Industry News

  • Re-Engaging Health Plan Members: 5 Foolproof Strategies

    Re-Engaging Health Plan Members: 5 Foolproof Strategies

    It’s no secret 2020 felt overwhelming for health plans and their members, from shifting regulatory and clinical guidance, to changes in benefits. As a result, many consumers were left wanting more out

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  • Concordance of End-of-Life Care With End-of-Life Wishes in an Integrated Health Care System

    Concordance of End-of-Life Care With End-of-Life Wishes in an Integrated Health Care System

    Question How well are the end-of-life wishes of decedents 65 years or older met? Findings In this quality improvement study of next of kin of 715 decedents who died at 65 years or older...

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  • Fighting Survey Fatigue Versus Collecting the Data You Need

    Fighting Survey Fatigue Versus Collecting the Data You Need

    You walk into your local drugstore, get what you came for and check out. When you look at your receipt, it directs you to a website where you can complete a survey about your shopping experience.

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  • Improving Patient Experience, While Avoiding a Star Ratings Scandal

    Improving Patient Experience, While Avoiding a Star Ratings Scandal

    On March 15, California prosecutors sued Brookdale Senior Living, accusing the largest chain of senior living communities in the U.S. of manipulating the federal government’s Star ratings system.

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  • Making Your Health Risk Assessments Work for 2021

    Making Your Health Risk Assessments Work for 2021

    Health Risk Assessments (HRAs) arm employers and payers with the meaty consumer health data they need to assess individual health status, prioritize engagement and to motivate behavior change.

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  • Why 2021 Patient Experience Will be Tied to Telehealth Success

    Why 2021 Patient Experience Will be Tied to Telehealth Success

    How consumers feel about their virtual care encounters will influence everything from CAHPS surveys to compensation beyond the pandemic.

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  • Level up Your Engagement Strategy for 2021

    Level up Your Engagement Strategy for 2021

    Effective patient engagement is widely known to be tied to high quality care, outcomes, and cost savings. And while the healthcare industry continually stresses the importance of that connection,...

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  • Avoiding Common Pitfalls of Performance Guarantee Surveys

    Avoiding Common Pitfalls of Performance Guarantee Surveys

    Many health plans and pharmacy benefit managers (PBMs) have contractual commitments with their large clients to meet certain performance guarantees (“PGs”), including meeting minimum levels of...

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  • Addressing America's Looming Healthcare Gap Crisis During COVID-19

    Addressing America's Looming Healthcare Gap Crisis During COVID-19

    While putting off care during the initial onset of the coronavirus made sense, continuing to do so will affect long-term outcomes. Here’s how providers can get patients back on track.

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  • Medicare Advantage Star Ratings: The New Patient Experience Imperative for Health Plans

    Medicare Advantage Star Ratings: The New Patient Experience Imperative for Health Plans

    CMS is putting more weight on patient experience measures in its Medicare Advantage and Part D Star ratings. What health plans can do now to improve their ratings.

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  • Three ways payers and providers are improving collaboration during the COVID-19 pandemic

    Three ways payers and providers are improving collaboration during the COVID-19 pandemic

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  • The Future of Personalized Patient Engagement: Driving Optimal Population Health Outcomes

    The Future of Personalized Patient Engagement: Driving Optimal Population Health Outcomes

    While technology certainly hasn’t solved all our problems, one thing technology has provided healthcare is the opportunity to really personalize patient engagement at scale.

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  • How Proactive Patient Engagement Can Influence Patient Health During COVID-19

    How Proactive Patient Engagement Can Influence Patient Health During COVID-19

    More than half of approximately 600 consumers (52%) surveyed in mid-March—the time when major metropolitan areas began issuing “shelter-in-place” orders and encouraging “social distancing”...

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  • Gauging Patients’ Healthcare Needs During a Crisis: Lessons from Successful Consumer Brands

    Gauging Patients’ Healthcare Needs During a Crisis: Lessons from Successful Consumer Brands

    What are patients’ most pressing healthcare needs during a crisis? If you ask healthcare plans and physicians, they’ll likely say “communication” and “care.”

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  • Medicare Advantage Star Rating Calculations Change; Act Now to Change 2023 Perceptions

    Medicare Advantage Star Rating Calculations Change; Act Now to Change 2023 Perceptions

    Experience, access, and complaints will matter more in future scores; current studies indicate plans currently are not communicating well with members.

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  • How Payers and Providers Can Align and Collaborate, with or without Vertical Integration

    How Payers and Providers Can Align and Collaborate, with or without Vertical Integration

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  • 88 ASCs awarded for excellence in patient satisfaction — 3 details

    88 ASCs awarded for excellence in patient satisfaction — 3 details

    Eighty-eight ASCs were named recipients of the SPH Analytics National Apex Quality Award, a distinction recognizing providers who demonstrate excellence in patient satisfaction.

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  • 5 ways to create and implement better MIPS quality improvement strategies

    5 ways to create and implement better MIPS quality improvement strategies

    The Centers for Medicare & Medicaid Services (CMS) recently announced that 98.4 percent of eligible clinicians participated in the second year (2018) of Merit-based Incentive Payment System (MIPS).

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  • Physicians are facing more demands on their time than ever. What can payers do to help?

    Physicians are facing more demands on their time than ever. What can payers do to help?

    Increased prevalence of complex, chronic conditions. Numerous documentation requirements. Digital transformation and disruption. The shift to value-based care models. With all of the change happening

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  • Patients who had surgery in ASC would recommend facilities, survey says

    Patients who had surgery in ASC would recommend facilities, survey says

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