Case Managers: Taking an Active Role as Healthcare Evolves

By URAC Staff on Mar 22, 2017 8:00:00 AM

As the healthcare industry continues its efforts toward improved health outcomes, lower costs, and value-based reimbursement models, case managers have an opportunity to play an even more critical role, said Cheri Lattimer, RN, BSN, executive director of the National Transitions of Care Coalition. While this profession encompasses a number of important responsibilities in healthcare organizations, Lattimer points out three specific areas of growth in 2017 for case managers: patient engagement and education, transition planning, and role development.

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Trend Watch: 2017 Will Bring Shifting Philosophies in Health Utilization Management

By URAC Staff on Feb 14, 2017 1:05:10 PM

There’s a changing philosophy in health utilization management today, away from simply thinking of it as a cost-containment approach and more toward using it as a proactive tool to achieve the oft-repeated mantra of the right care for the right patient at the right time. Data and automation are increasingly being used to make that shift possible, while also putting greater power in providers’ hands to make medical decisions.

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Trend Watch: Physicians See Continued Transformation Toward Value-Based Healthcare in 2017

By URAC Staff on Feb 10, 2017 11:12:24 AM

While the new administration has brought uncertainty to what the Affordable Care Act will look like in the coming year, industry experts believe that the healthcare transformation will continue.

Four experts shared their insights into trends, opportunities and challenges for the coming year for physicians and provider networks. 

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Trend Watch: Health Plans Continuing Move Toward Partnerships in 2017

By URAC Staff on Feb 7, 2017 5:04:48 PM

Health plans are increasingly seeking ways to cement partnerships with the providers in their networks, helping to provide tools that will allow them to survive and thrive in the move toward value-based care. At the top of that list is leveraging the enormous amount of data that payers have available and putting it to use to make it easier for providers to do business with them.

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Trend Watch: Pharmacy Leaders See the Biggest Challenges as Opportunities in 2017

By URAC Staff on Feb 2, 2017 4:40:19 PM

It will be just as much a year of change for the pharmacy market as it will be for physicians and provider networks. Many of the same market pressures on providers are bearing down on pharmacies as well, including the challenges of more collaborative care, squeezed margins and the transformation toward value-based care.

Topics: Pharmacy Trends
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Trend Watch: Case Management Experts Foresee Big Opportunities in 2017

By URAC Staff on Jan 31, 2017 10:35:14 AM

The arrival of a new year and new administration inevitably brings a measure of uncertainty. Within that uncertainty may lie some of the healthcare industry’s greatest challenges for 2017, but it also can yield some of its greatest opportunities. That’s the mindset of case management experts as they reflect on the coming year.

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