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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…
Paying Your Tuition: Failure is the Tuition of Success
One of the most important life lessons my father taught me was that I would only succeed when I stopped fearing failure.
Quite simply failure is the tuitio…
You Can’t Lower Healthcare Costs or Improve Outcomes in a Siloed System
Everyone wants better outcomes and lower costs. It sounds good when people in the industry talk about achieving those ends, but the Triple Aim has been a goal …
Social Determinants of Health - What are Payers Doing?
Social Determinants of Health (SDOH) was a bleeding-edge concept 20 years ago but today, healthcare payers and providers are starting to incorporate SDOH facto…
Hundreds of health plan executives, sponsors and others assembled June 20 - 22 in in San Diego, CA to discuss and share with each other a wide variety of …
