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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant

The VBC Paradox: Why Hospitals Are Doubling Down on Value-Based Care While Revenue at Risk Lags

by Fred Pennic 12/12/2025 Leave a Comment

The VBC Paradox: Why Hospitals Are Doubling Down on Value-Based Care While Revenue at Risk Lags

What You Should Know:  - A new report from Sage Growth Partners reveals a striking disconnect in the healthcare industry: while only 20% of C-suite leaders believe progress has been made in value-based care (VBC) recently, 77% plan to increase their participation in these models over the next two years.  - The "plot twist" indicates that despite operational hurdles and low revenue exposure today, hospital executives view VBC as essential for long-term financial survival. The data
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Healthcare Costs vs. Wages: Why Premiums Are Absorbing Your Annual Raise

by Mary Bacaj, President of Value-Based Care Justin Berry, VP of Population Health at Conifer Health Solutions 12/11/2025 Leave a Comment

Healthcare Costs vs. Wages: Why Premiums Are Absorbing Your Annual Raise

Healthcare costs are consuming an increasingly large share of household budgets. A RAND study found that payments to finance healthcare averaged $9,393 per person, or nearly 19% of average household income. For many families, that means more than a line item on a paycheck. It shapes the way people decide when to see a doctor, whether to fill a prescription, and how secure they feel in their jobs. A benefit once seen as a cornerstone of compensation is now a source of financial stress. For
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The $4,000 Deductible Era: Why Employer-Sponsored Insurance is Breaking the American Worker

by Fred Pennic 12/10/2025 Leave a Comment

The $4,000 Deductible Era: Why Employer-Sponsored Insurance is Breaking the American Worker

What You Should Know:  - A new 50-state analysis reveals that over half (51.7%) of U.S. private-sector workers are now enrolled in high-deductible health plans (HDHPs) as employers struggle to manage rising costs. The report shows that annual family premiums jumped to $24,540 in 2024, outpacing inflation, while average family deductibles surpassed $4,000 for the first time.  - The trend exposes millions of Americans to greater financial risk in medical emergencies, signaling a
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More Safe Days at Home: A Call to Redesign Pediatric Care

by Dr. Patricia Hayes, Chief Medical Officer of Imagine Pediatrics 12/10/2025 Leave a Comment

For children with special health care needs, the line between stability and crisis is razor-thin. A quiet day at home can quickly spiral into an unplanned hospital admission. Even during moments of calm, families live with constant anxiety that a small change in condition could trigger the next emergency. It shouldn’t be that way. Time at home should be safe and supported, not a fragile pause between hospitalizations. Yet today’s healthcare system still defaults to crisis response,
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The Organ Shortage Solution: Why Living Kidney Donation is Better Than Waiting for Xenotransplantation

by Tina Liedtky, President, Transplant Diagnostics, Thermo Fisher Scientific 12/08/2025 Leave a Comment

The Organ Shortage Solution: Why Living Kidney Donation is Better Than Waiting for Xenotransplantation

Over 100,000 Americans are currently waiting for an organ transplant, and over 85% of those are in need of a kidney.  As the demand for organ transplants continues to far outpace supply, increasing the number of organ donations remains an urgent priority. Most people are familiar with checking the box on their driver’s license, opting in to become an organ donor after death; but few realize that only three in 1,000 people pass away in circumstances that make organ
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ACA Open Enrollment 2026: Why Integrated Health Tech is Key to Navigating 23.4% Premium Spikes and Subsidy Uncertainty

by Kevin Deutsch, General Manager and SVP of Health Plan Solutions at Softheon 12/08/2025 Leave a Comment

ACA Open Enrollment 2026: Why Integrated Health Tech is Key to Navigating 23.4% Premium Spikes and Subsidy Uncertainty

The upcoming Affordable Care Act (ACA) Open Enrollment (OE) period presents at least three major challenges for health plans: Legislative changes, double-digit premium increases, and potentially expiring subsidies. To maintain membership and a positive user experience, health plans must carefully evaluate their approach to enrollment, engagement, and retention.  New rules are reshaping OE workflows, while price increases create affordability concerns for members. It’s difficult for
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$32.9M Investment: UArizona and Onvida Health Launch Rural Medical Branch to Solve Arizona’s Primary Care Crisis

by Fred Pennic 12/05/2025 Leave a Comment

$32.9M Investment: UArizona and Onvida Health Launch Rural Medical Branch to Solve Arizona's Primary Care Crisis

What You Should Know:  - The University of Arizona College of Medicine – Phoenix and Onvida Health are partnering to launch Arizona's first rural regional medical school branch in Yuma County, targeting the state's severe physician shortage. - The initiative, backed by a $32.9M commitment from Onvida Health, will feature a three-year Primary Care Accelerated Pathway leading to an M.D. degree. The program aims to train future primary care physicians who are committed to practicing in
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Beyond Stereotypes: 3 Ways Empathetic Outreach Can Drive Medicaid Member Engagement and Retention Post-OBBA

by Rhonda Aubrey, MHI, Co-Founder and Vice President of Programs at Beheld 12/05/2025 Leave a Comment

Beyond Stereotypes: 3 Ways Empathetic Outreach Can Drive Medicaid Member Engagement and Retention Post-OBBA

Connecting with Medicaid members has never been so challenging—or so crucial—as the system faces great uncertainty in light of the recently passed One Big Beautiful Bill Act.  Finding inroads that resonate with members can be difficult as this diverse segment faces plenty of barriers to care that also inhibit meaningful connections. Non-medical social drivers of health, such as lack of transportation, food and housing insecurities, and even basic health literacy can get in the way of
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Medicaid Planning in New York: What Families Should Know Right Now

by HITC Staff 12/05/2025 Leave a Comment

Medicaid Planning in New York: What Families Should Know Right Now

Long-term care can be expensive, and without the right planning, it can quickly deplete a loved one’s savings. Medicaid can help cover these costs, but qualifying for it comes with strict rules and limits on income and assets. Medicaid planning helps families navigate these rules, protecting a loved one’s property while making them eligible for benefits. By planning ahead, you can secure care, preserve savings, and avoid common mistakes that can cost time and money.  How Medicaid Works
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Home Healthcare Safety: The Four Most Dangerous Risks and How to Prevent Them

by Jason Fass, VP of Growth at Canopy Works 11/24/2025 Leave a Comment

Home Healthcare Safety: The Four Most Dangerous Risks and How to Prevent Them

Home healthcare providers play a vital role in delivering care to patients. However, this unique setting brings a host of dangers that are often underestimated. From ergonomic injuries to transportation hazards, unsanitary environments, and the threat of violence, home healthcare workers face daily risks that demand both awareness and proactive solutions. Here are four of the most dangerous aspects of being a home health provider — and practical steps to help stop them.  Ergonomic
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