notoriously conservative in its adoption of technology. Yet, telehealth use skyrocketed because of the COVID-19 pandemic. With the sudden physical distance between patients and healthcare facilities imposed by the lockdown, providers proved they could transition to virtual care instantly. Could this be the example the industry needs to [...]
The revenue performance of a pharmaceutical drug at launch sets the stage for its commercial future. However, approximately two-thirds of new drugs fall short of first-year sales expectations. In this HLTH GoLive series webinar, “Rearchitecting the Drug Launch Model,” Manisha Gulati, Chief Operating Officer, Clarify Health, asked an expert [...]