Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Employers, Employees Face Disconnect Over Wellness Programming

    February 22, 2018 - More than half of employers believe that their wellness programming is effective for improving health and reducing spending, but only a third of their employees think the same thing, according to a new Willis Watson Towers survey. However, employers are somewhat more likely than their employees to think that wellness is a high priority.  About 65 percent of employees said that improving...

  • Ongoing Payer Consolidation Leads to Consumer Premium Hikes

    February 19, 2018 - The four largest payers in the US have continued to get bigger over the past few years, said Leemore S. Dafny, a professor of the Bruce V. Rauner Professor of Business Administration at Harvard Business School, during a House Energy and Commerce Committee hearing. The trend is worrying, he said, comparing payer consolidation practices to anticompetitive practices in the airline industry to...

  • 70% of Providers See Data Sharing as Key to Value-Based Care

    February 15, 2018 - Seventy percent of executives participating in a survey conducted by Humana and HFMA believe that the need for interoperability and seamless data sharing will be required for payers and providers to succeed with value-based care. The Value-Based Payment Readiness Survey found that a majority of healthcare executives have noticed gaps in their data sharing and interoperability capabilities...

  • Modernizing Medicare Fee-for-Service Cost-Sharing Has Trade Offs

    February 13, 2018 - Medicare’s fee-for-service (FFS) cost-sharing design requires modernization to protect beneficiaries from catastrophic costs, but changing the current design may bring new financial concerns, a new GAO report found. In 2015, eighty-one percent of Medicare beneficiaries receiving care in the FFS environment obtained supplemental coverage to avoid burdensome cost-sharing amounts. Beneficiaries...


Today's Top Stories

Employers, Employees Face Disconnect Over Wellness Programming

More than half of employers believe that their wellness programming is effective for improving health and reducing spending, but only a third of their employees think the same thing, according to a new Willis Watson Towers survey. However, employers...

96% of Payers Are Committed to Electronic Prior Authorization

The vast majority of payers are committed to implementing electronic prior authorization solutions as a way to address administrative problems with prior authorization procedures, according to research published through the ePA National Adoption...

Reinsurance, CSR Reinstatement May Stabilize Individual Premiums

AHIP supports a number of policy solutions that could reverse Trump Administration actions that have resulted in higher premiums and unstable markets. In a new policy brief, the payer advocacy group suggests that lawmakers focus on the development...

CMS Proposes 9-Month Extension of Short-Term Health Plans

CMS is proposing that consumers should be allowed to stay on short-term health plans, including association health plans, for twelve months at a time, despite the fact that these plans are generally non-compliant with the Affordable Care Act....

Idaho Prepares to Offer Association Health Plans to Consumers

Idaho will allow payers to offer association health plans (AHPs) that are not required to meet all of the consumer protections or benefits criteria included in the Affordable Care Act.   Governor C.L. “Butch” Otter recently issued...

Payer Housing Partnership Addresses Social Determinants of Health

Health Partners Plans (HPP) and two community programs in Philadelphia announced a partnership to address housing-related social determinants of health by connecting homeless individuals to healthcare services, free clinics, free meals, and social...

Ongoing Payer Consolidation Leads to Consumer Premium Hikes

The four largest payers in the US have continued to get bigger over the past few years, said Leemore S. Dafny, a professor of the Bruce V. Rauner Professor of Business Administration at Harvard Business School, during a House Energy and Commerce...

View all stories

X

Sign up for our free newsletter:

Our privacy policy

no, thanks