By Scott Herbst, SVP at Availity February 2018 – Healthcare consumerism has become an increasingly important focus for healthcare organizations as deductibles have risen in conventional health plans and as high-deductible health plans (HDHPs) have spread. Usually tied to health savings accounts, HDHPs incentivize consumers to make informed and judicious decisions about the healthcare services… Read more »

By Joe Walsh, Founder at Supply Chain Sherpas January 2018 – Healthcare is experiencing profound macro pressures including revenue compression, growing consumerism, rapid provider consolidation, population health strategies, payor-provider integrations and the emergence of many non-traditional disrupters and competitors. Aggressive cost reduction targets inevitably become a large component of a multi-faceted strategic response to these pressures…. Read more »

By David Lareau, CEO of Medicomp Systems December 2017 – If you use Facebook, you’re likely aware of the option to designate your current relationship status. In addition to mainstream choices such as single, married, and in a relationship, Facebook has a choice called “It’s complicated” – which sounds like a pretty good label for… Read more »

By Thomas Borzilleri, Founder & CEO of InteliSys Health November 2017 – The rumored $66 billion merger of retail pharmacy CVS and health insurer Aetna holds strong potential to inflict financial pain on American patients by artificially inflating prescription drug prices while reducing transparency and competition. The Aetna-CVS deal is the latest in an ongoing… Read more »

By Brooke LeVasseur, CEO of AristaMD October 2017 – The U.S. health system today is facing unprecedented demands – from decreasing reimbursements to ever-changing regulations to the transition from fee-for-service reimbursement to value-based care models. Yet, amidst it all, healthcare stakeholders still need to achieve the holy grail of healthcare: higher quality care — at… Read more »

by Darin Brannan, CEO of ClearDATA September 2017 – The 2009 HITECH Act ignited a profound shift in how providers document our health, taking us from paper-based charting to electronic health records in just a few short years. Although the success of the legislation’s original intention—to make the sharing of medical records infinitely easier—is still up… Read more »

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 »

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 »

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 »

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 »