Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Costs

Emergency Air Ambulances Put Patients at Risk for Balance Billing

March 22, 2019 - Privately insured patients transported by emergency air ambulances outside their coverage networks are at high risk of balance billing, also known as surprise billing, according to a GAO report. Just under 70 percent of air ambulance transports conducted in 2017 were out-of-network, a significantly higher rate than other emergency services, the report found. Air ambulances provide...


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Payers, Providers, Lawmakers Debate Surprise Billing Guidelines

by Jessica Kent

State and federal policymakers are still considering various approaches to solve surprise billing issues and compensate out-of-network providers, including mandated values for reimbursement and independent dispute resolution, according to...

Revised Tax Policies Needed to Reduce Individual Market Premiums

by Jessica Kent

Policymakers should revise current tax policies and work to eliminate financial barriers to health insurance in order to reduce individual market premiums, says a new brief from the Blue Cross Blue Shield Association (BCBSA). Over 14...

Noncitizens, Lawful Immigrants Much More Likely to Be Uninsured

by Jessica Kent

Non-US citizens, including immigrants lawfully present in the country, are significantly more likely than citizens to be uninsured, according to new data from the Kaiser Family Foundation (KFF). The uninsured rate for adult undocumented...

70% of Employers Offer Packaged Health, Dental, Pharmacy Benefits

by Jessica Kent

Seventy-one percent of employers with 100 or more employees are either actively integrating or considering integrating their medical, dental, vision, and pharmacy benefits under their health and wellness programs in the next five years,...

Insurers Notch Legal Wins in Cost Sharing Reduction Fights

by Jennifer Bresnick

Multiple court cases have been decided in the favor of insurers looking to recoup millions of dollars in cost sharing reduction (CSR) payments withheld by the Trump Administration in 2017. Health payers have fought vigorously against the...

Senators Request Payer, Provider Data on Surprise Medical Billing

by Jessica Kent

Senators from both sides of the aisle have requested information from providers and payers regarding surprise medical billing. In a recently released letter, Senators Bill Cassidy (R-LA), Michael Bennet (D-CO), Todd Young (R-IN), Tom...

Atrius Health, Blue Cross to Create Alternative Payment Model

by Jessica Kent

Atrius Health and Blue Cross Blue Shield of Massachusetts have partnered to launch an advanced alternative payment model that will deliver a higher quality, more affordable healthcare experience. In this new venture, the organizations...

Marketing for Short-Term Health Plans May Mislead Consumers

by Jessica Kent

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...

NYC Mayor Announces Plan to Guarantee Health Coverage for All Residents

by Jessica Kent

Mayor Bill de Blasio has announced the launch of a comprehensive, universal healthcare coverage plan that will guarantee benefits for every New Yorker. “Healthcare is a right, not a privilege reserved for those who can afford...

Patient-Centered Methods Help Health Plans Boost Cancer Care

by Jessica Kent

Employers and payers should ensure their health plans use patient-centered methods and provider performance measurement strategies to reduce costs and improve cancer care, a report from the National Alliance of Healthcare Purchaser...

CA Governor Addresses Prescription Drug Costs, Healthcare Access

by Jessica Kent

California Governor Gavin Newsom has announced a series of major executive actions and budget proposals to reduce prescription drug costs and move California closer to the goal of healthcare coverage for all. Newsom’s healthcare...

Steward Health Care Joins Mission to Expand Generic Drug Access

by Jessica Kent

Steward Health Care has become a founding member of Civica Rx, a collaborative, non-profit drug company with the mission to reduce drug costs and increase the supply of life-saving generic medicines. Approximately 800 US hospitals have...

Nearly 50% of Pre-Medicare Adults Worried About Healthcare Costs

by Jessica Kent

Forty-five percent of adults aged 50 to 64 are not confident that they will be able to afford healthcare coverage in retirement, according to a poll conducted by the University of Michigan Institute for Healthcare Policy and Innovation and...

CVS Health to Begin Important Work of Integrating Aetna

by Kyle Murphy, PhD

On the eve of Christmas, Judge Richard Leon of the United States District Court for the District of Columbia decided against halting the integration of the two companies in a merger valued at $69 billion. “Based on CVS’s...

Leadership Plays Key Role in Effective Workforce Wellness Efforts

by Kyle Murphy, PhD

A new report from the Health Enhancement Research Organization (HERO) and Mercer reveals just how vital leadership support is to high-quality workforce wellness initiatives. “These findings suggest organizations that want to improve...

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...

Employers to Address Healthcare Consumerism, Innovation in 2019

by Kyle Murphy, PhD

The National Business Group on Health has released its top-five trends for the coming year, and employers clearly want to play a more involved role in healthcare transformation. Chief among their expectations over the next twelve months...

Employer-Sponsored Health Plans Prove Costly to Consumers

by Chuck Green

Workers and their families are spending a larger share of their income on their employer-sponsored health plans, according to a new study from the Commonwealth Fund. Coauthored by Sara Collins, Vice President of Health Care Coverage and...

Trump Administration Touts IPI Model for Reining In Drug Prices

by Chuck Green

On average, Americans pay 80 percent more for the costliest physician-administered drugs than patients in other developed countries, according to a key HHS advisor. “Free market advocates and those who have philosophical concerns...

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