Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Payer Housing Programs Address Social Determinants of Health

    November 15, 2017 - Addressing housing insecurity, a commonly challenging social determinant of health (SDOH), may help health plans transition at-risk beneficiaries to stable housing situations while lowering spending on healthcare services. A new report from the Association of Community Affiliated Plans (ACAP) explains how health plans, including those that serve Medicaid populations, are bolstering their efforts...

  • AHIP Supports Demo of Medicare Advantage Plans as Advanced APMs

    November 14, 2017 - AHIP has voiced its support for a CMS demonstration project that would allow Medicare Advantage (MA) plans to qualify as Advanced Alternative Payment Models (APMs), the organization wrote in a statement to CMS. The payer advocacy group believes that the Quality Payment Program (QPP) has the potential to continue high consumer satisfaction rates with MA plans and encourage payers and providers...

  • Payer Strategies for Improving Member Medication Adherence Rates

    November 10, 2017 - Payers are spending billions of dollars annually on medications that aren’t improving the health outcomes, with financial and health literacy proving to be the most common barriers to adherence. Avoidable healthcare spending totaling between $100 and $300 billion has been attributed to non-adherence, according to a team of researchers from Johns Hopkins University. Beneficiary non-adherence...

  • Top 4 Consumer Wellness Benefits for Payers to Add to Health Plans

    November 8, 2017 - As payers explore innovative ways to improve beneficiary engagement and satisfaction, they may wish to consider adding enhanced consumer wellness benefits to their health plan offerings. Health plans that take a proactive approach to engaging beneficiaries in healthy behaviors - and rewarded them for it - may see decreased utilization rates, fewer chronic diseases, and lower costs.  ...


Today's Top Stories

ACA Individual Mandate Repeal Could Cut Insured Number By 13M

As a potential repeal of the ACA’s individual mandate faces the US Senate, the Congressional Budget Office (CBO) and Joint Tax Committee (JTC) found that a repeal would cut the number of insured individuals by four million in 2019. In an...

Single-Employee Businesses Experience High, Burdensome Premiums

Single-employee businesses paid an average of $500 per month on premiums, experienced high premium payment growth, and experienced polarizing financial burden based on their premium payment amounts, a new report from JPMorgan & Chase reveals....

Humana Adds Former ONC Chief Karen DeSalvo as Board Member

Former National Coordinator for Health IT and Assistant HHS Secretary Karen DeSalvo, will join Humana’s board of directors, the payer announced in a press release. Humana believes that the addition of DeSalvo to the board will improve its...

Payer Housing Programs Address Social Determinants of Health

Addressing housing insecurity, a commonly challenging social determinant of health (SDOH), may help health plans transition at-risk beneficiaries to stable housing situations while lowering spending on healthcare services. A new report from the...

Value-Based Care Outperforms Fee-for-Service Health Plans

Health plans that include value-based care (VBC) principles are more cost-effective than fee-for-service (FFS) options and are starting to produce better patient outcomes, Humana asserts in a new report. The total healthcare costs associated...

AHIP Supports Demo of Medicare Advantage Plans as Advanced APMs

AHIP has voiced its support for a CMS demonstration project that would allow Medicare Advantage (MA) plans to qualify as Advanced Alternative Payment Models (APMs), the organization wrote in a statement to CMS. The payer advocacy group believes...

11 Healthcare Payers to Enhance Substance Use Treatment Access

Executives from 11 healthcare payers have pledged to enhance substance use disorder (SUD) treatment access and offer provider incentives to more effectively address opioid misuse and other substance use issues. In a joint letter, payer executives...

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