CMS has introduced a new Medicare value-based contracting model that encourages greater care coordination and requires participants to take full risk for Medicare fee-for-service beneficiaries based on...
Same-sex couples are increasingly gaining access to employer-sponsored same-sex spousal coverage, but benefits remain less accessible than for heterosexual couples, a recent Kaiser Family Foundation...
Employers are gravitating toward integrated health care benefits to improve member engagement and patient experience as well as lower healthcare spending, according to a report commissioned by...
Centene Corporation has signed a definitive agreement to acquire Apixio Inc., a healthcare analytics company that offers artificial intelligence (AI) technology solutions, in a move the payer said will...
In the San Francisco Bay Area, employers face the challenge of escalating healthcare spending.
This problem is not restricted to the Bay Area alone. Average premiums nationwide were around $7,470 for...
Anthem Blue Cross announced on Monday that Providence Southern California joined its Vivity Health Plan as a joint-venture partner, making this the first joint-venture between health systems and a...
Chronic condition special needs plans were created to serve the complex needs of patients with conditions such as end-stage renal disease (ESRD), and a new study published in JAMA Network Open...
As the country experiences an enrollment season in the middle of a global pandemic, Americans are gravitating toward digital technology for a wide variety of purposes including price comparison and...
Payers have been tapping self-service screenings to address behavioral and mental healthcare, but that process has been anything but perfect.
This is evidenced by the fact that the mental and...
The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...
As the healthcare environment faces major changes, payers may face challenges in maintaining their focus on whole person care across all strategies.
Given the influence of the pandemic, payers may...
Automated data transfer is a key part of diminishing administrative burden and reducing health costs, but payers have not yet fully committed to the process.
The progression toward greater automation...
As payers and vendors scramble to comply with the interoperability rule, various nonprofits seek to streamline this interoperability process with innovative solutions, such as CAQH’s upcoming...
Health literacy is key to improving member health outcomes, particularly among Medicare beneficiaries, a UnitedHealth Group research report emphasized.
“Health literacy represents the ability of...
Responses from families and friends of deceased Medicare Advantage members indicate that Medicare Advantage plans have room for improvement on end-of-life care, a study published in JAMA Network Open...
Cancer patients are paying higher and higher out-of-pocket costs for treatment and, according to the American Cancer Society’s recent report, payer-related costs are the most common contributor...
Around a third of Millennials have a behavioral health condition, emphasizing a greater need for behavioral healthcare options and coverage as well as a new approach to millennial member engagement,...
Medicare beneficiaries are concerned about their future healthcare costs, particularly related to their health insurance, a MedicareGuide.com survey revealed.
The results represent the online...
When Blue Shield Promise and LA Care shut down their in-person community resource centers in March 2020, they leveraged virtual platforms to connect members with social determinants of health...
High prescription drug spending has racked the American healthcare system’s cost trends for decades.
Prescription drug spending will be one of the major factors influencing the 2020 medical...
