87% of Eligible Seniors Do Not Receive Lung Cancer Screenings
Seniors who do not have coverage for lung cancer screenings as a preventive service are less likely to receive the screening, a recent study from Epic Health Research Network (EHRN) found. EHRN...USPSTF Recommendations Guide Payers on Preventive Care Screenings
The US Preventive Services Task Force (USPSTF) has made a few preventive care screenings recommendations in recent months that payers should take note of for their preventive care and value-based care...Payer Launches Value-Based Kidney Care Agreement for CKD, ESKD
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...Payers Kick Off 2021 Investments in Social Determinants of Health
Payers have started announcing partnerships and investments for 2021 that aim to address social determinants of health, particularly food scarcity, housing insecurity, and health equity. Some experts...Navigating Generational Differences in Member Engagement
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,...Empowering Member Decision-Making in Chronic Disease Prevention
Blue Shield of California’s latest partnership focuses on empowering member decision-making for better chronic disease prevention and management, specifically for chronic kidney...Key Payer Strategies to Improve Colorectal Cancer Preventive Care
Risk factors for colorectal cancer are growing more prevalent even in younger age groups, meaning payers need to improve colorectal cancer preventive care, a Blue Cross Blue Shield Association (BCBSA)...Payers Turn to In-Home Screening Kits for Chronic Preventive Care
Preventive screenings are now shifting to the in-home setting through in-home screening kits, as payers like Humana innovate ways to carry on primary care and chronic disease prevention services...Top Chronic Diseases Behind Payer Spending And How to Prevent Them
The Centers for Disease Control and Prevention (CDC) estimates that 90 percent of national healthcare spending goes toward chronic disease management and mental healthcare, which means that strong...Care Coordination and Precision Medicine Improve Early Diagnoses
Payers are using coordinated care and precision medicine to make diagnoses more quickly and ensure a strong treatment plan for severe and chronic disease management. Early detection of chronic and...BCBSA Shares Claims Data for Personalized Treatment Plans for MS
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...WellCare, Kentucky Homeplace Partnership Reduces Emergency Room Use
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...CVS Health Seeks to Increase Access to Chronic Disease Management
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...How Payers Transition from Reactive to Preventive Care
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...Fast-Tracking Value-Based Insurance Design on Exchange Marketplaces
Believing that having a standard value-based insurance design (V-BID) plan could fast-track the implementation of value-based insurance design principles, a team of researchers from the University of...CMS Proposes Alternative Payment Models for Chronic Kidney Disease
CMS recently proposed five alternative payment models for chronic kidney disease (CKD) treatments. One model is mandatory and the others are optional. All of the models are in response to the...Sponsored Article
