For healthcare systems that operate in a fee-for-service model, drops in utilization have resulted in significant financial strain and created even more uncertainty amidst the pandemic. How can healthcare systems plan for the future?
Clinical
The Value in Shifting to a Value-Based Care Model
The pandemic has shown us that the fee-for-service model was just as fragile as we thought it was. There is now a tremendous sense of urgency to change the way in which care is provided, and making the shift to value-based care may be the key to success.
GHG Welcomes Kate Rollins, Senior Vice President of Population Health & Clinical Innovations
GHG is thrilled to announce that Kate Rollins, MSN, RN, has joined GHG as the Senior Vice President of Population Health & Clinical Innovations. Kate is a Clinical Nurse Specialist with over 20 years of healthcare experience, specializing in clinical strategy and operations.
Building a Successful Social Determinants of Health Strategy
In the midst of a viral pandemic and evolving social movements, developing a robust SDOH strategy is more important now than ever before.
New Membership Preparation From a Clinical Perspective
How do plans get ready for new membership as the new enrollment period starts? When…
Population Health and Care Management
The term “population health” began emerging in U.S. health care circles around March 2003 when…
Taking the Pulse of Your Population
How well do you know your members? Member segmentation, or stratification, is the foundation of…
Set Your Plan Apart with an OTC Benefit
Two of the buzz phrases most frequently heard in the health care community now are…
New Medicare Opioid Management Initiatives
The Centers for Medicare & Medicaid Services (CMS) held a webinar on December 27, 2018,…
CMS Program Audit Frequently Asked Questions – What Did We Learn?
On February 8, 2019, the Centers for Medicare & Medicaid Services (CMS) published its Audit…