Chronic Disease Management

UHG Report Finds Encouraging Trends During The Coronavirus Pandemic

by Kelsey Waddill

While the coronavirus pandemic has had a terrible impact on measures such as the national mortality rate and health equity, certain measures—such as the prevalence of multiple chronic conditions...

Humana Type 2 Diabetes Reversal Program Leverages RPM, Nutrition

by Kelsey Waddill

Updated 11/9/2021: This article has been updated to say that patients who lost weight due to the program lost on average 12 percent of their weight. A previous version stated that 12 percent of...

How MA Special Needs Plans Compare to Traditional Medicare, MA

by Kelsey Waddill

Medicare Advantage special needs plan members are more racially and ethnically diverse, are in lower income brackets, and tend to be sicker member populations than traditional Medicare or Medicare...

How Payers Leverage Apps to Improve Type 2 Diabetes Management

by Kelsey Waddill

In October 2021, Capital Blue Cross strengthened its Type 2 diabetes management efforts by introducing two new apps to its members, apps that could enable them to prevent and potentially reverse the...

How Payers Use Chronic Disease Management Flexibilities in HSAs

by Kelsey Waddill

Pre-deductible coverage for chronic disease management through a health savings account is a widespread practice among health plans which may require policymakers to enact regulatory changes in order...

Payers Share Benefits Before Medicare Advantage Open Enrollment

by Kelsey Waddill

As the 2022 Medicare Advantage open enrollment period approaches, payers are revealing their 2022 Medicare Advantage benefits. Five major payers shared the updates to their benefit offerings for the...

2022 Medicare Advantage Premiums Drop, Enrollment May Rise

by Kelsey Waddill

Updated 9/30/21: This article has been updated to include a correction from Better Medicare Alliance. A previous version read "we urge lawmakers to project these gains," but this has been...

UPMC Partners with Meal Delivery Service, Improves Health Outcomes

by Victoria Bailey

The University of Pittsburgh Medical Center (UPMC) Health Plan partnered with a meal delivery service to improve patient outcomes, decrease healthcare costs, and reduce emergency department visits for...

Medicaid Subscription-Based Payment Models Show Mixed Results

by Kelsey Waddill

Using a subscription-based payment model to cover medication costs could have varying impacts on access to medication depending on the state that implemented the model, according to a study published...

Cigna Expands Individual Health Insurance Market Participation

by Kelsey Waddill

Cigna is expanding its presence in the individual health insurance market, the payer announced ahead of the 2022 open enrollment season. “Cigna's offerings are designed to support...

Employers: Mental Health, Chronic Disease Needs Will Rise in 2022

by Kelsey Waddill

Employers are anticipating that the coronavirus pandemic will continue to have a long-term impact in 2022, particularly in the areas of mental health and chronic disease needs, according to Business...

What Employees Want in Their Employer-Sponsored Health Benefits

by Kelsey Waddill

Employees are looking for employers to bolster preventive care services, mental healthcare, and access to employees’ providers in their employer-sponsored health benefits, a Marathon Health...

Medicare Advantage Plans Draw More Members with Chronic Diseases

by Kelsey Waddill

In 2020, Medicare Advantage plans attracted members with chronic diseases but still maintained lower out-of-pocket healthcare spending for members than fee-for-service Medicare coverage did, a Better...

Key Considerations For Implementing Diabetes Management Programs

by Kelsey Waddill

With numerous combinations of comorbidities and lifestyles at play in the member population with diabetes, payers have a lot to consider when creating or expanding their diabetes management...

Payer Launches Value-Based Kidney Care Agreement for CKD, ESKD

by Kelsey Waddill

Blue Cross and Blue Shield of Minnesota (Blue Cross) announced a value-based kidney care agreement with a DaVita Integrated Kidney Care program for members who have chronic kidney disease or end stage...