Latest Commentary

CO-OPs still searching for their Holy Grail

Several minutes into "Monty Python and the Holy Grail," two men wander through a medieval village. "Bring out your dead," they shout as they pull a cart of plague-stricken...

With Next Generation ACO model, accountable care meets value-based care

To anyone unacquainted with the inner workings of healthcare, the term "accountable care" may seem loaded. Most industries readily embrace accountability. Look around your home or office...

After King v. Burwell arguments, failing to plan is planning to fail

Healthcare, at its essence, is a waiting game. We wait for the doctor to see us. We wait for test results. We wait for the bill. We wait to find out if insurance covered it. We wait for a reimbursement check, more test results or another bill. We wait for our next appointment. Now we wait for a King v. Burwell verdict.

Lessons in claims processing from Pawnee's finest

Last week marked the end of Parks and Recreation, the only scripted show on television I genuinely enjoyed. (I don't like dramas, as real life is dramatic enough, and I have a very particular...

Let's bring behavioral, mental health into the mainstream

Most of last week's headlines focused on the Affordable Care Act--and rightfully so. But two smaller stories about behavioral and mental health will hopefully make big news in due time.

Value-based healthcare can't come soon enough

My recent column explaining why the healthcare industry can't wait to innovate included a quick list of buzzwords often associated with transforming healthcare. Given the gift of hindsight, I...

8 best practices for payer data security

By now, you know the gory details: Hackers gained access to personal data for 80 million Anthem customers. You know the response, too: "Why wasn't the data encrypted? The data should have...

Lessons on wellness and prevention from surviving a blizzard

This week's Editor's Corner comes to you from a very snow-covered Boston area. I bring up the storm and its aftermath not to brag--especially since readers around the Great Lakes rightfully...

Healthcare innovation won't come to those who wait

Last week, as I listened to the State of the Union address and read story after story about the fallout from King v Burwell, the ups and downs of Medicaid expansion and the fate of the Affordable...

Payer tech isn't sexy, but it's on its way

For anyone with even a passing interest in technology, the annual Consumer Electronics Show (CES) is a landlubber's version of The Little Mermaid's collection. There are gadgets and gizmos...