Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Narrow Networks, Customer Satisfaction Contain Payer Spending

    June 22, 2018 - Payers can curb spending on medical care by investing in narrow networks and customer satisfaction tools, says a new PricewaterhouseCoopers (PwC) Health Research Institute (HRI) analysis. PwC found that medical costs for employer-sponsored insurance are expected to maintain a stable growth rate of 6 percent in 2019. However, this still represents a year-over-year increase in actual costs as...

  • Amazon, Berkshire, JPMorgan Name Atul Gawande Healthcare CEO

    June 20, 2018 - Amazon, Berkshire Hathaway, and JPMorgan Chase have named Atul Gawande, a surgeon at Brigham & Women’s Hospital, as the CEO of their joint healthcare company. The company will be headquartered in Boston, Massachusetts. Gawande will begin his tenure of the unnamed company on July 9, 2018. The company will operate as an independent, non-profit firm. The newly named CEO is also a professor...

  • Department of Labor Finalizes Association Health Plan Expansion

    June 19, 2018 - The Department of Labor (DOL) has issued a final rule that expands consumer availability of association health plans (AHPs) starting on September 1, 2018. The rule comes months after President Trump and the DOL proposed executive changes that allow consumers, employer groups, and contractors to sponsor AHPs, which may be more affordable but offer fewer consumer protections than plans compliant...

  • US Court: Payers Are Responsible for Risk Corridor Program Costs

    June 19, 2018 - Federal judges in the US Federal Circuit Court of Appeals have issued an opinion stating that healthcare payers, and not HHS, are responsible for the costs of the ACA’s risk corridor program. Chief Judge Sharon Prost filed the majority opinion on Moda Health’s claim that HHS is contractually obligated to reimburse risk corridor payments in full. The judges stated that there was...


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Narrow Networks, Customer Satisfaction Contain Payer Spending

Payers can curb spending on medical care by investing in narrow networks and customer satisfaction tools, says a new PricewaterhouseCoopers (PwC) Health Research Institute (HRI) analysis. PwC found that medical costs for employer-sponsored insurance...

Humana, Walgreens Offer Primary Care Clinics for Medicare Members

Humana and Walgreens have announced the launch of two primary care clinics, designed to meet the needs of Medicare beneficiaries, that will operate within Walgreens locations in the Kansas City area. The collaboration, led by a Humana subsidiary...

Beneficiaries Want More Holistic Health, Wellness Benefit Options

Health plan beneficiaries are increasing their demand for holistic health and wellness benefits, which can help payers deliver value and improve outcomes, according to a new report from Aetna. The Health Ambitions Study found that beneficiaries...

Amazon, Berkshire, JPMorgan Name Atul Gawande Healthcare CEO

Amazon, Berkshire Hathaway, and JPMorgan Chase have named Atul Gawande, a surgeon at Brigham & Women’s Hospital, as the CEO of their joint healthcare company. The company will be headquartered in Boston, Massachusetts. Gawande will...

Customer Service is Primary Driver of Health Plan Satisfaction

Health plan members are seeking high-quality customer service experiences from their insurers, and will use positive interactions to make decisions about continued loyalty, according to a new Forrester analysis emailed to members of the press....

Department of Labor Finalizes Association Health Plan Expansion

The Department of Labor (DOL) has issued a final rule that expands consumer availability of association health plans (AHPs) starting on September 1, 2018. The rule comes months after President Trump and the DOL proposed executive changes that...

US Court: Payers Are Responsible for Risk Corridor Program Costs

Federal judges in the US Federal Circuit Court of Appeals have issued an opinion stating that healthcare payers, and not HHS, are responsible for the costs of the ACA’s risk corridor program. Chief Judge Sharon Prost filed the majority...

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