Payer, Provider Launch Wellness-Focused Medicare Advantage Plan
MVP Health Care and the University of Vermont (UVM) Health Network plan to form a Medicare Advantage plan with an emphasis on wellness, the non-profit payer and academic healthcare system...3 Types of Funding for Employer-Sponsored Health Plan Claims
Employers have three primary options to choose from when they are deciding how to fund their employer-sponsored health plan claims: the self-insured, level-funded, or fully-insured health plan...Sponsored Article
How COVID-19 Proved the Value of Supplemental Benefits
The pandemic created challenges for many Americans. Most notably, vulnerable populations who have struggled to maintain access to daily necessities and stay safe for months on end. Physical access to...Payer Platform for Self-Funded Employers Targets Member Engagement
Self-funded employers take on the responsibility of covering their employees’ medical costs. The strategy is particularly appealing for large employers because they can exert more control over...How Payers Can Identify, Reduce Low Value Care Spending Patterns
Payers have the power to influence low-value care spending in a meaningful way. However, recent data has unveiled the reality that low-value care remains prominent in certain health insurance...Healthcare Literacy May Be Higher For Male Medicare Beneficiaries
Male Medicare beneficiaries aged 65 and older were more likely to say that they understood Medigap or Medicare Advantage plans and that the enrollment process was easy, according to a recent survey...13 Areas of Low-Value Care Spending in Medicare Advantage Plans
Although many studies have touted Medicare Advantage plans’ successes in diminishing low-value care and pursuing high-value care, there are at least 13 areas of low-value care in which Medicare...How to Compare Impacts of Capped Provider Payment, Public Option
While both public option and capped provider payment rates have the potential to produce savings, the solutions differ in how they would impact insurer marketplaces, a recent analysis from the Urban...New CMS Guidance Could Increase COVID-19 Testing Rates, Spending
Since the Biden administration has eliminated the ability to deny coronavirus testing claims due to “medical necessity,” payers should expect higher coronavirus testing rates across all...Sponsored Article
How OTC Medicines, Supplemental Benefits Improve Care, Cost
Research indicates the availability of OTC medicines provides $146 billion in value ($52 billion in drug cost savings and $95 billion in clinical visit cost savings) with each dollar spent on these...3 Ways to Cut Payer, Employer Gene Therapy Healthcare Spending
As gene therapies become more widespread, payers continue to rely on proven strategies to reduce gene therapy healthcare spending, CVS Health’s Health Trends Report 2021 explained. The report...Sponsored Article
