Fractional 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. It gives organizations access to top-tier executive...

Direct 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 sponsor and provider(s). This approach allows a...

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 services. Achieving parity will require...

Change 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 things like AI and digital transformation,...

Healthcare 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 persistently higher rate of telehealth usage...

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,...

The 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 prior years has now slowed down and...

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 life. SDOH encompasses a wide range of...

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 proven therapies for primary and secondary...