Health plan

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 enterprise 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

Four ways health plans can put data and algorithms to work

Written by Watson Health | Analytics, Health plan

Is your organization able to successfully connect disparate data sources and methods to drive business transformation and value? more

Healthcare consumers ask: How much will this cost me?

Written by Bobbi Coluni | Analytics, Employer, Health plan

Providers, health plans, employers and government are all part of the price transparency equation. more

Do doctors fear AI? Not the hundreds I work with around the world

Written by Kyu Rhee | Artificial intelligence, Health plan, Provider

Headlines abound about doctors cowering from AI. The reality: not so much. I’m a physician, and don’t think that’s a realistic concern. Rather, I envision a future in which AI-enabled insights help health and medical experts deliver patient-centered, personalized, value-based care. The future is here. For those of us at IBM, we are augmenting experts’ more

How health IT and artificial intelligence can help clinically integrated networks manage risk — and contract-based performance

Written by Watson Health | Artificial intelligence, Health plan, Provider

With the right analytic insights, a CIN can not only stratify patients by risk, but also provide insights in near real-time about which areas of care delivery are costing the most and why, and what CINs can do about it. more

Six ways health IT can support patient engagement in your clinically integrated network

Written by Watson Health | Artificial intelligence, Data, Health plan...

At a time when revenues often depend on how fast and effectively organizations can identify and engage at-risk patients, it may be more important than ever for clinically integrated networks (CINs) to focus on closing gaps in care and preventing disease progression. That’s where health IT solutions can make a difference. more

Palliative care is “values-based care”

Written by Mark Binstock, MD, MPH and Catherine Follmer, RN, BSN, MBA/HCM, | Health plan, Life Sciences, Provider

Value-based care is generally defined as higher quality at lower cost. Values-based care aims to achieve those same goals, but through a process that considers and applies the values of your organization, your providers and your patients. more

When do outcomes-based contracts make sense? The payer perspective

Written by Watson Health | Data, Employer, Health plan...

In this opinion brief, Truven Health shares the US payer perspective on outcomes-based contracts — what it will take to make these innovative contracts meaningful, sustainable and scalable. more