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Insights on Healthcare Systems & Services


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.

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.

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.

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.

The era of exponential improvement in healthcare?

– Technology-driven innovation holds the potential to improve our understanding of patients, enable the delivery of more convenient,... individualized care—and create $350 billion–$410 billion in annual value by 2025. on Healthcare

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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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A vision for medical affairs in 2025

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

Addressing the social determinants of health: Capturing improved health outcomes and ROI for state Medicaid programs

– The social determinants of health (SDoH) strongly contribute to variations in health status. Addressing SDoH can help ensure access... to high-quality care, improve outcomes, and manage costs.

Insights from's Consumer Social Determinants of Health Survey

– Survey findings shed light on how social determinants of health affect healthcare utilization rates and consumers interest in... social program offerings.

How providers can best confront the reality of value-based care

– 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.

Maximizing the “value” in value networks and value-based payment

– Value networks and value-based payment are usually implemented independently, limiting their effectiveness. Greater alignment... of these strategies can allow payers to unlock their transformative potential.

Healthcare consumerism today: Accelerating the consumer experience

–’s latest research shows that consumer engagement in healthcare continues to grow, but many payers and providers... are struggling to meet changing needs and demands.

Five trends shaping the future of Medicaid

– 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.

Reducing lapses in healthcare coverage in the Individual and Medicaid markets

– Patterns in how consumers move in and out of Medicaid and Individual market coverage have important implications for both private-... and public-sector stakeholders.

The journey to a new tomorrow: A conversation with Ron Kuerbitz, CEO, agilon health

– Ron Kuerbitz, Chief Executive Officer, agilon health, shares his perspective on consolidation of the sector, the role of technology,... and what he’s most excited about for the future. He spoke with Neha Patel, Partner, & Company in December 2018.
Executive Briefing

The productivity imperative for healthcare delivery in the United States

– Healthcare is a key component of the US economy, but healthcare spending increases consistently outstrip GDP growth. Improving... productivity in healthcare delivery could change this dynamic without harming patient care.

Performance transformation: Opportunities for healthcare payers

– With increasing affordability pressure, finding opportunities to continuously improve performance is critical for healthcare payers.
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