When members are engaged in proactive care, it can improve clinical outcomes and reduce costs. Still, despite health plans’ many efforts to modernize and improve the member experience, motivating members to be active participants in their healthcare remains a challenge.
Much of this challenge stems from a lack of clarity and transparency (what will something cost, which doctors or specialists are in the network, how to find and access care, etc.). Health plans have increased their
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The Future of EMRs: AI-Powered, Patient-Centric, and Interoperable
Imagine a world where a patient can visit any healthcare provider around the globe, and that provider has access to your entire health history and lifestyle habits within minutes, enough to diagnose what ails you and provide relief and treatment options. Imagine also a healthcare system that offers valuable insights to the provider along the way — like a little genie sitting on their shoulder, prompting necessary actionable insights based on evidence. That world might be years away at best, but
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The Rise of AI in Telemedicine: Enhancing Efficiency and Accessibility
One of the silver linings of the COVID-19 pandemic was the rise of telemedicine. The constraints imposed by the pandemic sparked a lasting trend of patients willing and able to seek healthcare solutions virtually. Since the pandemic, the rise of AI and its integration with telemedicine and digital health has seen significant investment growth, leading to enhanced patient care and reduced operation costs for healthcare providers and systems.
The global AI market in healthcare was
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How A Human-AI Partnership Can Boost Clinical Trial Recruitment
The demand for clinical trial testing is rising, from over 260,000 trials conducted in 2018 to nearly double that figure in 2024. This means that more trials are being conducted simultaneously than ever—a factor that adds to the already challenging process of finding clinical trial participants.
Because trial sponsors are struggling to find sufficient numbers of suitable participants, 80% of the world’s more than 450,000 clinical trials are at risk of
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Zombie Investments: The State of Private Equity in Healthcare
Private equity (PE) firms, once eager investors in the healthcare services sector, are facing a chilling reality. A confluence of factors including challenges recruiting and retaining physicians, reimbursement headwinds, accelerating labor costs and restrictive antitrust policies, have resulted in a string of high-profile failures, and are casting doubt on the future role of PE in healthcare. This shift has profound implications across the healthcare delivery spectrum – from hospitals and health
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Code Red: Healthcare Cybersecurity in a Post-Chevron World
In light of the recent Supreme Court decision overturning the Chevron deference, the regulatory landscape, especially concerning cybersecurity in healthcare, faces significant changes. The ruling in Loper Bright Enterprises v. Raimondo, which reversed the 1984 Chevron v. Natural Resources Defense Council precedent, alters how federal agencies can interpret and implement laws. This shift carries profound implications for the Department of Health and Human Services (HHS) and the Cybersecurity and
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Combining an Omnichannel Strategy with Benchmarking and Metrics to Engage Healthcare Professionals
A critical aspect of any pharma/life sciences commercialization strategy is to develop and deploy effective and meaningful ways to engage, inform and build trust with healthcare providers (HCPs). A brand can best meet its clinical and commercial objectives throughout its lifecycle by offering a well-orchestrated mix of information and resources in different digital and in-person formats that HCPs can easily access.
As with any multifaceted marketing and commercialization strategy, brand
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Value-Based Care is Growing – Is Your Data Ready?
The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters.
Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands regarding quantitative data
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Internal Patient Feedback Benchmarking Metrics Improves Care
Healthcare professionals recognize the power of patient feedback. Many even consider this data to be the lifeline of their organization. In an age where buyer power is in the hands of the patient, staying ahead means constantly improving provider performance and patient outcomes. When patients notice these improvements, they are more likely to leave positive feedback, which, over time, enhances an organization’s reputation.
Collecting patient satisfaction survey responses and benchmarking
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Bridging Healthcare’s Digital Divide: The Interoperability Imperative
In today’s intricate healthcare landscape, seamless data exchange across diverse systems has shifted from a convenience to a critical ethical and business imperative. Interoperability has become the foundational element that enables healthcare IT systems to communicate effectively and exchange real-time data across the continuum of care. This capability is vital for optimizing clinical workflows, enhancing patient outcomes, and ensuring compliance with regulatory mandates such as the ONC and CMS
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