Anthem has announced plans to acquire myNEXUS, Inc (myNEXUS) to provide a higher quality of home healthcare services for seniors.
Assuming the closing conditions and procedures continue without any...
One-third of adults who began dialysis with an employer-based group health plan (EGHP) switched to Medicare before the coordination period finished, resulting in $3 billion additional Medicare costs...
Medicare chronic disease management became even more challenging during the coronavirus pandemic, a recent Commonwealth Fund study confirmed.
Chronic conditions are common among Medicare beneficiaries...
To increase access to chronic disease management and improve patient outcomes, Cigna has announced that an in-home kidney care program will be available to Medicare Advantage members in 11 additional...
While payers have been focusing justifiably on diminishing healthcare spending for chronic conditions, rare disease healthcare spending may exceed chronic disease healthcare spending, according to the...
If five specific health conditions did not exist, large employers' healthcare spending per member per month could be declining instead of growing, according to a Health Action Council and...
Humana has launched a pilot program for Humana Care Support to help seniors with chronic disease management through integrated care management and improved data analytics, the payer...
In 2021, the number of Medicare Advantage members who enrolled in plans with additional supplemental benefits for members who have chronic diseases spiked dramatically, Avalere researchers found in a...
Highmark’s value-based care agreement with drug manufacturer Boehringer Ingelheim reduced the overall cost of care for adults with type 2 diabetes, providing more affordable chronic disease...
In recent years, the US has experienced significant improvements in certain preventive care metrics and chronic disease management victories, United Health Foundation found in its America’s...
CMS has introduced a new Medicare value-based contracting model that encourages greater care coordination and requires participants to take full risk for Medicare fee-for-service beneficiaries based on...
UPMC Health Plan and Sempre Health’s medication adherence collaboration has expanded its chronic disease management benefits to include diabetes medicines for members of UPMC’s...
Over the last couple of years, Medicare Advantage supplemental benefits have seen a great deal of reinterpretation that has led to their expansion and evolution, a Milliman brief commissioned by Better...
Medicare Advantage plans may face a sicker population and lower payments in 2021, a recent Avalere report warned.
Avalere used Medicare Advantage claims from 2020 through June 2020 to assess the...
Chronic condition special needs plans were created to serve the complex needs of patients with conditions such as end-stage renal disease (ESRD), and a new study published in JAMA Network Open...
Medicare spending on diabetes is in part a result of whether or not the beneficiary has multiple chronic conditions, but there are other factors that strongly influence costs as well, researchers found...
Around a third of Millennials have a behavioral health condition, emphasizing a greater need for behavioral healthcare options and coverage as well as a new approach to millennial member engagement,...
High prescription drug spending has racked the American healthcare system’s cost trends for decades.
Prescription drug spending will be one of the major factors influencing the 2020 medical...
As Medicare Advantage plans prepare to expand their benefits in 2021, CMS expects premiums to drop 34.2 percent from 2017 levels in the new year.
“The Medicare Advantage average monthly premium...
CVS Health’s Aetna is using home healthcare to address chronic disease management for those with multiple chronic diseases, the payer announced.
Aetna will partner with Landmark Health...
