HHS announced the Transparency in Coverage proposed rule requiring payers offering group and individual health insurance plans and employer-sponsored group health plans to offer price transparency...
The Health Care Cost Institute and Blue Health Intelligence, a data division of Blue Cross Blue Shield Association, have struck a multiyear data partnership that will see the latter’s medical...
CMS has announced the finalization of changes to the home health payment model, known as the home health prospective payment system (HH PPS), which includes a home infusion benefit and offers an...
High healthcare costs are keeping young adults from saving for the future, recent data from CITE Research, commissioned by Lively, shows, making the case for health savings accounts...
UnitedHealthcare (UHC) is combatting the opioid epidemic and high healthcare costs with new physical therapy and chiropractic care benefits to prevent, delay, or in some cases substitute for invasive...
An overwhelming 91 percent of payers think that alternative payment model (APM) activity will increase in the future, according to a recent survey conducted by Health Care Payment Learning and Action...
Inpatient healthcare costs and emergency department visits went down for chronically ill children when they received coordinated care but these results were potentially also achievable through usual...
The American healthcare industry unnecessarily spent over $250 billion on tangled administrative complexity, out of the $760 billion to $935 billion that healthcare professionals consider wasteful each...
Twice as many employers are offering workplace financial wellness programs in 2019 than in 2018, yet financial and health literacy still leave something to be desired, revealed a Bank of America...
Out-of-network specialty visits in California may have declined by 17 percent since implementing AB 72, California’s surprise billing law, a study by the University of Southern...
Employers are looking for broader provider networks, but healthcare payers who want to decrease the high cost-sharing must look for less expensive and fewer providers, a recent study by Kaiser Family...
CVS Health’s Project Health events are expanding their footprint to address chronic disease management and prevention and to enable access to care for free.
“Chronic conditions...
The Orphan Drug Act no longer serves its original purpose but instead increases prescription drug spending and healthcare spending, American’s Health Insurance Plans (AHIP) stated in a recent...
Specialty drugs, which often receive the brunt of healthcare spending deprecation, may be able to decrease healthcare spending by $4 billion per year if administered at the right locations, a...
Blue Cross and Blue Shield of Minnesota (Blue Cross) will offer a $0 insulin copay for commercial, fully-insured members, increasing diabetic members’ access to care, the payer...
After facing over $100 billion in Medicare Part D expenditures in 2016, Congress called on the Government Accountability Office to discern the pharmacy benefits manager’s (PBM’s) role in...
As healthcare costs continue to escalate, policymakers have put forth numerous solutions to control Medicare drug spending and, through it, stabilize the healthcare economy, a recent Kaiser Family...
Indiana submitted an application for an amendment to the state’s Healthy Indiana Plan Section 1115 Demonstration that would help transition members off of the HIP and into commercial coverage....
Payers want to know how to drive a personalized care management plan, how to excel at member engagement, and how to improve outcomes, all ultimately to cut costs. But when a payer attempts to answer...
Believing that having a standard value-based insurance design (V-BID) plan could fast-track the implementation of value-based insurance design principles, a team of researchers from the University of...
