Blog Posts

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Value-based population health: What does it take to succeed?

Don Casey Don Casey

This three-part blog series covers topics of importance to population health initiatives in the U.S. today and shows examples of organizations that are successfully incorporating population health programs to improve care quality and reduce healthcare costs. Read our first post here, covering the importance of better price transparency and what organizations should do to prepare

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Better Population Health Begins with Price Transparency

Don Casey Don Casey

This three-part blog series will cover topics of importance to population health initiatives in the U.S. today, and show examples of organizations that are successfully incorporating population health programs to improve care quality and reduce healthcare costs. Part 1: Better Population Health Begins with Price Transparency By Don Casey, MD, MPH, MBA,  Senior Vice President

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“Utilization Management” is all about saving health plans money. Or is it?

Debbie Hill Debbie Hill
Sr. Director, UM Product Applications

The term “Utilization Management” was first heard in healthcare roughly three decades ago. The Institute of Medicine came up with a formal definition in 1989 that discusses “…techniques used by or on behalf of purchasers of health care benefits to manage health care costs…”. In plain English: It’s how health plans determine preauthorization. Until very

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Utilization management: What’s it got to do with population health?

Debbie Hill Debbie Hill
Sr. Director, UM Product Applications

The answer: Everything. Utilization management isn’t just an insurance concept anymore. Because no hospital or health system has unlimited care resources, all have to develop “utilization management” skills. It’s a matter of deploying finite resources where they’ll have the greatest impact, within budget realities and new demands on care resources. It’s not just an essential

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Capitalize on chaos: How to zero in on opportunity with population health

Mary Kay Plona Mary Kay Plona

“In the midst of chaos, there is also opportunity.” –Sun-Tzu Healthcare is full of chaos today: regulatory reform, political uncertainty, rapid technological change, vast amounts of clinical and financial data, and the growth of alternative payment models. Yet the quote above is both powerful and true: chaos does breed opportunity. What healthcare organizations need to

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[WEBINAR] Population Health Issues and Opportunities: Spotlighting High Blood Pressure

Don Casey Don Casey

Impacting nearly half of all adults in the U.S., more than 100 million Americans have high blood pressure, according to recent estimates from the American Heart Association. In addition to high costs of care, consequences of inadequate treatment include risk of cardiovascular disease, stroke, renal failure and early death. Health system teams committed to improving

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HBR Idea Watch: Finding the Perfect Pace for Product Launches

Ellen Dalton Ellen Dalton
EVP, Chief Marketing & Customer Experience Officer

What’s the optimal number of new products to launch in a given time frame? Does it matter whether the launches are spread out or bunched together, and whether a new product is similar to the rest of a company’s portfolio? To answer those questions, researchers studied 1,904 new drugs launched by U.S. pharmaceutical firms from

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