Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • 61% of Employees Dissatisfied with Employer Wellness Programs

    December 7, 2017 - Fifty-two percent of employers believe their wellness programs improve their employee’s health behaviors, but only 32 percent of employees agree, according to a new survey from Willis Towers Watson. More than 60 percent are actively dissatisfied with existing wellness offerings. US employers have a strong business case to improve the overall health of their employees, as the survey found...

  • How Provider-Sponsored Health Plans Can Find Consumer Success

    December 5, 2017 - Provider-sponsored health plans (PSHPs) are seen as a way for provider organizations to compete with commercial payers while lowering their own costs and improving care quality, because provider organizations can manage the cost of healthcare services and health plan rates under one umbrella organization. Launching a provider-sponsored health plan can be a risky proposition. While some provider...

  • How Payers Can Improve the Value of Small Business Health Plans

    November 28, 2017 - Payers offering insurance plans for the employer market need to provide flexible benefits and cost-saving strategies that create value for small businesses. Small businesses are an excellent market opportunity for payers because health plans provide these businesses a recruiting tool for new employees, incentives to retain current employees, and ease the healthcare-related stressors of operating...

  • Ensuring High Out-of-Pocket Spending Won’t Lead to Negative Outcomes

    November 22, 2017 - High deductible health plans (HDHPs) are intended to reduce payer and beneficiary spending on healthcare services, but untenable out-of-pocket spending for beneficiaries could lead to patients letting preventable conditions develop into catastrophic care costs for payers down the line. Research shows that patients purchasing plans with high out-of-pocket spending requirements were likely to...


Today's Top Stories

How Payers Address the Four Domains of Chronic Disease Prevention

Payers have an opportunity to improve chronic disease prevention and limit chronic disease spending by addressing the both medical and non-medical factors of chronic conditions. Payers can determine their chronic disease costs, and lower those...

Why Bundled Payments Are a Popular Option for Healthcare Payers

Bundled payments are ideal for payers that want to participate in value-based care. Bundled payments tend to have lower financial risks than other payment models for payers and are beneficial to providers as well as payers. In a bundled payment...

Member Engagement, Payer Spending Lead Top 10 Stories of 2017

The 2017 news cycle was a constant flurry of political and financial developments for payers. From the turbulent efforts to repeal and replace the ACA in the House and Senate to challenges with member engagement, population health, and cost cutting,...

2016 Healthcare Spending Growth Slowed, Totaled $3.3 Trillion

US healthcare spending totaled $3.3 trillion in 2016, representing a 4.3 increase in the spending growth rate since 2015. While spending continued to rise, the rate of increase was actually slower than the 5.8 percent growth rate between...

Integrated Care Model Lowers Health System Medical Costs

Cigna’s integrated care model partnership with Texas-based Catalyst Health helped reduce the health system’s total medical costs to 5.6 percent below industry averages, the organizations announced in a press release. The Cigna Collaborative...

61% of Employees Dissatisfied with Employer Wellness Programs

Fifty-two percent of employers believe their wellness programs improve their employee’s health behaviors, but only 32 percent of employees agree, according to a new survey from Willis Towers Watson. More than 60 percent are actively dissatisfied...

Optum to Purchase DaVita Medical Group for $4.9B

Optum, a subsidiary of UnitedHealth Group, has agreed to acquire DaVita Medical Group for $4.9 billion, expanding the health care services company’s footprint in the direct care delivery environment. The acquisition, expected to be finalized...

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