Focus On Member Experience

Payer Funds Local Practices to Help Address Racial Care Disparities

December 3, 2021 - Blue Cross Blue Shield of Massachusetts (Blue Cross) is providing $25 million to local healthcare organizations to help reduce racial care disparities. The Institute for Healthcare Improvement (IHI) will distribute the funding to practices and hospitals through grants. The funds will help recipients improve their equity efforts and offer financial...

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Medicaid Managed Care Models May Improve Outcomes for Elderly, Disabled

by Victoria Bailey

Transitioning elderly and disabled Medicaid beneficiaries from fee-for-service Medicaid to a managed care model may lead to improved health outcomes and more than $100 billion of savings for states and...

Centene Highlights Ways to Improve Mental Healthcare for Children

by Kelsey Waddill

The mental and behavioral healthcare crisis is striking children and adolescents, but payers can take steps to protect mental healthcare for children as well as for the adults who are responsible for...

Coronavirus Pandemic’s Impact on Insurer, Consumer Trends in 2021

by Kelsey Waddill

The coronavirus pandemic has left its mark on health insurer and enrollee trends, an eHealth report confirmed. The report based its findings on over 2,200 anonymous survey responses from the American...

How Payers Help Tackle Substance Use Disorders, Other Conditions

by Kelsey Waddill

The National Quality Forum’s (NQF) Opioids and Behavioral Health committee brought together healthcare leaders from across the nation to explore an under-represented subject: strategies around substance use disorders with...

How Payers Can Cultivate Consumer-Centered Digital Innovation

by Kelsey Waddill

With the dawn of the virtual-first health plan and continued increases in healthcare consumerism, payers have found themselves in an age of consumer-centered digital innovation. Healthcare revenue...

UPMC Health Plan Virtual Assistant Aims to Improve Access to Care

by Victoria Bailey

The University of Pittsburgh Medical Center (UPMC) Health Plan has launched a virtual tool to assist members with questions about benefits, coverage, services, and access to care. The health...

UnitedHealthcare Boosts Integrated Care Benefit Program To Up Value

by Hannah Nelson

UnitedHealthcare announced various enhancements to its integrated care benefit and specialty benefit approach for employer-sponsored health plans that are expected to simplify the member experience and...

How Top Payers Are Providing COVID-19 Vaccine Coverage, Support

by Kelsey Waddill

As the American healthcare system struggles to distribute the coronavirus vaccines to the public, major payers have demonstrated a range of ways that health insurers can be involved in this effort,...

Payers Kick Off 2021 Investments in Social Determinants of Health

by Kelsey Waddill

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...

Payers, Patients Save With Value-Based Chronic Disease Management

by Hannah Nelson

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...

3 Ways That Payers Leveraged Artificial Intelligence in 2020

by Kelsey Waddill

Payers used artificial intelligence to drive towards key objectives in 2020. Artificial intelligence is not a new technology, with the first artificial intelligence programs emerging in the early...

How Payers Can Drive A Quicker Transition to Value-Based Care

by Kelsey Waddill

Value-based care is a perennial goal for the payer industry, but transitioning into risk-based, outcomes-based contracts has proven to be a slow process. However, Blue Cross and Blue Shield of North...

Key Considerations for Permanently Integrating Telehealth Coverage

by Kelsey Waddill

Telehealth is metamorphosing and payers will have to take steps in order to permanently integrate telehealth coverage as a key form of care delivery. When the coronavirus pandemic struck, Donna O’Shea, MD, chief medical officer of...

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