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.
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.
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.
Research from over 30 countries offers insight into providing digital healthcare, including practical steps for key stakeholders.
Although end-to-end digital claims management is still a distant vision, much can be gained from digitizing portions of the claims process today.
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.
Survey findings shed light on how social determinants of health affect healthcare utilization rates and consumers interest in social program offerings.
Value-based care models are becoming increasingly important for health systems. Implemented well, they can improve system economics, enhance care quality and outcomes, and strengthen physician alignment.
The Medicaid program has experienced significant changes since 2010, when the Affordable Care Act was passed. Five trends are likely to affect how the program will change over the next five to ten years.
Healthcare is a key component of the US economy, but healthcare spending increases consistently outstrips GDP growth. Improving productivity in healthcare delivery could change this dynamic without harming patient care.