Health plan

Reduce risk and improve member experience with predictive analytics and curated insights.

Health plans pivot to put experience first

Written by Barbara Hayes | Analytics, Health plan

For health plans, the road to digital transformation is not an easy one. It's a long journey that should be inspired by the desire to change the experience of healthcare - and to deliver on the move from volume to value in health. more

In the U.S., an angioplasty costs $32,000. elsewhere? maybe $6,400.

Written by Margot Sanger-Katz | Employer, Health plan, Provider

Why does health care cost so much more in the United States than in other countries? As health economists love to say: “It’s the prices, stupid.” more

Consult the consumer

Written by Anita Nair-Hartman | Health plan, Provider

Today, providers and payers name each other as top collaborators. But consumers jump to the top of the list for both, when asked to predict top collaborators in three to five years, according to a recent study by the IBM Institute for Business Value (IBV). more

Meaningful interoperability

Written by Anil Jain | Health plan, Life Sciences, Provider

IBM Watson Health has participated in conversations that help policymakers better understand the real-world impact of these standards and regulations. To tackle the “how,” we approach three essential domains to help accelerate the transformation that we see in the health ecosystem. more

What technologies are needed for success with price transparency?

Written by Anil Jain | Data, Health plan, Provider

Since the White House released an executive order to help improve price transparency for healthcare consumers, industry leaders have been discussing and preparing for the final rule. This post is the first in a three-part series sharing insights from an executive panel. more

What are some of the potentially unintended consequences of price transparency the industry should avoid?

Written by Anil Jain | Data, Health plan, Provider

Leaders from across the healthcare industry share insights about price transparency. more

What challenges does the healthcare industry face with price transparency?

Written by Anil Jain | Data, Health plan, Provider

Providers, health plans and employers are evaluating their plans and preparing to deliver more price information to healthcare consumers and help address the challenges ahead. more

Opioid epidemic: Weighing alternatives for pain management

Written by Lisa Latts | Analytics, Government, Health plan

In weighing the risks and costs of pain management treatment plans, it is important to understand the burden of opioid misuse and abuse. more

What continuous improvement looks like when staff buys in

Written by John Rubio and Craig Weathers | Health plan, Stories

How one health plan manages substantial growth and volume with a Lean approach more

How to prepare for the next chapter of payer analytics

Written by Watson Health | Analytics, Data, Health plan

Today’s evolving healthcare marketplace is demanding business model transformation and new operational processes. This shift is forcing healthcare payers to consider info-centric strategies and more. more

How a functional algorithm can create better healthcare transparency

Written by Watson Health | Artificial intelligence, Health plan

Think about some of the biggest challenges your health plan faces when it tries to connect inpatient, outpatient and prescription drug data. Trying to connect these cost drivers proves difficult. more

How consumers are creating new imperatives for payers

Written by Watson Health | Data, Health plan

Challenges in today’s healthcare environment are driving change in the payer business model and operational processes. Many health plans struggle to improve member experience while reducing costs. more