Healthcare Transformation 2025 and BeyondHealthcare transformation has experienced renewed momentum in recent years, largely driven by the increasing demand for care and the continued high cost of providing it, along with ongoing innovation within the healthcare industry.The demand for care is...

Artificial Intelligence for Healthcare Business OperationsArtificial Intelligence (AI) is transforming healthcare operations by automating tasks, optimizing resource allocation, and improving overall efficiency. AI-powered systems can handle administrative duties like appointment scheduling,...

Using Fractional Leadership for Business TransformationFractional Leadership refers to the practice of hiring seasoned executives on a part-time, project-based and/or contract basis.This leadership model has grown rapidly in popularity, especially among startups and small to mid-sized businesses....

Direct Contracting in Employer-Sponsored HealthcareDirect contracting in healthcare, particularly between employers and providers, has been a growing trend driven by the desire to manage rising healthcare costs and improve quality of care via a more direct and transparent relationship between plan...

Mental Health Parity – the journey ahead Mental Health is a vital component of overall well-being, yet not everyone has equal access to the care and support they need. Mental Health Parity encompasses the principle that all individuals deserve access to high quality, affordable mental health...

Change Management Outlook - 2025 and BeyondChange management has long been a leading consideration for forward looking organizations, but with the rapid pace of business transformation in recent years, it is becoming even more critical. New trends in change management are emerging, driven by...

Outlook for Telehealth in the Years AheadHealthcare organizations wanting to remain on the forefront of virtual care opportunities are well advised to take a fresh look at the future of telehealth with an eye toward formulating a more deliberate, strategic approach, particularly given the...

There are both immediate and longer-term changes that set forth an uncertain and multi-dimensional framework for health plans and provider organizations to consider as they think about individuals served and ways to plan for and/or mitigate the health care consequences for the diverse groups of...

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 about rooting out fraud, waste,...

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. The unprecedented growth from...

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 systems that impact daily...

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 as wider application of...