Please join the discussion with our panel of experts, as we cover a wide range of important topics shaping the business and future of health care.
By Kim Bellard, March 25, 2015
I don't get smartwatches.
Yes, I know; they're all the rage. Apple unveiled its Apple Watch earlier this month, to generally good if not entirely ecstatic reviews. Not to be outdone, Google announced a collaboration with TAG Heuer and Intel for a "Swiss Smartwatch." Samsung and Sony are close behind with their own version.............Click to continue
By Clive Riddle, March 20, 2015
Many institutions are pausing to write and reflect on the ACA at this five-year anniversary mark, underneath the pall of the SCOTUS’ King vs. Burwell shadow. PwC’s Health Research Institute has just weighed in with a nice 22-page report : Healthcare reform: Five trends to watch as the Affordable Care Act turns five.............Click to continue
By Clive Riddle, March 13, 2015
Numerous studies have been warning that prescription cost increases, domesticated and docile for some time now, have returned to the wild - resurging and rearing their unpleasant head.
During last fall, Evaluate published a new 18-page report , "Budget-busters: The Shift to High-Priced Innovator Drugs in the USA." that addresses the growth of high-end prescription drugs. Evaluate tells us.............Click to continue
By Claire Thayer, March 12, 2015
According to findings from The Fifth Annual Study on Medical Identity Theft, published by the Medical Identity Fraud Alliance, the number of patients affected by medical identity theft increased nearly 22 percent in the last year, an increase of close to half a million since 2013.............Click to continue
By Claire Thayer, March 5, 2015
The Center for Disease Control and Prevention shows alarming obesity trend rates among the elderly population within the United States. Thirty-six percent of men aged 65-74 are considered obese, along with slightly over 44% of women in this same age bracket, as highlighted on the CDC’s FastStats for Older Persons’ Health web page.............Click to continue
By Cathy Eddy, February 25, 2015
This year on March 23, we will mark the 5th anniversary of the passage of the Affordable Care Act. Typically, you would expect that most of the unknowns that go along with a new law would have been worked out by now. Yet as we look ahead, we have several key elements that may change. There are also other drivers that are challenging our health plans.
Here are some of the uncertainties still ahead.............Click to continue
By Kim Bellard, February 17, 2015
I recently read an article that speculated on how even the mighty Google could fade into irrelevance faster than we might think. It made me wonder why that kind of change doesn't seem to happen in health care.............Click to continue
By Clive Riddle, February 12, 2015
Much attention has been given this tax season to the new intricacies involved with filing health coverage and related tax credit information for individual 1040s. H&R Block and many other tax services have taken the opportunity to nationally advertise their expertise to support tax filers this season.
So the question begs, how complex are they.............Click to continue
By Claire Thayer, February 12, 2015
There are many approaches to patient care intervention, in terms of managing chronic disease. Several years ago an important study, that is still widely referenced, finds that some of the most successful patient care intervention approaches include those that are customized for each individual patient, allow for.............Click to continue
By Clive Riddle, February 6, 2015
MCOL has just conducted an analysis of managed care organization CEO turnover during the past ten years, and found the turnover rates to be surprisingly high, given the importance of management stability and continuity for most organizations. One-fourth of managed care organization CEOs turned over during the past year, one-third turned over during the past two years, one-half turned over during.............Click to continue
By Claire Thayer, February 4, 2015
Almost 85% of women in the U.S. receive maternity services when giving birth. According to a report presented by Childbirth Connection, "Maternity Care and Liability: Pressing Problems, Substantive Solutions," childbirth is the nation's leading reason for hospitalization and most expensive hospital condition. It is also estimated that 19 of 3,000 hospital births result in an adverse outcome. The importance of maternity management in mitigating legal risk is the focus of MCOL's infoGraphoid.............Click to continue
By Clive Riddle, January 30, 2015
Given that the contest between the Seattle Seahawks vs. the New England Patriots in Super Bowl XLIX is a product of listing and ranking NFL teams (by wins and losses), perhaps some irrelevant insights into the outcome of that contest can be gleaned by comparing how the two cities rank in various healthcare lists.............Click to continue
By Claire Thayer, January 22, 2015
A new Blue Cross Blue Shield Association (BCBSA) and Prime Therapeutics LLC (Prime) study examined yearly medical costs of 1.8 million members of Blue Cross® and Blue Shield® (BCBS) independent companies, whose pharmacy benefit services were divided between “carve-in” and “carve-out” benefit options. This study finds.............Click to continue
By Kim Bellard, January 22, 2015
I always love it when someone looks at something familiar in a completely new way. I only wish health care had more examples of that.
The example of this kind of totally fresh thinking that caught my eye concerns traffic lights. If researchers from Carnegie Mellon University, led by Professor Ozan Tonguz, have their way, those familiar yellow boxes with the lights could become unnecessary.............Click to continue
By Clive Riddle, January 16, 2015
Qliance, recently discussed in Time Magazine as they are quick to tell you, just issued a news release that their New Primary Care Model Delivers 20 Percent Lower Overall Healthcare Costs, Increases Patient Satisfaction and Delivers Better Care.
