Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Consumerism in Healthcare

Marketing for Short-Term Health Plans May Mislead Consumers

February 6, 2019 - Websites and brokers that sell short-term health plans as a replacement for ACA-compliant coverage often fail to give consumers the detailed plan information necessary to inform their purchase, according to a study conducted by the Urban Institute and funded by the Robert Wood Johnson Foundation. Insurance companies can now sell short-term limited-duration insurance (STLDI) as...


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Verma: Price Transparency Rule a “First Step” for Consumerism

by Jennifer Bresnick

The hospital price transparency mandate that went into effect on January 1 is still ruffling feathers among healthcare providers, leading CMS Administrator Seema Verma to reiterate the importance of giving consumers access to pricing...

Hospital Price Transparency Rule Takes Effect January 1, 2019

by Jennifer Bresnick

Starting January 1, 2019, hospitals will be required to post their price lists online in an effort to increase price transparency and empower consumers to make informed choices about their care. The mandate stems from the 2019 inpatient...

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 efforts to chip away at the Affordable...

Coalition of State AGs Challenge Ruling of Unconstitutional ACA

by Kyle Murphy, PhD

Following a December 14 ruling stating the Affordable Care Act to be unconstitutional without its individual mandate, attorney generals from 16 states and the District of Columbia filed an expedited motion to bring clarity to the...

PwC: Digital Experiences, High Costs Will Challenge Payers in 2019

by Jennifer Bresnick

Healthcare payers that hope to succeed in 2019’s competitive business environment will need to meet the strong demand for more consumer-centered digital experiences that help members control their spending and understand how to...

Health Payers Targeting Improved Consumer Experiences in 2019

by Kyle Murphy, PhD

Improving the consumer experience is top of mind for health payers heading into the new year, according to a multi-industry survey of senior leaders by North Highland. “The concepts of culture and change are often at the foundation...

Consumers Maintaining Positive Health Savings Accounts

by Chuck Green

Today, there are more than 23.4 million health savings accounts (HSAs) across the country, with assets of more than $51 billion, according to the 2018 Midyear Devenir Report. “We are continuing to see a growing market for HSAs, and...

Employers Working to Drive Down Rising Health Insurance Costs

by Kyle Murphy, PhD

The realization that consumers using less care but paying more to receive services and treatment is leading employers to rethink their approaches to providing health coverage to their employees, according to a recent report in The Wall...

Humana Tops List for Member Satisfaction, Net Promoter Score

by Jennifer Bresnick

Customer service has been a perennial pain point for the health insurance industry, but a renewed focus on personalized experiences, member satisfaction, and consumer engagement appears to be paying off for some of the nation’s...

Addressing Healthcare Literacy Key to Health Plans Reducing Costs

by Chuck Green

The inability of consumers to successfully navigate the healthcare system, which costs employers and health plans billions in administrative costs. In a recent article in the Harvard Business Review, members of Accenture’s...

Consumer Demand for High-Deductible Health Plans Dwindles

by Thomas Beaton

Consumer demand for high-deductible health plans (HDHPs) is expected to decline in 2019 as more beneficiaries look for health plans with customized benefits instead, according to a new survey from Oliver Wyman. Half of consumers surveyed...

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