Keyword: HEDIS

Payer organizations must carefully select the provider partners with which they want to share risk.

Aetna and the CDC are working toward one common goal: reducing the frequency of unnecessary antibiotic prescriptions.

Executives at Humana and Oak Street Health share what they believe are the keys to success in value-based arrangement between payers and providers.

Practices are thinking further and further outside the box as they seek new ways to provide high-quality care more efficiently.

Researchers from RAND and Harvard Medical School believe that their look into the use of Teladoc by members of the California Public Employees' Retirement System could help to improve services offered in the future by direct-to-consumer telemedicine companies.

Keeping dual-eligible seniors happy and healthy is a tough nut to crack. But Chicago-based Oak Street Health has done it in a value-based care model, according toa recent article inNEJM Catalystby Griffin Myers, M.D., Geoff Price and Mike Pykosz, founders and part owners of the practice.

According to a recent Scripps Translational Science Institute research study, there is little evidence digital medicine helps cut healthcare costs or spurs consumers to be more interested in their...

As many healthcare organizations adapt to more integrated models of care, Humana has been embracing the concept for 25 years.
"Whereas the country is talking a lot about this right now, Humana is one of the leaders who've been doing this for a very long time," Roy Beveridge, M.D., chief medical officer of Humana, told FierceHealthPayer in an exclusive interview.

News From Around the Web > With the ICD-10 transition on the horizon, the National Committee for Quality Assurance, a Washington, D.C.-based accreditation firm, is looking for the public to...