Medicare Advantage plans may be using “upcoding” to increase payments versus traditional fee-for-service plans.
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Medicare Advantage plans may be using “upcoding” to increase payments versus traditional fee-for-service plans.
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Healthcare in the United States and globally is generating robust and sometimes acrimonious debates. Costs of services and products are increasing – even as innovation creates new value and healthcare systems face real issues in paying for desirable innovation, giving rise to arguments about what services to provide. At the same time, different actors in systems across the world are debating their commitment to maintaining and increasing access to healthcare services, partly due to concerns about costs and partly, perhaps even more importantly, due to differing perspectives on equity. The articles in this issue of HMPI provide relevant tools and ideas that can support robust arguments within these debates. Read more
“Regi”, aka Regina E. Herzlinger, is the Nancy McPherson Professor of Business Administration at Harvard Business School and author of bestselling trade books on healthcare. “Regi’s ‘Innovating in Health Care’ Cases”, a regular HMPI feature, highlights teaching materials that focus on innovating across healthcare. This issue highlights the Commercialization of Regenerative Medicine Science: The BlueRock Opportunity in Toronto. Read more
Universal health care, electronic medical records and drug pricing are top of mind
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The Virginia Mason Production System illustrates how management can align around an effective model
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Convenient Access for Rural Diabetics – a proposed lifestyle management program
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AI will deliver value to health plans, large employers, providers, and patients
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Provider strategy may not add value to purchasers of health insurance
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