Value-Based Care News

More than Half of Americans Have Low Health Insurance Literacy

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Many Americans may have low health insurance literacy, as up to 77 percent of people were confused by basic health insurance terms, such as coinsurance, copayment, and deductible, according to a Forbes...

Key Opportunities, Action Steps for Race, Ethnicity Data Collection

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Race and ethnicity data collection is complex, but there are steps that health insurers—and the healthcare industry at large—can take to improve the process, according to a report from...

Health Net Shares Payer Best Practices for Bolstering Community Support

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Health Net, a subsidiary of Centene and a payer partner of California’s Medicaid program known as Medi-Cal, has released an issue brief outlining some best practices for providing community...

Value-Based Care in Diabetes Care Management Calls for Policy Changes

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Chronic disease management in diabetes may benefit slightly from value-based care and alternative payment models, but the results will not be substantial until certain policy changes take place,...

Payer Uses Value-Based Care to Improve Musculoskeletal Disease Care

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Blue Cross and Blue Shield of Florida (Florida Blue) recently formed a value-based care agreement with Healthcare Outcomes Performance Company (HOPCo), a value-based health outcomes...

Health Insurance Is The Third-Highest Living Expense For Americans

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Health insurance premiums absorb a high share of the average American’s annual income and must compete with other essential expenses to be a priority in consumers’ minds, a study from...

Payers Missing the Mark on Digital Member Experience, Satisfaction

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Payers are falling short in the member experience department, with members reporting dissatisfaction with digital experiences and payers failing to track members’ online encounters, according to...

How States Can Improve, Increase Race and Ethnicity Data Collection

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Affordable Care Act marketplaces could play a crucial role in race and ethnicity data collection,  but may states are failing to collect such information, according to a blog post from...

Humana Expands Home Healthcare Model to Serve Virginia

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To decrease the number of complications experienced in home healthcare, Humana expanded the boundaries of onehome, which will now provide various post-acute needs such as infusion care, nursing, and...

Payer Health Equity Elusive for LGBTQ+, But Improvements Are Ahead

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Members of the LGBTQ+ community reported varying experiences of discrimination in the health insurance industry but indicated that payer health equity may be improving, according to a survey from...

How Loneliness Impacts Employees As A Social Determinant of Health

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As a social determinant of health, loneliness varies based on mental health, race, economic status, and age, but employers and employer-sponsored health plans can play a role in combatting the...

More Consumers Find Transparency Tools Accessible, Useful in 2022

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More consumers reported that their health plans are offering transparency tools and overall consumer awareness about the availability of transparency tools has grown, according to a study conducted on...

Anthem Foundation Funds Substance Use Disorder Programs

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To increase care for mental health and substance use disorders, the Anthem Foundation is providing a large grant to various organizations focusing on prevention of substance use disorders and...

Key Preventive Care Services Recommendations from USPSTF in 2022

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In the first half of 2022, the US Preventive Services Task Force (USPSTF) has issued several recommendations intended to promote effective preventive care services. The USPSTF recommendations may more...

UHG Report Highlights Mental Healthcare Needs Among Seniors

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Over the last decade, seniors have experienced rising rates of mental healthcare needs, drug-related deaths, and early mortality, the UnitedHealth Foundation’s 2022 Senior Report...

MN Uninsurance Rate Drops, But Racial Disparities Persist

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The uninsurance rate among Minnesota residents hit an all-time low in 2021 due to increased federal and state funding, but more people of color were uninsured, highlighting racial disparities in...

CVS Health: More Americans Value Mental Health Conversations

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CVS Health leaders emphasized the power of virtual care and other resources in mental health after a CVS Health survey identified that mental healthcare needs continue to climb across the...

OIG Suggests Changes to MA Prior Authorizations, Payment Requests

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Medicare Advantage plans have incorrectly denied or delayed prior authorizations or payment requests and, in doing so, have accrued unwarranted revenues, according to a report from the Office of...

CA Medicaid Plan Seeks to Streamline Pay for Performance Model

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CenCal Health, a Medicaid plan in California, is employing a pay for performance model to improve quality of care, called the Quality Care Incentive Program. “The new Quality Care Incentive...