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The challenges in U.S. healthcare are considerable. Improve patient outcomes, reduce costs and bridge the great divide between payers and providers. Meeting th…
Value-based: Are payers and providers on the same page?
The right care at the right time — with payments based not on volume but on value, improved patient outcomes and lower cost. Value-based healthcare just makes …
Voice of the Market Survey: Value-Based Reimbursement
Despite the uncertainty around the Affordable Care Act (ACA) and other healthcare reform efforts, it’s clear that value-based models are here to stay. What isn…
Three Takeaways from the 2nd Annual Medicare Advantage Leadership Innovations Conference
On January 28-30, 120 Medicare Advantage health plan executives, industry experts and vendors gathered for the 2nd Annual Medicare Advantage Leadership Innovat…
We enter 2019 on the heels of a midterm election that saw Democrats take control of the U.S. House of Representatives and Medicaid expansion approved via refer…
It’s the time of year when people say… “I can’t believe it’s this time of year already!” This is also a time when people look back and reflect on the prior yea…
The turkey is brining, the pies are made, and the table is set for Thanksgiving dinner. This Thanksgiving season, HealthEdge has taken some time to stop and re…
HealthEdge Voice of the Market: Health Insurers and Operational Efficiency
To understand how health plans are thinking about operational efficiency, HealthEdge, in partnership with Survata, an independent market research firm, recentl…
Three take-aways from AHIP's National Conferences on Medicare, Medicaid & Duals 2018
Healthcare executives from all walks of Medicare and Medicaid assembled in Washington D.C. from October 15th through the 18th to discuss and learn from each ot…
How Successful Health Plans are Transforming their Business
The health insurance industry is changing faster today than ever before. The constant introduction of new regulations, changing customer expectations, and the …
“What’s the culture like at HealthEdge?”
Having spent my career in Human Resources, this is a question candidates always ask me and I love the challenge of …
Participation rates of eligible providers for MIPS reporting and ACOs are above 90%, according to CMS in a blog post. It sounds good until one realizes that th…
