Anthem Blue Cross Grants CA Orgs $1.2M to Address Mental Health
Anthem Blue Cross Foundation has awarded $1.2 million in grants to five California-based organizations that focus on addressing mental health and substance use disorders in surrounding...Sponsored by Zelis
How APIs Transform Payer Approaches to Member, Provider Experience
Selecting and deploying application programming interfaces (APIs) allows health plans to enhance how members interact with the healthcare system and how providers engage with payers. As noted in the...Employers Expect Highest Health Plan Benefits Cost Growth in 10 Years
In 2024, experts anticipate that health benefits costs will increase 5.4 percent on average per employee, according to Mercer’s National Survey of Employer-Sponsored Health Plans 2023. Mercer...CMS Pauses Medicaid Disenrollments, Reviving Coverage for 500K People
Almost half a million children and families will regain Medicaid or Children’s Health Insurance Plan (CHIP) coverage after CMS identified system errors in states that led to improper...Sponsored by Zelis
How Payers Unlock Healthcare Efficiency Through the Power of APIs
Today’s healthcare consumers expect a seamless experience from a trusted source, and APIs facilitate this without imposing burdensome operational and technical challenges for payers. For health...Hospital Outpatient Department Costs Consistently Outpace Offices, ASCs
Given the significant difference between cost of care in hospital outpatient department settings compared to other settings for the same services, site-neutral payments could reduce healthcare...Blue Shield of CA Technology Partnership Improves Care Management
Blue Shield of California has partnered with a software company to improve care management services for members and streamline enrollment for employers. Through its collaboration with Salesforce, the...Price May Drive Affordable Care Act Marketplace Plan Selection
The Affordable Care Act (ACA) marketplace was designed to incentivize enrollees to choose specific plans based on price and it seems to be fulfilling that goal, an analysis from the Urban Institute...Beneficiaries with Cancer Spend Less Out-of-Pocket in Medicare Advantage
Medicare Advantage beneficiaries with cancer experienced lower out-of-pocket costs and had access to more benefits than those in Medicare fee-for-service (FFS), research conducted by ATI Advisory and...How Do Rebates Impact Part D Spending for Plans, Beneficiaries?
While rebates may lower Medicare Part D spending for plan sponsors, they do not reduce drug costs for Medicare beneficiaries, a study conducted by the US Government Accountability Office (GAO)...Medicare Part D Patients with HIV May See Lower Drug Costs Under IRA
The Inflation Reduction Act’s Medicare Part D redesign may improve affordability for beneficiaries with HIV, but stakeholders will need to take steps to ensure beneficiaries get the most out of...Sponsored by ClarisHealth
