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Insights on Healthcare Systems & Services

Article

Best-in-class digital document processing: A payer perspective

– Despite the promise of digitization, paper forms will remain for many years. Payers that find a better way to handle both paper-based and digital information will have a competitive advantage.
Article

The evolution of healthcare-provider profit pools

– Why nonhospital-provider segments are primed for growth—and why that matters.
Article

Transformative healthcare growth through diversification

– Five lessons to consider when moving beyond your core business
Article

Supercharging the ROI of your care management programs

– Using advanced analytics and digital capabilities to improve the design and implementation of care management programs can promote... better patient outcomes and an improved return on investment (ROI).
Article

Digital health ecosystems: A payer perspective

– Creating or participating in a digital health ecosystem can allow payers to take advantage of their central position in the healthcare... landscape and expand in new directions.

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Center for US Health System Reform

Our in-house source on health policies, the Center undertakes original research and develops tools to help navigate an ever-changing policy and healthcare landscape.
 

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MORE INSIGHTS

Article

To succeed in a healthcare transformation, focus on organizational health

– In transformations, healthcare providers and payers must attend to their organizational health, not just their short-term performance.
Article

Next-generation member engagement during the care journey

– Next-generation member engagement tools empower members to make higher-value care decisions and enable health insurers to improve... care quality, increase member satisfaction, and reduce medical spending.
Article

Ensuring financial sustainability while serving a growing Medicaid population

– High-performing health systems have succeeded in “breaking even” in Medicare, but many continue to struggle to achieve... similar results in Medicaid. A concerted effort to improve revenue can strengthen a system’s financial sustainability.
Article

Automation at scale: The benefits for payers

– Process automation at scale is now feasible for most payers. When coupled with other next-generation digital tools, we estimate... that it may enable many payers to reduce operational costs by up to 30 percent within five years.
Article

Recession and resilience: Preparing healthcare leaders for the next economic downturn

– Economic ebbs and flows are called “cycles” for a reason. The challenge for healthcare leaders is not whether the... next downturn will occur—it’s whether you’re ready for it.
Article

Omnichannel consumer interactions—a payer perspective

– Omnichannel interactions are fundamentally improving the consumer experience in many industries. Payers should act now to keep... up with rising consumer expectations.
Article

For better healthcare claims management, think “digital first”

– Although end-to-end digital claims management is still a distant vision, much can be gained from digitizing portions of the claims... process today.
Report

A vision for medical affairs in 2025

– Four core areas of medical-affairs activity combine to maximize patient experiences and outcomes.
Article

Women in the healthcare industry

– To see how the healthcare sector stacks up on gender equality, we look at employee experiences, policies, and the effectiveness... of industry programs intended to promote diversity and inclusion.
Article

Finding the future of care provision: the role of smart hospitals

– Smart hospitals make extensive use of innovative technologies to improve care quality and patient experience while reducing costs.
Article

The hospital is dead, long live the hospital!

– Hospital care is changing both rapidly and radically. Because of innovations in care delivery and organisational structures, future... hospitals are likely to be very different from those of today.
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