Latest Commentary

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...

The Affordable Care Act needs an upgrade, not a rip and replace

The Affordable Care Act isn't a piece of software, but the way it has been written, implemented, updated and challenged is reminiscent of the software development process. What the ACA needs now is an upgrade, not a rip-and-replace job.

Insurance exchange impacts more than just enrollment numbers

Roughly 4 million people used either Healthcare.gov or a state insurance exchange to select a health plan in time for Jan. 1 enrollment. That's certainly a good sign, but truly judging the impact of the exchanges requires more than just a cursory glance at the numbers.

Help payers, employers and members set wellness resolutions for 2015

Jan. 1 officially kicks off New Year's resolution season. Wellness--whether in the form of exercising more, eating better or simply practicing healthier habits--often tops the to-do list for...