Payer Systems

ISPOR IMPACT Framework Aligns HEOR With Value-Based Care
Management & Administration ISPOR IMPACT Framework Aligns HEOR With Value-Based Care

The global healthcare sector is currently wrestling with the monumental challenge of shifting from a volume-based productivity model to one rooted in the actual health outcomes achieved for every dollar spent. This transition, widely known as value-based healthcare, has long remained an

South Korean Medical Groups Resist New Primary Care Pilot
Management & Administration South Korean Medical Groups Resist New Primary Care Pilot

The ambitious attempt to restructure South Korea’s primary care landscape has encountered a formidable barrier as medical professionals across the country voice deep-seated concerns regarding the latest government-led initiatives designed to modernize the healthcare system. Launched by the Ministry

Is Managed Medicaid the Right Model for Nursing Home Care?
Management & Administration Is Managed Medicaid the Right Model for Nursing Home Care?

The landscape of long-term care financing is currently undergoing a radical transformation as state legislatures grapple with the escalating costs of providing essential services to an aging population. For decades, the traditional Fee-for-Service model reigned supreme, but the recent pivot toward

How Will Federal Policy Reshape US Drug Pricing by 2026?
Management & Administration How Will Federal Policy Reshape US Drug Pricing by 2026?

The longstanding paradigm of American pharmaceutical economics has been fundamentally dismantled as the federal government fully transitions from a passive payer into an active price setter for the most expensive medications on the market. This shift represents the culmination of a multi-year

Rural Healthcare Access Depends on Reliable Transportation
Management & Administration Rural Healthcare Access Depends on Reliable Transportation

A patient residing in a remote corner of the Appalachian Mountains or across the sprawling plains of the American Midwest may possess the most comprehensive health insurance coverage available, yet these benefits are rendered entirely meaningless if there is no physical way to arrive at the medical

Uninsured Gunshot Victims Face Shorter Stays in Florida
Management & Administration Uninsured Gunshot Victims Face Shorter Stays in Florida

When a bullet tears through human tissue, the biological response is identical regardless of the victim's bank balance, yet the subsequent medical journey is often dictated by a plastic card in a wallet rather than the severity of the wound itself. In the high-stakes environment of Florida’s trauma

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