Chronic Disease Management

Medically Tailored Meals Cut Inpatient Admissions, Healthcare Costs

by Jessica Kent

Participating in a medically tailored meal delivery program was associated with fewer inpatient admissions and lower healthcare costs, demonstrating the potential for these programs to improve health...

Humana Sees Population Health Gains for Medicare Advantage Members

by Jessica Kent

Medicare Advantage members living in Humana’s seven original Bold Goal communities have seen an improvement in population health, with these individuals experiencing a 2.7 percent reduction in...

CMS Unveils New Value-Based Care Models for Primary Care Providers

by Jessica Kent

CMS and HHS have announced the CMS Primary Cares Initiative, a new set of value-based care payment models that will strengthen primary care and deliver better value for patients. The CMS Primary Cares...

Centene Grants $100M to Washington University for Precision Medicine

by Jessica Kent

Centene will fund up to $100 million in precision medicine research at the Washington University School of Medicine in an effort to accelerate treatment for Alzheimer’s disease, breast cancer,...

Cigna, Express Scripts Partner to Cut Out-of-Pocket Insulin Costs

by Jessica Kent

Cigna and Express Scripts have launched a program to reduce out-of-pocket insulin costs for patients with diabetes. The Patient Assurance Program will ensure eligible people with diabetes in...

CMS Finalizes Medicare Advantage, Part D Payment Policies

by Jessica Kent

CMS has finalized new Medicare Advantage and Part D payment policies for 2020 that will increase competition among health plans, leading to higher quality care at lower costs.   The changes will...

PCPs, Psychiatrists Much Less Likely to Accept Medicaid

by Jennifer Bresnick

Primary care providers (PCPs) and psychiatrists are among the least likely professionals to accept Medicaid, leaving patients without some of the most fundamental resources for preventing or managing...

Price of Insulin Doubles, Increasing Spending for Members, Payers

by Jennifer Bresnick

Dramatic increases in the price of insulin are driving a rapid uptick in overall spending for diabetes care, according to new data from the Health Care Cost Institute (HCCI). Between 2012 and 2016,...

Apple Floats Idea of Subsidizing Watches for Medicare Advantage

by Jennifer Bresnick

Apple has approached several Medicare Advantage plan providers to discuss the idea of subsidizing its Apple Watch for at-risk seniors, according to industry reports. CNBC reporter Christina Farr...

ACA, Member Engagement Challenges Led Top 10 Stories of 2018

by Jennifer Bresnick

It’s fair to say that the health payer community had a lot to process in 2018.  Mergers, partnerships, and new entries into the field rocked the traditional industry setup, while federal...

High-Deductible Plans Lead Diabetics to Forgo, Delay Treatment

by Chuck Green

Workers with diabetes who switched to high-deductible health plans requiring additional out-of-pocket expenses are more apt to put off necessary check-ups, a new Annals of Internal Medicine study...

Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs

by Thomas Beaton

Payers could improve outcomes, increase cost-effectiveness, and reduce opioid use for lower back pain by expanding non-pharmacological coverage such as physical therapy and chiropractic care, according...

Payers Can Leverage Telehealth for Chronic Disease Management

by Thomas Beaton

Telehealth offers a cost-effective way to improve member satisfaction with benefits and support meaningful chronic disease management, according to a new report from AHIP and the Coalition to Transform...

Top Health Plans Excel in Preventive Care, Chronic Disease Management

by Thomas Beaton

Health plans that offered high-quality preventive care and comprehensive chronic disease management received top marks in the latest health plan rankings from the National Committee on Quality...

Top 10 Highest Performing Medicare Advantage Health Plans

by Thomas Beaton

Medicare Advantage (MA) plans are growing in popularity as an aging consumer population seeks comprehensive coverage for acute and chronic care needs. A competitive, lucrative market for...

How to Improve Cost Sharing to Enhance Chronic Disease Management

by Thomas Beaton

A tailored cost sharing program that helps beneficiaries pay for chronic disease care can reduce wasteful spending and increase access to chronic disease management services. However, relying on...

How to Address Medicare Advantage Beneficiary Disenrollment

by Thomas Beaton

Medicare Advantage is a growing market and an attractive opportunity for payers to offer quality plans to older beneficiaries.  Competition is increasing in the MA environment, and beneficiaries...

10% of Medicare Advantage Members Receive Chronic Care Reminders

by Thomas Beaton

Only 10 percent of Medicare Advantage (MA) and Medigap plan members receive chronic care management reminders,, according to a new survey from Healthmine. The CDC estimates that 70 percent of all...

How Payers Can Address Food Insecurity among Plan Beneficiaries

by Thomas Beaton

Payers are constantly challenged to provide their health plan beneficiaries the best possible healthcare experiences, but may have trouble doing that if members experience food insecurity. Food...