Latest Commentary

Strong ACOs hinge on choosing the right provider partner

October 12, 2012 | By
As accountable care organizations (ACO) continue to grow in popularity, payers are establishing new relationships with providers to help reduce healthcare costs and enhance quality care. But how can...

Blue Shield teams with billionaire to boost ACO technology

October 5, 2012 | By
Blue Shield of California wants to make its successful accountable care organization program even "bigger, faster and stronger." Having already addressed the affordability aspect that...

Can benefits summaries make insurers more trustworthy?

September 28, 2012 | By
I'm a glass-half-full kind of gal. Although many people would consider that an annoying trait, I think it's the best way to make an otherwise maddening situation bearable and maybe even...

ICD-10 is launching pad for modern technology

September 21, 2012 | By
ICD-10 is a topic rarely discussed in the virtual hallways of the health insurance industry. News is floated out into the ether, but not much chatter results. Providers and vendors discuss the topic...

Why insurers should cover acupuncture: It works

September 14, 2012 | By
Anyone who knows me well knows I have a frequent refrain when discussing health problems: "Acupuncture can fix it!" Like the Windex solution from the movie My Big Fat Greek Wedding, I...

Fierce Q&A: Optimize provider networks to drive quality care

September 7, 2012 | By
I'm sure anyone reading FierceHealthPayer over the last few years has noticed a constant thread throughout many of the articles and editorials. Namely, that payers and providers must work...

Drop the poker face and play nice with providers

September 3, 2012 | By
Relationships between payers and hospitals (or any provider for that matter) shouldn't be akin to a high-stakes poker match where all players wear dark sunglasses, hide their intentions and...

Harness data to identify fraud and waste like perfect-game pitchers

August 24, 2012 | By
Effectively harnessing data analytics within payer and provider organizations is kind of like pitching a perfect game in baseball--it's possible, but definitely not commonplace. Just like major...

An exchange by any other name is still an exchange

August 17, 2012 | By

Juliet famously remarked to her beloved Romeo, "a rose by any other name would smell as sweet." The same is true about health insurance exchanges, albeit not nearly as alluring a topic as Romeo and Juliet's ill-fated romance.

Fierce Q&A: Data analytics help BCBSNC in health exchanges

August 12, 2012 | By

Blue Cross Blue Shield of North Carolina (BCBSNC) has been using data analytics to its advantage for years and is now looking to apply analytics to a new area--health insurance exchanges.

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