Data Mining

September 24, 2014 | Anthony Brino

The stakes for improvement and innovation are high in American cancer care, and insurers are trying to wield some of their influence to get a return on investment for their members and their budgets.

August 8, 2014 | Erin McCann

One state is finding new approaches to managing Medicaid frequent fliers.

May 14, 2014 | Anthony Brino

Next year, when Americans go looking for the best surgeon or cheapest MRI, many will have free access to a new comparison service started by three insurance giants.

May 13, 2014 | Anthony Brino

Several million young people purchasing subsidized exchange plans was greated as a positive development for all involved. But being young does not mean being free from chronic or acute illness, as early data on one insurer's new enrollees shows.

May 6, 2014 | Tammy Worth, Contributing Writer

The University of Pittsburgh Medical Center is hoping a cost-analysis system from their Italian transplant hospital will become the future of cost measurement here in the United States.

March 28, 2014 | Karen Appold

As the Affordable Care Act continues to disrupt the health insurance industry, health plans must broaden their definition of risk as they calculate rates and attempt to better understand their members' needs.

March 27, 2014 | Kurt Ullman

The relationship between payers and providers has often been adversarial, but healthcare reform has been changing that, leaving former adversaries trying to figure out how to create new partnerships.

March 4, 2014 | Anthony Brino

The Centers for Medicare & Medicaid Services has a lot of data on Medicare Advantage plans that it should be using to inform policy and make available to the public, according to a new Inspector General report.

February 13, 2014 | Mike Miliard

Optum Labs, the research center founded by UnitedHealth and Mayo Clinic, has added seven new health organizations, which will join in on data mining research to find innovative ways to improve quality and reduce costs.

January 21, 2014 | Mike Miliard

As they try to get a better handle on population health management and member engagement, payers are increasingly looking to consumer-facing technologies for help, according to the latest report from Chilmark Research.

October 21, 2013 | Mary Mosquera

WellPoint is taking a tough stance to try to combat prescription drug abuse and fraud activities that bubble to the surface through predictive analytics and other data runs of its members and their providers and pharmacies.

October 16, 2013 | Mary Mosquera

Blue Cross Blue Shield of Michigan has launched an initiative using claims data to help hospitals across the state better understand their practice patterns compared with their peers, in an effort to improve patient outcomes and manage costs.

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