When most people think about health plan savings, they picture high-level strategies like network design, pharmacy benefit management, or wellness initiatives. But one of the most important drivers of cost and performance happens quietly behind the scenes, a process...
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The situation A renowned health system in Wisconsin noticed an upsurge in large-scale employers offering self-funded healthcare. They spotted an opportunity to partner directly with these employers to deliver integrated care and increase their domestic utilization....
Healthcare costs continue to go up for employers at the same time that their workforce is demanding better benefits. With those competing priorities, what are organizations to do? Many are considering a departure from the traditional health plan model and pursuing...
When we think about artificial intelligence (AI), chatbots and machine learning algorithms are likely some of the first things that come to mind. We might even imagine malignant forms of intelligence that steal our jobs or stage a robot uprising, à la midcentury...
Today’s consumers don’t just want personalized and seamless healthcare experiences — they demand them. A recent report, however, finds that patient experiences are declining. Now’s the time for health systems to up the ante on experiences and value-added services to...
Direct to employer healthcare, sometimes called direct contracting or DTE arrangements, has rich benefits for everyone involved — particularly the health system itself. To unlock these benefits, however, it’s important to understand what this relationship looks like,...
What’s your New Year’s goal for 2023? If you’re like many health systems across the U.S., it may be something along the lines of “increase patient volume by X%.” It’s a worthy goal, to be sure, but it also includes unique challenges. As health systems struggle to keep...
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