Over half of American adults have a chronic condition, including hypertension, diabetes, and chronic lung disease, the leading drivers of health care costs. Access to proper medical treatment, proper...
Patients with diabetes enrolled on a high-deductible health plan have a hard time paying for their brand-name medications, having a negative impact on medication adherence, according to new data...
Health Care Service Corporation (HCSC) seeks to address uninsurance in the US by developing an education and patient navigation campaign, known as Be Covered, to inform the uninsured of their health...
Blue Cross Blue Shield Association (BCBSA) shares reports on claims data via the Health of America platform in the hopes that the information might lead to better personalized treatment plans.
The...
Inpatient healthcare costs and emergency department visits went down for chronically ill children when they received coordinated care but these results were potentially also achievable through usual...
A partnership between WellCare and Kentucky Homeplace showed a reduction in emergency room utilization and cost of care.
The partnership aimed to help over 2,000 residents of rural Kentucky with...
UPMC Health Plan’s new diabetes wellness program targets Medicare Advantage members with diabetes or at-risk of diabetes to help drive chronic care management at an affordable cost, the health...
CMS efforts to empower Medicare Advantage plans to tackle social determinants of health (SDOH) led mainly to the expansion of existing benefits but not the addition of new benefits, stakeholders told...
CVS Health’s Project Health events are expanding their footprint to address chronic disease management and prevention and to enable access to care for free.
“Chronic conditions...
Among publicly insured patients with the potentially chronic condition hepatocellular carcinoma (HCC), 35 percent had a longer wait time for a liver transplant, possibly indicating poor care...
Optima Health’s Traci Massie can outline the different social determinants of health that impact Virginia’s different Medicaid populations county by county, from the opioid epidemic to...
In the face of uncertain data regarding wellness programs’ efficacy and employees’ utilization, employers are revolutionizing their approach to employee wellness programs with an increased...
Blue Cross and Blue Shield of Minnesota (Blue Cross) will offer a $0 insulin copay for commercial, fully-insured members, increasing diabetic members’ access to care, the payer...
Not price, not incumbency, but functionality is the key to winning and losing payers’ business, the KLAS Decision Insights Report 2019 indicated. Payers want highly functional, integrated,...
In the midst of the transition to value-based care, healthcare payers are looking for key strategies to keep their populations healthier at a lower cost. To that end, most have realized that a...
CMS finalized a decision to provide Medicare coverage for chimeric antigen receptor (CAR) T-cell therapy, which is an FDA-approved gene therapy used to treat non-Hodgkin lymphoma and B-cell precursor...
PwC’s Health Research Institute (HRI) predicted a six percent increase in medical cost trend in 2020, with a five percent net growth rate after adjusting for increased employee cost sharing or...
Chronic diseases are both costly and prevalent, with the healthcare industry shelling out billions each year to manage and treat these conditions. Although illnesses like diabetes, heart disease, and...
People who choose to enroll in Medicare Advantage plans have lower average spending before enrolling in these plans than beneficiaries who choose to stay in traditional Medicare, according to a report...
Individuals enrolled in consumer-directed health plans (CDHPs) in 2016 had 13 percent lower spending on average than those not enrolled in CDHPs, according to a report from Health Care Cost Institute...
