The Phoenix metro area is booming. Once-sleepy neighborhoods are seeing real estate bidding wars. New housing developments are appearing where there once was nothing. Against that backdrop, healthcare in Phoenix is reorganizing as systems compete for patients and the doctors who refer them.
Evolent's technology and consulting platform can help identify high-risk patients by analyzing data from multiple sources and then create physician-driven care-management plans.
The CMS has issued guidance on processing claims from accountable care organizations that use a waiver to send Medicare patients to skilled-nursing facilities faster as a way to avoid costly hospital visits and provide tailored care.
Collaborative approaches to cutting readmission rates garnered by far the most votes in our reader survey on the most important efforts we've profiled in our regular Best Practices feature.
The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.
The volume of measures that exist, promulgated by lack of alignment and poor coordination, has created an environment of measure madness, “consuming precious resources that could be directed toward meaningful efforts to continuously enhance quality and patient safety,” according to a...
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.
Banner Health's operating surplus dropped by more than half in 2015 as the Phoenix-based system struggled to integrate its University of Arizona Health Network acquisition.
HHS' Substance Abuse and Mental Health Services Administration is about to begin reviewing comments on its proposed changes that would make it easier to share information about patients in federally funded alcohol or drug abuse treatment programs.
The term “shared savings” usually brings to mind the CMS' accountable care programs and the shared rewards for hospitals that save money over the benchmark costs of care. But a select number of technology companies are bringing the concept of shared rewards directly to consumers,...
Major healthcare systems are generally praising the CMS' attempts to make Medicare's biggest accountable care program more attractive as the agency strives to grow the number of participants while also persuading more of them to assume greater financial risk.
In celebration of Modern Healthcare's 40th anniversary, we have created a list of the 40 most important healthcare milestones of the past 40 years, as chosen by our readers. Find out what events and breakthroughs made our Top 40.