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DOJ Continues Enforcement Efforts Against Provider-Owned Managed Care Plans

Healthcare Law Insights blog

Large managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional healthcare provider’s Medicare Advantage Plan offers a glimpse into an issue health systems and providers with their own managed care plans need to track.

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Personalizing Health Means Personalizing Health Insurance for Patient-Members – Learning from HealthEdge

Health Populi

” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

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Unlocking the power of sensor data in type 2 diabetes care

The Healthcare Blog

Yet, in many cases, theyre not used to the fullest potential – either because theyre not covered by insurance or theyre treated as an add-on rather than an integral input to disease management.

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Telehealth Analysis: The Pros & Cons

We Care Online

For instance, patients managing chronic conditions like diabetes or hypertension can have regular virtual check-ins with their doctors to monitor progress and make necessary adjustments to their care plans. This reduced connection may impact patient satisfaction and the overall quality of care.

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The Retail Health Battle Royale in the U.S. – A Week-Long Brainstorm, Day 1 of 5

Health Populi

At that time, six years ago — one in two people said that experience should feel like Amazon, and another 1 in 5 said the best retail store experience (THINK: Nordstrom, REI, name your fave retailer).

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What Your Private Practice Operating Budget Should Look Like

Valant

There are a number of factors to consider, such as service fees, patient volume, and reimbursement rates from insurance providers. Key Components of an Operating Budget Overhead costs are the ongoing expenses required to maintain a practice’s operations, excluding direct patient care costs.

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The Omnichannel Imperative for Healthcare: Supporting Telehealth Awareness Week 2023

Health Populi

In their thoughtful review of service design principles for omnichannel health care, the team at Thoughtworks (headquartered in Australia) developed the graphic shown here. Telehealth, in its many flavors and across platforms, enables omnichannel care — meeting the patient where she is, how she wants to be met, and when.