[Editor's note: This blog was originally written by Kathy Mosbaugh, vice president, clinical solutions, LexisNexis Risk Solutions.]

Managing the health risks of member populations proactively is and should be a top priority for all at-risk organizations. Their ability to do so effectively is largely determined by the analytics underpinning and the accuracy of their risk adjustment and stratification ...

[Editor's note: Kirsten Malenke, on staff at ADVANCE, originally wrote this blog.]

Hillary Clinton has been working to expand healthcare coverage since 1979, when she chaired the Arkansas Rural Health Advisory Committee and focused on increasing healthcare access to rural parts of the state. Since then, Clinton has continued the fight by establishing the Children's Health Insurance ...

[Editor's note: Nat Findlay, CEO, Hello Health, originally wrote this blog.]

Medicare in 2016
Medicare has existed in many forms since its inception under LBJ over 50 years ago, but it's safe to say the program has certainly grown in complexity and range since its humble beginnings in 1965.

Today, an estimated 44 million patients are currently enrolled in Medicare, with this number ...

[Editor's note: This post was originally written by Larry Altshuler, MD.]

Stress-it can be everywhere and anywhere and can occur in numerous forms: mental, emotional, physical, social and environmental. We can't avoid it, no matter what we do.

That's not to say that some stress is not beneficial. In ...

[Editor's note: This post was originally written by Steve Whitehurst, CEO, Health Fidelity.]

As the availability of healthcare data continues to grow, many new technologies for risk adjustment are entering the market. When thinking about adopting a new risk adjustment solution, conduct a realistic self-evaluation in addition to also considering the support capabilities and workflow expertise of potential ...

Leaders in healthcare face daily pressure to drive quality and economic efficiencies. This trend has become more prominent as the Centers for Medicare & Medicaid Services (CMS) imposes penalties that demand hospitals do more with less. Today's healthcare executives must find new evidence-based ways to improve practices ...

[Editor's note: this article was contributed by Patrick George, director, healthcare practice, KP Public Affairs.]

There is no stopping big data. An entire industry, driven by identifying patterns from extremely large data sets, is set to grow at a blistering pace-26.4% annually through 2018, according to a recent forecast from research firm IDC. The trajectory would mean an additional $41.5 billion ...

[Editor's note: this article was contributed by Mike Baker, senior vice president and GM of commercial products, and Maydad Cohen, senior vice president and GM of government solutions, at hCentive (www.hcentive.com).]

Now that the annual open enrollment period is in the rearview mirror, what are the ...

[Editor's Note: This blog was originally contributed by ADVANCE staffer Valerie Neff Newitt.]

Major news organizations have been quick to examine and critique the policy, and have noted that requests for further details from Trump headquarters have so far gone unanswered.

The Los Angeles Times reported March ...

[Editor's Note: This blog was originally contributed by ADVANCE staffer Valerie Neff Newitt.]

GOP frontrunner Donald Trump wants to dump Obamacare on day one of his intended presidential administration. It is one strategy, he says, to "make America great again." On March 2, Trump released ...

[Editor's Note: this blog was originally written by Matthew Jacobson, President and CEO, SignatureMD ]       

The U.S. is experiencing an unprecedented healthcare shift as Baby Boomers age. This shift is delivering a one-two punch, namely this aging population requires more and more healthcare, while the boomer ...

[Editor's Note; this blog was originally written by Julie Simer]

The University of Rochester Medical Center ("URMC") recently agreed to pay a $15,000 penalty for providing patient names, addresses and diagnoses to a departing nurse practitioner ("NP") without first obtaining authorization from those patients. The penalty was the result of a settlement with ...

[Editor's Note: this blog was originally written by Lorelle Lapstra, VP, Healthcare Products, with Calgary Scientific]

Over the past five years, hospitals and health systems have invested millions of dollars to implement electronic health records (EHR). Today 8 of 10 physicians have an EHR, but much of how they use them has been focused on meeting ...

[Editor's Note: this blog was originally written by Kristin Connor]

Since President Obama announced last month that he wants to "make America the country that cures cancer once and for all," the White House has convened the first meeting of the National Cancer Moonshot Task Force which is chaired by Vice President Biden. The proposed funding includes $195 ...

[Editor's Note: this blog was originally written by Andy Miller]

A two-part series examining regulatory compliance to raise awareness around cybersecurity risks.

The trap many developers - from software architects to programmers to designers - fall into is thinking they know enough about cybersecurity to adequately ...

[Editor's Note: this blog was originally written by Andy Miller]

A two-part series examining regulatory compliance to raise awareness around cybersecurity risks.

Regulatory compliance. While this phrase may strike an ominous tone for many traditional mobile app software companies, it is familiar territory ...

[Editor's Note: this blog was originally written ...

[Editor's note: this blog was originally written by Steve Whitehurst]

As the availability of healthcare data continues to grow, many new technologies for risk adjustment are entering the market. When thinking about adopting a new risk adjustment solution, plans should conduct a realistic self-evaluation in addition to also considering the support capabilities ...

By ADVANCE for Health Information Professionals

On Monday, January 4, 2016, President Obama spoke to the nation, as expected, and issued an executive order regarding gun safety and measures he feels will help to curb what he called the "epidemic of gun violence."

His address was heartfelt, emotional and - predictably - polarizing. ...

By Betsy Jones, EBSCO Health

Health IT took some big steps forward in 2015, as more mobile and cloud platforms came online, providing easier access to patient records and clinical support resources. The health data interoperability discussion significantly advanced this year as well, with the Office of the National Coordinator for Health IT unveiling its 10-year ...

[Editor's Note: this blog was originally written by Jim Trivisonno, President of IRI Consultants]

Mounting success along with precedent-setting standards that ease a union's ability to organize will contribute to a continued focus by unions on organizing hospitals and healthcare providers, further challenging employers. Employers will need to focus efforts to ...

[Editor's Note: this blog was originally written by ...

[Editor's Note: this blog was originally written by Jonathan Draper]

Coordinated Care Model

In early 2015, the Centers for Medicare and Medicaid Services (CMS) announced that 50% of payments will be made through alternative or value-based payment models by 2018. One way for providers to implement value-based ...