Feasibility Studies

Two of the most common questions plans ask are: “Where should we be offering products?” and “What products should we be offering?” A feasibility study can really help make that picture clearer.…

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Population Health and Care Management

The term “population health” began emerging in U.S. health care circles around March 2003 when David Kindig and Greg Stoddart co-authored an article in the American Journal of Public HealthCare Management entitled…

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Wrapping Your Arms Around the Medical Benefit Drug Spend

Prescription drugs are covered through a health plan’s pharmacy or medical benefit. This determination depends on whether the drug is self-administered or given in a clinical setting. While the reimbursement process through the pharmacy…

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Why Member Experience? And Why Now?

Recently, I was having a drink with a friend in the industry, and I started talking about our member experience roadmap. My friend made the mistake of asking me why I was…

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