Combatting Fraud in Healthcare

Combatting Fraud in Healthcare

Fraud in healthcare billing and payment continues to be a serious risk for payers and providers alike. Billions of dollars are misappropriated every year resulting in increasing costs throughout the healthcare delivery system.Public and private payers are serious...
Medicare Advantage – Part 2

Medicare Advantage – Part 2

Headwinds and Strategies to Weather the StormThe Medicare Advantage market appears to be at a critical crossroads. The past few years have seen unprecedented enrollment growth, fueled by a rapidly increasing over 65 population and a favorable regulatory environment....
Precision Medicine – Part 3

Precision Medicine – Part 3

Leveraging Social Determinants of Health Social determinants of health (SDOH) refer to the non-medical factors that influence health outcomes. These factors are shaped by the environments in which people live, grow, work, play, and age, as well as the broader societal...
Precision Medicine – Part 2

Precision Medicine – Part 2

Data, Applications, Benefits and Challenges: Much of the success in reducing morbidity and mortality over the past half century has been due to earlier detection of disease, in tandem with public health measures such as smoking cessation and weight management; as well...