Payer Power

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by Dave Bennett, EVP at Orion Health August 2017 – Because of the wealth of information found in claims data—bills for service, lab work, medications, prescriptions, and more—today’s payer has a unique longitudinal view of the patient’s complete medical history. This puts the payer in a unique position for understanding the finer points of the patient’s health… Read more »

Specialty Drugs: a Costly, Overlooked Challenge… With Solutions

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by Jeff Spafford, President & CEO at AssistRx July 2017 – Poor patient compliance and adherence to specialty and highly managed medication is a growing problem that costs the healthcare system more than $300 billion annually. Compliance is taking medication correctly as prescribed by a doctor, while adherence is taking and filling prescriptions on one’s own. Patient adherence… Read more »

Those Sticky Fingers Can Be Cut Off

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by Tom Furr, CEO & Founder of PatientPay June 2016 – Did you hear the one about the disbarred lawyer who embezzled more than $1.2 million from a hospital in Kansas City over four and one-half years? A long-trusted attorney supposedly served the hospital by collecting past-due payments from patients. Money collected was to go… Read more »

Electronic Provider Payments: Now a Real Win-Win

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by Bob Chevlin, co-Founder of Push Payments June 2017 – Payers have been increasingly embracing the use of virtual card payments (i.e., electronic payments) as a way of reducing the cost of issuing checks or ACH payments. In addition, Payers have benefited from receiving “cash back” from their virtual card issuing vendors in the form of dividends, rewards… Read more »

Innovation as a Competency

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by Neil Patel, President of Healthbox May 2017 – “But healthcare is different.” This often-used excuse by many in our field attempts to explain why strategies and tactics that have worked in other industries would not work in healthcare. When it comes to innovation, you would be hard-pressed to find a non-commoditized industry where a… Read more »

Healthcare Investing in the Age of Trumbama Care

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by Dave Eichler, Managing Partner at Psilos Group April 2017 As a healthcare venture capitalist for the past 18 years, I am often asked how our investment strategy has been impacted by Obamacare, and more recently by efforts aimed at its repeal and replacement. I understand the impulse by some to stay on the sidelines given all… Read more »

Top Five Mistakes I’ve Made Building Healthcare Technology Partnerships—and How to Avoid Them

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by Ben Wilson March 2017 – If you’re like me, you’re tired of wasting time on healthcare technology partnership deals that go nowhere. These deals often take time, travel expense, and most of all, incur a significant opportunity cost. Healthcare provider and payer organizations have complex and sophisticated IT environments with hundreds of applications. These healthcare… Read more »

Healthcare IT: “Everything that Rises Must Converge”

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by Arvind Subramanian, President & CEO of HealthMyne February 2017 – The title of gifted writer Flannery O’Connor’s eponymous short story collection “Everything That Rises Must Converge” is a good expression of the powerful intersecting forces driving the next wave of value creation in the US Healthcare IT (HCIT) ecosystem. The confluence of consumerism, demographics, provider leadership/management… Read more »

Does ACA Repeal Shift Power to Insurers?

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By Dan Wilson, Founder & CEO of Moxe Health January 2017 – With Congress moving to repeal the ACA, reinforced by President Trump’s executive order for a “prompt repeal,” there’s significant speculation surrounding how our insurance market will look post-2017. The ACA introduced changes resulting in an estimated 20 million people gaining coverage since the law’s… Read more »