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 …
Agility and speed to market are critical capabilities for health plans in today’s fast moving market. Expanding membership, rapidly rolling out new produ…
Lowering administrative costs has been a consistent priority for health plans. What seems straightforward is often not easy to accomplish. However, a nex…
Independent Health: Value-Based Payments - Getting from Here to There
Headquartered in Buffalo, New York, Independent Health is a not-for-profit health plan and aims to provide its community with innovative health-related p…
Elderplan: Lower Administrative Costs and Maximize Operational Efficiency
Headquartered in Brooklyn, New York, Elderplan is a well-established, not-for-profit health plan organization. This case study details how Elderplan leve…
AmeriHealth Administrators: Agility and Flexibility in HealthCare Today
AmeriHealth Administrators (AHA), incorporated in 1988 and headquartered in Philadelphia, PA, is a wholly owned subsidiary of Independence Blue Cross, a …
Core Administration for Blue Cross and Blue Shield Plans
Industry changes are creating an imperative for Blue Cross and Blue Shield plans to transform the way they do business. What was once status quo has …
Industry changes are generating a new set of critical needs for health plans:
Care coordination and management of at-risk populations
Promoting me…
Industry changes are creating an imperative for health plans to transform the way they do business. What was once status quo has now become a dynamic…
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 …
