Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Insurance

Plan Member Satisfaction Reduced in Less Competitive Markets

by Vera Gruessner

Due to the value-based care initiatives taking place at the Centers of Medicare and Medicaid Services (CMS), patient engagement and patient satisfaction have become imperative for the health payer industry. A report from J.D. Power called the...

How Data, Value-Based Care Drives Down Health Insurance Costs

by Vera Gruessner

In today’s world, the average employee and business owner are seeing a rise in health insurance costs. Even through the health insurance exchange, premium prices are expected to rise this year while high-deductible plans are becoming more...

Bundled Payment Models Need to Align Payer, Provider Incentives

by Vera Gruessner

Bundled payment models are growing in popularity throughout the health insurance industry partially due to the Centers for Medicare & Medicaid Services (CMS) pushing forth alternative payment structures as well as the general goal of reducing...

Price Transparency May Lower $27 Billion in Healthcare

by Vera Gruessner

Price transparency in the healthcare industry is becoming more and more pertinent and sought after. Research has shown that there is still insufficient price transparency within the medical field including hospital services. However, a new report...

How Health IT Automation Improves Consumer Satisfaction

by Vera Gruessner

New technologies and health IT tools are becoming a necessary part of the health insurance industry, as innovative approaches like automation can largely benefit employees while portals could make a difference for health plan consumers. When...

52% of Employers Offer High-Deductible Health Insurance Plans

by Vera Gruessner

Despite the fact that the health insurance exchanges and Medicaid expansion opened up more opportunities for Americans to obtain healthcare coverage without being dependent on employment, the health payer industry is still intertwined with the...

Hospitals Lagging Behind in Population Health Management

by Vera Gruessner

As most health payers know, population health management and value-based care payments go hand-in-hand. When it comes to effective population health management, data storage and analysis plays an integral role among payers and providers. As payers...

Precision Medicine is a ‘Whole New Ballgame for Insurers’

by Vera Gruessner

Recently, President Barack Obama has announced a national “Moonshot” program to put an end to cancer as a whole. Vice President Joe Biden has been appointed the main leader of this project, a White House news release stated. A total...

Bundled Payment Model, Lump Sum Insurance Plans Make Headway

by Vera Gruessner

As the healthcare industry especially the medical insurance space continues to seek methods for reducing ever-increasing costs, the bundled payment model shows more promise for payers and providers alike. The Centers for Medicare & Medicaid...

70% of Uninsured Texans Find Medical Coverage Costs too High

by Vera Gruessner

The Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation (EHF) found in a new report that nearly seven out of ten uninsured Texans cite the high costs of medical coverage as the reason for lacking insurance....

23% of Voters Find Affordable Care Act ‘Extremely Important’

by Vera Gruessner

The Henry J. Kaiser Family Foundation released the January Kaiser Health Tracking Poll last week showing that the Affordable Care Act did not make it past 23 percent of those surveyed stating that it’s ‘extremely important’...

Enrollment through Health Insurance Exchange Continues to Rise

by Vera Gruessner

The deadline to apply for healthcare coverage through the federal health insurance exchange – healthcare.gov – is this Sunday, January 31. Currently, approximately 8.9 million people have either enrolled in a health insurance plan...

Health Insurance Company Couldn’t Lay Claim to Personal Assets

by Vera Gruessner

The health payer industry has seen its share of legal battles when it comes to keeping businesses afloat financially. One particular health insurance company – the National Elevator Industry Health Benefit Plan – paid $120,000 in...

Affordable Care Act Brings Greater Health Coverage to Texas

by Vera Gruessner

The Patient Protection and Affordable Care Act may have done its job in one particular state with regard to expanding health coverage options and providing federal subsidies on the health insurance exchange. A study from Rice University’s...

‘Patient Voice’ Missing from Healthcare Spending Conversation

by Vera Gruessner

Chronic disease continues to lead to heavy healthcare spending and health payers have aimed their sights on better understanding methods for preventing and addressing chronic medical conditions. Both private and public payers such as the Medicaid...

Co-ops on Health Insurance Exchanges Need Greater Surveillance

by Vera Gruessner

The Patient Protection and Affordable Care Act has influenced greater health coverage among American citizens through establishing state health insurance exchanges. However, when creating this platform, a number of Democratic congressmen were...

Top 3 Difficulties Facing State Health Insurance Exchanges

by Vera Gruessner

Once the Patient Protection and Affordable Care Act was passed into law, a tide of legal challenges came crashing against the legislation. In particular, the state and federal health insurance exchanges faced several differing lawsuits. Legal...

Key Steps toward Affordable Health Insurance Platforms

by Vera Gruessner

The average insured consumer is facing a whole new landscape when it comes to managing the costs of care. The prices surrounding health insurance plans and coverage options are rising steadily while wages and inflation rates remain relatively...

Why a Competitive Health Insurance Plan Matters to Employees

by Vera Gruessner

It seems that benefits and a health insurance plan majorly influence employment decisions of many Americans. An online survey completed by Harris Poll on behalf of the software company Collective Health shows that more than 75 percent of US citizens...

AAI Asks DOJ to “Just Say No” to Health Insurance Mergers

by Vera Gruessner

The latest news regarding the Aetna-Humana and Anthem-Cigna mergers revolves around a new letter sent to the Department of Justice Antitrust Division by the American Antitrust Institute. The letter states it concerns about the impending mergers...

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