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New Approaches to Managing High-Cost Drugs

Prescription drugs are critical to any effective healthcare system, but in the U.S. they are also a growing financial burden on patients, employers and care providers, many of whom struggle to keep up with their high costs. According to separate reports from the Medicare Payment Advisory Commission and the IMS Institute for Healthcare Informatics, prescriptions accounted for a […]

Value-Based Reimbursement and Improving Quality of Care

Making an effective transition to value-based care, and to a corresponding reimbursement model that works for medical providers, insurers and patients alike, is a longstanding goal for much of the U.S. healthcare system. There are many compelling reasons for adopting value-based reimbursement (VBR) as a replacement for traditional fee-for-service (FFS), with two of the most notable […]

Will Value-Based Care Drive Better Clinical Outcomes in Behavioral Health?

As the scope of behavioral health has expanded to include chronic conditions and substance abuse, so has its approach to payment models. Since the ACA, in particular, America has witnessed its health care system shift from a predominately pay-for-service model to one with various reimbursement models that focus on long-term improvements, promoting efficiency and reducing […]

New Approaches in Behavioral Health

Behavioral health is a flexible term that can refer to a potentially broad set of medical issues. It is most often used when discussing mental health conditions like major depressive disorder, but, with growing frequency, it also applies to the diagnosis and treatment of virtually any behavior-influenced condition. These include chronic diseases such as diabetes, […]

A Look Back at 100 Years of Behavioral Health

For centuries, healthcare providers have offered behavioral health treatments for a variety of mental and physical conditions. Today, we often equate behavioral health only with mental health, but the term is broader than that, both historically and at the moment. It may also encompass any treatment for behavior-affected conditions such as hypertension, prediabetes and substance […]

The Rise of Behavioral Health Apps [Infographic]

Do you “power nap” with a meditation app? Behavioral Health is tapping into tech for innovative ways to leverage the accessibility and big data of apps. Learn more in this original infographic from AMR!

How Workplaces Can Lower Insurance Costs

A healthy workforce is vital to a thriving business. Beyond keeping premiums affordable and basic healthcare accessible, today’s employers are facing several challenges to controlling the cost of health insurance: The U.S. Bureau of Labor Statistics estimated that inflation for medical care in American cities fluctuated between approximately 2 percent and 5 percent (in terms […]

The Life of a Group Health Case [Infographic]

Wondering where an IRO fits into the external review process? How about whether an RN versus an MD can approve or deny a case? Check out our infographic on The Life of a Group Health Case to learn about physician-level reviews and the role of an IRO in Group Health plans!

A Look at Physician Burnout

There is no denying physicians have stressful jobs. Every day, people place their lives and well-being in physicians’ hands and ask these professionals to have all of the answers. In addition to these high expectations, doctors must see numerous patients each day while keeping on top of administrative duties, technological advancements, continuing education and legislative […]

The Purpose of Risk Management in Healthcare

There is no way around it: Risk management is necessary for healthcare facilities. In an industry with high stakes, small errors in healthcare can lead to significant injuries, fatalities and increased costs for providers. Risk management works to improve patient safety and care, cut costs and ultimately benefit providers’ bottom lines.   What is Risk […]

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