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Healthcare industry executives around the world understand the need to collaborate but lack of trust among the sectors and unaligned incentives for stakeholders create hurdles.
Healthcare industry executives around the world understand the need to collaborate but lack of trust among the sectors and unaligned incentives for stakeholders create hurdles.
Doctors may be cost-conscious, but price never trumps patients' best interests.
UPMC has invested more than $1.6 billion in its IT infrastructure over the past five years, according to Pamela Peele, chief analytics officer of UPMC Health Plan. That's more money, she points out, than its home city has spent on three pro sports stadiums combined – "and we take sports seriously in Pittsburgh."
Internal labor audits may help hospitals and healthcare organizations navigate myriad labor laws, union contracts and other workforce issues.
Florida Blue Cross and Blue Shield is in the midst of reorganizing into a "policyholder-owned, not-for-profit mutual insurance holding company."
As healthcare delivery and reimbursement models transition to ensuring quality care versus quantity of care, some sectors of the healthcare industry will benefit more than others.
Wellpoint said its solid financial results were due to taming medical cost increases in its employer-based business and benefiting from the Medicaid operations in its recent Amerigroup transaction.
Lawyers for Cigna are asking a federal appeals court to reject a Houston hospital's bid to sue over withheld medical reimbursements, arguing that the provider's "prompt pay discounts" threw its cost-sharing model awry.
Here's a wonderful idea: patients and providers working together in shared decision-making, accepting and trusting each other's input. Isn't that the goal our healthcare system should strive for? Not so fast.