Qliance conducted a study "of insurance claims data from 2013 and 2014 for approximately 4,000 Qliance patients covered by employer benefit plans, and compared the cost of their care to that of non-Qliance patients who worked for the same employers..."..........Click to continue
by Clive Riddle, January 9, 2015
Accountable Care Arrangements in Medicare, Commercial and Medicaid flavors
Big Data in healthcare parsed with Analytics
Collaboration.............Click to continue
By Kim Bellard, December 17, 2014
The U.S. Mint reports that it now costs 1.7 cents to make a penny; nickels are slightly better, costing "only" 8 cents to make the 5 cent coin. This is economics the way health care practices it.............Click to continue
By Claire Thayer, December 11, 2014
A U.S. Senate Committee investigation report finds that Medicare paid 478,500 claims attributed to deceased physicians, totaling up to $92 million, from 2000 to 2007. The U.S. Postal Service reports that at least 25-30% of the demographic and contact information for health care providers changes every year. The cost of bad or outdated provider data is estimated at $26 billion annually.............Click to continue
By Cathy Eddy, December 8, 2014
On December 2, I was invited to be on a panel at a Health Care Executive Forum in Washington DC that was sponsored by the Academy of Managed Care Pharmacy. David Nash, MD, MBA, dean of the Jefferson School of Population Health facilitated discussions about.............Click to continue
By Clive Riddle, December 3, 2014
Wellpoint is now Anthem. The re-titling of the national health benefits company was publicly announced months ago, the new corporate website has been designated as www.antheminc.com, and the change from the New York Stock Exchange ticker from WLP to ANTM became effective today.
WellPoint Health Networks and Anthem merged in 2004, with WellPoint assuming the corporate name of the merged company. Why the name change back to Anthem ten years later?.............Click to continue
By Cathy Eddy, December 1, 2014
Deloitte Consulting conducts an enterprise wide risk assessment with Presbyterian Health Services annually and the information is leveraged by the health plan.
Health systems are looking at their range of options for the future – most with an eye for making the transition from fee-for-service to value-based reimbursement. These options include.............Click to continue
By Clive Riddle, November 21, 2014
Misperception surrounding a disease can impact treatment, care, funding, and more. So it would seem is the case with lung cancer, as just highlighted in a new survey “Any One Any Lung” Survey sponsored by Novartis Oncology. The online survey was conducted by Harris Poll involving 10,111 adults from 10 countries including the U.S..............Click to continue
By Claire Thayer, November 19, 2014
LexisNexis tells us that three key elements of successful link analysis are Big Data, Super Computing and Social Network Definition and that the three big data necessary for successful link analysis include claims data, provider data and member data. In August earlier this year, LexisNexis hosted a webinar, Moving Fraud Prevention Forward: The Intersection of Data and Linking Analytics. Throughout this webinar, the audience engaged in several polling questions - these questions, along with the audience responses are featured in MCOL’s infoGraphoid this week.............Click to continue
By Kim Bellard, November 13, 2014
US News & World Report had some fun looking back at what experts in 2004 predicted for health care in 2014. Not surprisingly, they found that we're not quite there yet, but might be by 2025. The future, it would appear, is always ten years away.
Those 2004 pundits expected that health care would be one of the industries most impacted in these past ten years; specifically.............Click to continue
By Clive Riddle, November 7, 2014
Intermountain Healthcare and Healthbox just announced an interesting healthcare innovation collaboration, with their Innovation at Intermountain Healthcare Initiative. Intermountain is the Utah-based health system non-profit juggernaut with 22 hospitals, 185 clinics, 1,100 employed physicians, and the SelectHealth health plan.............Click to continue
By Claire Thayer, November 5, 2014
The United States spends almost $3.8 trillion annually on healthcare – or 18% of GDP. Of this amount, almost one-third of healthcare spending is estimated to be attributed with waste, unnecessary services and fraud. MCOL’s infoGraphoid this week highlights some of the major types of waste.............Click to continue
By Clive Riddle, October 31st, 2014
The Cleveland Clinic annually announces their take on the Top Ten Medical Innovations that are likely to have major impact on improving patient care in the coming year. They have just released their ninth annual version of this list.............Click to continue
by Kim Bellard, October 21, 2014
I suppose it was inevitable that I'd end up writing something about Google's interest in health, since recent posts have focused on efforts from Facebook and Amazon, as well as the general gold rush for health IT. Fortunately Google has obliged me by introducing a neat health-related wrinkle on their Helpouts service.............Click to continue
Healthcare Strategy Consultant
San Francisco Bay Area
DeMarco and Associates
Cathy K. Eddy
Health Plan Alliance
Kaufman Strategic Advisors
San Diego, CA
Founder and CEO
Cyndy Nayer's Center of Health Engagement
Chief Marketing Officer
KBM Group: Health Services
Social Media Expert
Falls Church, VA