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When it comes to agility and speed, a successful health plan must have it all to please its stakeholders. Gone are the days of the traditional, slow, steady in…
“The healthcare environment changes dramatically and very quickly,” according to Dave Mika, Director of Enterprise Core Systems Operations for non-profit insur…
To understand the priorities of leading health plans, HealthEdge Software, Inc., in partnership with Survata, an independent research firm, interviewed 73 heal…
Three Takeaways from the Medicare Advantage Leadership Innovations Conference
150 health plan executives, industry experts and vendors gathered in Phoenix, Arizona over two days April 10 and 11th to share experiences and ideas for succes…
How 3 Health Plans Took Unique Approaches to Lowering Administration Costs
Administration costs attributable to outdated technology and manual processes result in one of the biggest sunken costs in healthcare. For example, in 2016 the…
The U.S. healthcare system continues its transformation from a fee-for-service to value-based reimbursement (VBR) model, and the majority of states are now buy…
Driving Transformation in the Health Insurance Industry
Today, more than ever, health plans are under continued pressure to stay competitive in the face of constantly changing market dynamics.
In fact, according …
In a recent interview with HealthEdge, Andy Slavitt, former Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) in the Obama administr…
As we discussed in our first post, the proliferation of value-based models is upon us, and the topic is now making its way out of industy circles and into the&…
Collaborative Design: A Recipe for Being Proactive
For the past two months, I have been interviewing many recent User Experience graduates and asking them one question in particular: “What is more importan…
Key Takeaways from AHIP’s National Conferences on Medicare, Medicaid and Duals
Government programs are the fastest growing segment of the healthcare market. According to CMS, Medicare has 57 million members, up 10% since 2013, …
Health Plans Must Communicate Differently With Members - Part I
There is widespread evidence that health plan members are expecting a delightful consumer experience from their health insurers. With the advent of more a…
