BCBSM Funds Community-Based Orgs to Improve Senior Wellbeing
Blue Cross Blue Shield of Michigan has provided grant funding to community-based organizations in Washtenaw County to help support the health and wellbeing of older adults. The payer is one of three...NCQA Recognizes WI UnitedHealthcare Plan for Health Equity Efforts
UnitedHealthcare Community Plan of Wisconsin has been recognized by the National Committee for Quality Assurance (NCQA) for its efforts to advance health equity and address care disparities. The NCQA...Top Threats, Priorities in Employer-Sponsored Health Plan Benefits
Employers shared the main threats and priorities that they encounter as they try to manage employer-sponsored health plan benefits, according to a survey from the Midwest Business Group on Health...Medicare Advantage Beneficiaries See Lower Hospitalization Rates
Medicare Advantage beneficiaries with ambulatory care sensitive conditions (ACSCs) experienced lower rates of hospitalizations but higher rates of emergency department (ED) direct discharges and...The Cost of Cancer Should Reflect Impacts on Wellbeing, Productivity
The cost of cancer goes beyond financial expenditures for adolescent and young adult patients, extending into mental health impacts and workplace productivity losses, according to a report...CareSource, Walmart Partner to Address Racial Health Disparities
CareSource has partnered with Walmart to address maternal and racial health disparities in underserved communities by leveraging the retail giant’s in-store community health workers. The payer,...Blue Cross MN Partnership Expands Value-Based Care for Rural Members
Blue Cross and Blue Shield of Minnesota (Blue Cross) has joined forces with value-based care provider Homeward to expand access to care for Medicare Advantage members living in rural Minnesota...MT Medicaid Expansion Leads to More Preventive Care Use, Lower Costs
Since Montana’s Medicaid expansion policy went into effect in 2016, the program has seen strong results in its preventive care services utilization efforts and Medicaid spending, according to a...How the Inflation Reduction Act Impacted Medicare Part D Benefit Design
Medicare Part D plan liability could lead to major changes in benefits and formulary design for beneficiaries in the coming years, according to an Avalere study that was funded by PhRMA. The...Humana Will Leave Employer Group Insurance Business to Focus on Public Plans
Humana has announced plans to leave the employer group insurance business and direct its focus toward its government-funded health plan offerings. The payer’s employer group commercial medical...What the Prior Authorization Proposed Rule Means for Payers
The CMS Advancing Interoperability and Improving Prior Authorization Processes proposed rule introduces new requirements for healthcare payers that aim to enhance patient data sharing and streamline...Why Employers Prefer Employer-Sponsored Health Plans Over Exchanges
Large employers find that employer-sponsored health plans allow them to maintain control over employee health plan choice and healthcare spending in order to streamline coverage for their workforces,...Hospice Enrollment from Community Setting More Common in Medicare Advantage
Medicare Advantage beneficiaries were more likely to enroll in hospice from a community setting rather than a hospital or nursing home setting compared to traditional Medicare beneficiaries, according...How to Fix ERISA Waivers to Pursue Employer Sponsored Health Plan Reform
Preemptions in the Employee Retirement Income Security Act (ERISA) present barriers to healthcare reform in employer-sponsored health plans, but Congress can take steps to rectify these barriers, a...2022 Key Enrollment Trends For High Deductible Health Plans
High deductible health plan (HDHP) enrollees may have a broader selection of health plans and may view pre-deductible coverage for chronic disease prevention care as a deciding factor in health plan...Sponsored by Zelis
