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Community Data Informs Payer Philanthropy for Housing Stability

by Emily Sokol, MPH

Poor or unstable housing contributes to a myriad of negative health outcomes. Developmental risks in young children, asthma exacerbations, and increased rates of depression are just a few of the...

How Payers Transform Volumes of Data into Actionable Information

by Kelsey Waddill

Payers want to know how to drive a personalized care management plan, how to excel at member engagement, and how to improve outcomes, all ultimately to cut costs. But when a payer attempts to answer...

Amazon-Backed Health Venture Reveals Name: Haven Healthcare

by Jennifer Bresnick

The partnership between Amazon, Berkshire Hathaway, and JPMorgan Chase now has a name in addition to a high-profile executive team.  The venture, which aims to reduce costs and develop innovative...

Optum Sues Over Alleged Trade Secrets Brought to Amazon

by Jennifer Bresnick

Optum is suing former employee David Smith over allegations that Smith has shared Optum’s trade secrets with his new employer, the as-yet-unnamed collaboration between Amazon, JP Morgan Chase,...

Aetna, Anthem, HCSC Back Healthcare Blockchain Initiative

by Kyle Murphy, PhD

Aetna, Anthem, and Health Care Service Corporation announced a new partnership with IBM and PNC Bank focused on bringing blockchain technology to healthcare. “The aim is to create an inclusive...

Health Payers Targeting Improved Consumer Experiences in 2019

by Kyle Murphy, PhD

Improving the consumer experience is top of mind for health payers heading into the new year, according to a multi-industry survey of senior leaders by North Highland. "The concepts of culture and...

2018 Best in KLAS Taps Vendors for Claims Admin, Price Transparency

by Thomas Beaton

The 2018 Best in KLAS report ranked the best vendor solutions for payer claims administration, care management, price transparency, and payer analytics based on five industry performance criteria....

Payers Driving Value by Promoting Connected Care Models

by Thomas Beaton

As payers vie to remain competitive in commercial insurance markets, they must be able to effectively manage consumer costs while providing beneficiaries the best possible healthcare experience now and...

Retail Clinics Offer Member Satisfaction, Savings for Payers

by Jesse Migneault

At a time when many individual private and employer-based health plans include higher deductibles, retail clinics are becoming a popular option for beneficiaries seeking high quality care at a lower...

Cigna, CVS MinuteClinics Partner for Expanded Healthcare Access

by Jesse Migneault

Cigna and CVS Health have partnered to launch Cigna Health Works for expanded healthcare access for the payers employer-based health plan members.  The launch is currently limited to certain...

Independence Blue Cross, UPenn Partner to Enhance Care Delivery

by Thomas Beaton

A five-year partnership between Independence Blue Cross and the University of Pennsylvania Health Systems (UPHS) should help strengthen multiple aspects of care delivery for beneficiaries in the...

Clinical Data Analytics Key for Value-Based Care Reimbursement

by Vera Gruessner

Many medical facilities have seen how the healthcare industry has been moving away from fee-for-service payment to value-based care reimbursement. Revere Health is one organization that jumped on the...

Data Analytics Key for Strengthening Employer-Payer Relationship

by Vera Gruessner

Health insurance companies, employers, and the workforce take a number of different steps to ensure that the best decisions are made in terms of health plan policies and covered benefits. For a variety...

How Accountable Care Organizations Meet Quality Benchmarks

by Vera Gruessner

Accountable care organizations (ACOs) are relatively new patient care models that can operate with either public or private health payers. Initially, the Centers for Medicare & Medicaid Services...

How Healthcare Information Technology Boosts Member Engagement

by Vera Gruessner

Healthcare information technology and communication channels remain an imperative aspect of the relationship between health payers and their consumers. As the healthcare industry continues to reform...

‘Data is Key’ to Cut Healthcare Spending, Boost Engagement

by Vera Gruessner

A major goal among health payers today is to decrease continually rising healthcare spending. One way to do so is to identify patients who are at higher risk of deteriorating medical conditions and...

Risk-Stratified Care Management Enables Customized Treatment

by Vera Gruessner

Among health payers, one necessary strategy aimed at ensuring superior patient health outcomes is based on risk stratification and the data analytics behind this process. The American Academy of...