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Editorial

Patient engagement paves the way to higher CMS star ratings

Mariza Hardin, vice president of government sector solutions, Alere Health, Inc.

Not only are older Americans living longer than in past generations, they also have multiple health problems, according to "The State of Aging and Health in America 2013" report by the Centers for Disease Control and Prevention (CDC).

Messy ACO demonstrations may bring ripples, waves to MA

John Gorman, founder and chairman, Gorman Health Group

If you're a Medicare Advantage Plan with a Medicare ACO in your neighborhood, or worse in your network, start sleeping with one eye open.

Feature Video

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.

 

Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Another state is being offered a federal waiver to expand Medicaid on its own terms, hoping to bring the efficiency of private insurance and new value incentives to the public payer program.

Healthcare organizations are struggling to get a handle on population health and find the necessary data management tools.

Payers that want to help their members avoid the worst and most expensive experiences with cardiovascular disease now have more evidence and options.

Wanted: A chief executive to lead a 76-year-old insurance company through a jungle of regulatory challenges, legacy business upheaval and new competition.

Clinical integration and accountable care developments in greater Philadelphia are taking a novel turn, with one large insurer teaming up with a new multi-health system collaboration.

As payers continue to look for the best ways to cover cancer treatment, a new study is lending support to the argument for moving away from hospital inpatient settings.

An insurance industry veteran who managed one of the few well-functioning state exchanges in the first open enrollment period is taking a key federal post.

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